Dysnatremias in pediatric victims of the 2023 Türkiye-Syria earthquake.

IF 2.6 3区 医学 Q1 PEDIATRICS
Pediatric Nephrology Pub Date : 2025-11-01 Epub Date: 2025-06-27 DOI:10.1007/s00467-025-06843-w
Ulas Ozdemir, Tugba Kandemir Gulmez, Mehmet Deniz Erhan, Umit Celik, Sevgin Taner
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引用次数: 0

Abstract

Background: Dysnatremia is a common electrolyte abnormality in children, but its prevalence and impact in pediatric earthquake victims are not well established. This study aimed to define the frequency of dysnatremia in pediatric earthquake victims and evaluate its relationship with complications, mortality, and morbidity.

Methods: We retrospectively analyzed data from 312 pediatric patients admitted to our hospital after the 2023 Türkiye-Syria earthquakes. Patients were categorized based on admission sodium levels: hyponatremic (< 135 mmol/L), hypernatremic (> 145 mmol/L), and normal (135-145 mmol/L). Demographic, clinical, and laboratory data were analyzed.

Results: Of the 312 patients, 36.2% were hyponatremic, 17.3% were hypernatremic, and 46.5% had normal sodium levels. The frequency of fasciotomy, crush syndrome (CS), acute kidney injury (AKI), and dialysis treatment was significantly higher in the hyponatremic patient group compared to those with normal sodium levels (p < 0.001). Hypernatremic patients also had a longer time under the rubble at 121 ± 64 h, compared to 35 ± 41 h in patients with normal sodium (p < 0.001). Mortality was 5.4%, with no significant difference between dysnatremic and normonatremic patients.

Conclusions: Dysnatremia is common in pediatric earthquake victims. Dysnatremia is associated with increased morbidity, including CS and AKI. Monitoring and management of sodium abnormalities are crucial in the care of pediatric earthquake survivors.

2023年叙利亚雷基耶-叙利亚地震儿童受害者的血钠异常。
背景:钠质异常是儿童常见的电解质异常,但其在儿童地震受害者中的患病率和影响尚不清楚。本研究旨在确定儿童地震受害者中钠血症的发生率,并评估其与并发症、死亡率和发病率的关系。方法:回顾性分析2023年 rkiye-叙利亚地震后我院收治的312名儿童患者的资料。根据入院钠水平对患者进行分类:低钠血症(145 mmol/L)和正常(135-145 mmol/L)。对人口统计学、临床和实验室数据进行分析。结果:312例患者中,36.2%为低钠血症,17.3%为高钠血症,46.5%为正常钠血症。与钠水平正常的患者相比,低钠血症患者的筋膜切开术、挤压综合征(CS)、急性肾损伤(AKI)和透析治疗的频率明显更高(p)。钠血症与发病率增加有关,包括CS和AKI。监测和管理钠异常在儿童地震幸存者的护理中至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatric Nephrology
Pediatric Nephrology 医学-泌尿学与肾脏学
CiteScore
4.70
自引率
20.00%
发文量
465
审稿时长
1 months
期刊介绍: International Pediatric Nephrology Association Pediatric Nephrology publishes original clinical research related to acute and chronic diseases that affect renal function, blood pressure, and fluid and electrolyte disorders in children. Studies may involve medical, surgical, nutritional, physiologic, biochemical, genetic, pathologic or immunologic aspects of disease, imaging techniques or consequences of acute or chronic kidney disease. There are 12 issues per year that contain Editorial Commentaries, Reviews, Educational Reviews, Original Articles, Brief Reports, Rapid Communications, Clinical Quizzes, and Letters to the Editors.
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