{"title":"儿科下呼吸道感染患者低钙血症的患病率","authors":"Usha Sree Puneem, Vanitha Rani Nagasubramanian, Bhima Sridevi, Ranakishor Pelluri, Vasudeva Murthy Sindgi, Hanish Donthula, Vishwas Hunsur Nagendra, Sadagoban Gopal Krishnamoorthy","doi":"10.1177/00099228251321916","DOIUrl":null,"url":null,"abstract":"<p><p>A retrospective observational study aimed to assess blood calcium levels in children with lower respiratory tract infections (LRTIs) from September 2023 to February 2024. A total of 225 eligible records were evaluated. Calcium deficiency was observed in 44.8% of children, hyperchloremia in 42.6%, and hyperkalemia in 36.8% on admission. The mean age was 16.8 ± 16.2 months, and the mean SpO<sub>2</sub> was 95.8 ± 2.5%. Although the risk of hypocalcemia was slightly higher in nonimmunized subjects (odds ratio = 1.04 [95% confidence interval = 0.59-1.85]), this was not statistically significant (<i>P</i> > .05). A negative correlation between normal calcium levels and body mass (<i>r</i> =-0.295, <i>P</i> = .001) suggests that higher body weight is linked to calcium imbalance. Immunization status and developmental history did not significantly affect the risk of hypocalcemia. The study highlights the importance of regular calcium monitoring in pediatric LRTI patients, as hypocalcemia was prevalent, particularly in those with higher body weight.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1138-1143"},"PeriodicalIF":0.7000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence of Hypocalcemia in Pediatrics With Lower Respiratory Tract Infections.\",\"authors\":\"Usha Sree Puneem, Vanitha Rani Nagasubramanian, Bhima Sridevi, Ranakishor Pelluri, Vasudeva Murthy Sindgi, Hanish Donthula, Vishwas Hunsur Nagendra, Sadagoban Gopal Krishnamoorthy\",\"doi\":\"10.1177/00099228251321916\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>A retrospective observational study aimed to assess blood calcium levels in children with lower respiratory tract infections (LRTIs) from September 2023 to February 2024. A total of 225 eligible records were evaluated. Calcium deficiency was observed in 44.8% of children, hyperchloremia in 42.6%, and hyperkalemia in 36.8% on admission. The mean age was 16.8 ± 16.2 months, and the mean SpO<sub>2</sub> was 95.8 ± 2.5%. Although the risk of hypocalcemia was slightly higher in nonimmunized subjects (odds ratio = 1.04 [95% confidence interval = 0.59-1.85]), this was not statistically significant (<i>P</i> > .05). A negative correlation between normal calcium levels and body mass (<i>r</i> =-0.295, <i>P</i> = .001) suggests that higher body weight is linked to calcium imbalance. Immunization status and developmental history did not significantly affect the risk of hypocalcemia. The study highlights the importance of regular calcium monitoring in pediatric LRTI patients, as hypocalcemia was prevalent, particularly in those with higher body weight.</p>\",\"PeriodicalId\":10363,\"journal\":{\"name\":\"Clinical Pediatrics\",\"volume\":\" \",\"pages\":\"1138-1143\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00099228251321916\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/26 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00099228251321916","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/26 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
摘要
一项回顾性观察性研究旨在评估2023年9月至2024年2月期间下呼吸道感染（LRTIs）儿童的血钙水平。总共评估了225条符合条件的记录。入院时，44.8%的儿童缺钙，42.6%的儿童高氯血症，36.8%的儿童高钾血症。平均年龄16.8±16.2个月，平均SpO2为95.8±2.5%。虽然未接种疫苗的受试者发生低钙血症的风险略高（优势比= 1.04[95%可信区间= 0.59-1.85]），但差异无统计学意义（P < 0.05）。正常钙水平与体重呈负相关（r =-0.295, P = .001），表明较高的体重与钙失衡有关。免疫状况和发育历史对低钙血症的风险无显著影响。该研究强调了在儿童下呼吸道感染患者中定期钙监测的重要性，因为低钙血症很普遍，特别是那些体重较高的患者。
Prevalence of Hypocalcemia in Pediatrics With Lower Respiratory Tract Infections.
A retrospective observational study aimed to assess blood calcium levels in children with lower respiratory tract infections (LRTIs) from September 2023 to February 2024. A total of 225 eligible records were evaluated. Calcium deficiency was observed in 44.8% of children, hyperchloremia in 42.6%, and hyperkalemia in 36.8% on admission. The mean age was 16.8 ± 16.2 months, and the mean SpO2 was 95.8 ± 2.5%. Although the risk of hypocalcemia was slightly higher in nonimmunized subjects (odds ratio = 1.04 [95% confidence interval = 0.59-1.85]), this was not statistically significant (P > .05). A negative correlation between normal calcium levels and body mass (r =-0.295, P = .001) suggests that higher body weight is linked to calcium imbalance. Immunization status and developmental history did not significantly affect the risk of hypocalcemia. The study highlights the importance of regular calcium monitoring in pediatric LRTI patients, as hypocalcemia was prevalent, particularly in those with higher body weight.
期刊介绍：
Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.
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