Cited 0 times in Scipus Cited Count

Non-oliguric hyperkalemia in extremely low birth weight infants.

DC Field Value Language
dc.contributor.authorKwak, JR-
dc.contributor.authorGwon, M-
dc.contributor.authorLee, JH-
dc.contributor.authorPark, MS-
dc.contributor.authorKim, SH-
dc.date.accessioned2014-05-23-
dc.date.available2014-05-23-
dc.date.issued2013-
dc.identifier.issn0513-5796-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/10095-
dc.description.abstractPURPOSE: It is to examine clinical manifestations, early biochemical indicators, and risk factors for non-oliguric hyperkalemia (NOHK) in extremely low birth weight infants (ELBWI).



MATERIALS AND METHODS: We collected clinical and biochemical data from 75 ELBWI admitted to Ajou University Hospital between Jan. 2008 and Jun. 2011 by reviewing medical records retrospectively. NOHK was defined as serum potassium≥7 mmol/L during the first 72 hours of life with urine output≥1 mL/kg/h.



RESULTS: NOHK developed in 26.7% (20/75) of ELBWI. Among NOHK developed in ELBWI, 85% (17/20) developed within postnatal (PN) 48 hours, 5% (1/20) experienced cardiac arrhythmia and 20% (4/20) of NOHK infants expired within PN 72 hours. There were statistically significant differences in gestational age, use of antenatal steroid, and serum phosphorous level at PN 24 hours, and serum sodium, calcium, and urea levels at PN 72 hours between NOHK and non-NOHK groups (p-value<0.050). However, there were no statistical differences in the rate of intraventricular hemorrhage, arrhythmia, mortality occurred, methods of fluid therapy, supplementation of amino acid and calcium, frequencies of umbilical artery catheterization and urine output between the two groups.



CONCLUSION: NOHK is not a rare complication in ELBWI. It occurs more frequently in ELBWI with younger gestational age and who didn't use antenatal steroid. Furthermore, electrolyte imbalance such as hypernatremia, hypocalcemia and hyperphosphatemia occurred more often in NOHK group within PN 72 hours. Therefore, more use of antenatal steroid and careful control by monitoring electrolyte imbalance should be considered in order to prevent NOHK in ELBWI.
-
dc.language.isoen-
dc.subject.MESHGestational Age-
dc.subject.MESHHumans-
dc.subject.MESHHyperkalemia-
dc.subject.MESHInfant, Extremely Low Birth Weight-
dc.subject.MESHInfant, Newborn-
dc.subject.MESHInfant, Premature-
dc.subject.MESHInfant, Premature, Diseases-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRisk Factors-
dc.titleNon-oliguric hyperkalemia in extremely low birth weight infants.-
dc.typeArticle-
dc.identifier.pmid23549817-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635635/-
dc.contributor.affiliatedAuthor이, 장훈-
dc.contributor.affiliatedAuthor박, 문성-
dc.contributor.affiliatedAuthor김, 성환-
dc.type.localJournal Papers-
dc.identifier.doi10.3349/ymj.2013.54.3.696-
dc.citation.titleYonsei medical journal-
dc.citation.volume54-
dc.citation.number3-
dc.citation.date2013-
dc.citation.startPage696-
dc.citation.endPage701-
dc.identifier.bibliographicCitationYonsei medical journal, 54(3). : 696-701, 2013-
dc.identifier.eissn1976-2437-
dc.relation.journalidJ005135796-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Pediatrics & Adolescent Medicine
Files in This Item:
23549817.pdfDownload

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse