View Contents. Hiponatremia, h.. BIBLIOGRAFÍA. Hiponatremia, hipernatremia y mortalidad en pacientes con nefropatía crónica. Mary E. Choi; Joseph Loscalzo. farsightedness, long-sightedness, hyperopia CD hipermetropía f hipernatremia f hypacusis CE) hipoacusia f hipocapnia f hypocapnia CD hipo- capnia f hipocinesia f ® hypokinesia CE) hi- + m) hipocrómico E«> hypochromic CE) . Hiponatremia e hipernatremia. Jose Miguel Castellón. Hiponatremia hipernatremia. fernandomolinalino. Fisiopatologia trastornos del Sodio.
In our sample, all cases had onset within 15 days from birth, with a median age at admission yipernatremia was slightly greater compared to the age hipeernatremia in other case series, which can probably be explained by our study focusing on newborns admitted after discharge from the maternity ward. One of the limitations of our study, which was due to its retrospective design, was that we were unable to obtain data on parental educational attainment.
In agreement with the previous literature, we did not find relevant features in the prenatal or perinatal history in our sample of NBs Although the actual hipernafremia of HND in Spain is unknown, it is considered a significant public health problem due to its repercussions; the estimated incidence is 1.
The mean gestational age at birth was We collected data on epidemiological, clinical, laboratory, treatment and outcome variables through the review of health records, followed by their statistical analysis.
Reference of this article.: We used the recorded population for our catchment area as the susceptible population for the purpose of calculating the incidence of HND. Other, less frequent reasons to seek care were refusal to feed and appearance of urate crystals in hipernstremia diaper. Some authors have found an association between HND and high sodium concentrations in the breast milk of mothers that have difficulty BF, with absence of the physiological reduction in the concentration of this electrolyte 2, Education of health care staff though the development of consensus documents and gipo implementation of BF support workshops for mothers are measures that succeeded in reducing the incidence of HND in other facilities in Spain 13, Its onset hopernatremia occurs at about 8 days post birth, varying between 2 and 14 days depending on the study.
Table 2 summarises the findings of other diagnostic tests. There were no deaths among the patients in our sample. There are few studies on its incidence in Spain. Most mothers in our sample were primiparous, and the median maternal age was 34 years, which was consistent with previous studies where the median ages of the mothers age were 30 17 and 34 years, Our study is the first in Spain to calculate the incidence of HND in newborns after discharge, identifying primiparity as a relevant maternal risk factor.
hipernatremia – Translation into English – examples Portuguese | Reverso Context
The aim of our study was to determine the incidence of hospital admission due to severe HND and to describe the associated risk factors for the purpose of proposing preventive measures.
A future prospective study, one which would include an analysis of the impact of the improvement measures proposed here, could be the starting point to decrease the incidence of this health problem. Twenty met the inclusion criteria. We compared our results for the most important epidemiologic variables with the findings of previous studies. Contrary to other studies, we did not find an association with caesarean delivery, as in Spain this intervention usually does not entail a delay of more than 12 hours in BF initiation Other variables we took into account were maternal age, parity, type of delivery, sex, gestational age at birth, chronological age at admission, weight at birth, at admission and at discharge, temperature at admission, type of feeding, presence of clinical signs of dehydration, creatinine, blood urea nitrogen BUN and urea levels at admission, serum glucose level at admission, referral to our hospital, previous assessment by another health hiperjatremia, length of stay in days, admission to the paediatric intensive care unit PICUneed for additional diagnostic tests, presence of complications, comorbidity and mortality.
The median serum sodium level was We excluded patients with underlying conditions or hipernwtremia infection. We excluded patients born preterm, with concomitant infectious disease, with underlying disease or who died of unknown causes during the study.
In light of these results, it seems advisable to provide information on the warning signs at the time of discharge from the maternity ward, and to schedule the first checkup for the baby at an earlier time. As occurred in previously published case series, excessive weight loss from birth was a frequent feature, as was the appearance of urate crystals in the urine 14, We compared differences in the incidence between the warm seasons spring and summer and the cold seasons autumn and winter by means of the Student t test.
The authors have no conflicts of interest to declare in relation to the preparation and publication of this article. In our well-child programme, the first check-up visit is scheduled at 15 days post birth, which in our opinion is too late to detect problems derived from inadequate BF in at-risk NBs, as our data imply. It is a potentially severe condition 1,3 that can cause significant neurologic sequelae and even death 4.
We have summarised qualitative variables as frequencies with confidence intervals, and quantitative variables as medians with the corresponding interquartile range. The metabolic comorbidities found in our study were similar to those described in other studies in Spain, with mild acidosis detected in half of our sample, although our patients did not develop the disorders described in other case series while they received treatment to correct the acidosis 21, Furthermore, the baby may show signs of dehydration such as dry mucous membranes, a sunken fontanel, poor skin turgora malnourished appearance, jaundice, fever, oliguria or anuria or neurologic abnormalities.
We preserved confidentiality by anonymising the data retrieved from health records. RESULTS We estimated the size of the susceptible population during the period under study at 41 newborns, which corresponded to the newborns delivered in the maternity departments of one secondary level hospital and one tertiary level hospital that are both part of the public health system in the catchment area of our sample. As reference for Spain, the incidence of hypernatremia per live births found in a study in Asturias was 0.
The primary variable under study was the serum sodium level measured in a venous blood sample.
Translation of “hipernatremia” in English
The medium serum creatine level in our sample was 0. Two of the hkpo were delivered by caesarean section, one due to nonreassuring foetal hipernatrmia rate tracings and the other due to prolonged labour. The median age at admission was 5. In most cases, the presenting complaints were problems associated with BF with signs that were easily identified in a basic physical examination.
We were able to conduct the study thanks to the standardisation of our electronic health records. We retrieved the data from the health records of NBs admitted to our hospital.
The mean length of stay was 6. We found an association with exclusive breastfeeding, primiparity and greater maternal age. None of the patients died or had severe complications.
The overall frequency of HND in our sample 0. The scheduling of a first appointment at the end of the first week of life could help prevent HND associated with BF or at least reduce its incidence, and also support BF, preventing early discontinuation of BF due to inefficient technique or maternal discouragement The risk factors for HND described in the literature include inadequate feeding of NBs poor breastfeeding [BF] technique, poor sucking or low milk supplypreterm birth, small for gestational age or low birth weight, maternal primiparity, caesarean delivery, or failure of mothers to identify signs of inadequate feeding early on 4, The presenting complaints are summarised in Table 1:
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