title: Hyponatraemia and neurological complications in children admitted with bronchiolitis.
abstract: Hyponatraemia occurs during bronchiolitis, sometimes with neurological manifestations. The prevalence of the latter differs widely and little is known about the time of occurrence and associated factors. This study was undertaken to investigate these complications.
  
  
  
  This was a retrospective observational chart review of a cohort of 233 infants under 2 years of age admitted with bronchiolitis to a teaching hospital in the United Arab Emirates.
  
  
  
  Hyponatraemia (serum sodium <135 mmol/L) occurred in 105 infants (45%, 95% CI 38-51). Hyponatraemia was present on admission in 84 infants (80%) with 90% of cases occurring within 6 days of the onset of illness. It was mild (130-135) in 100 infants (95%) and severe (<130) in five (5%). It was not significantly associated with age, duration of illness before admission, viral aetiology, white cell count or serum C-reactive protein concentrations, or the volume of administered intravenous fluid or use of 0.18% sodium chloride (NaCl). Neurological manifestations occurred in a 29-day-old child with a serum sodium level of 123 mmol/L while receiving two-thirds intravenous maintenance fluids (0.18% NaCl). His developmental milestones remained normal on follow-up to the age of 5 years.
  
  
  
  Hyponatraemia is common in infants with bronchiolitis and occurs in the majority within 6 days of onset of symptoms. There was a significant association between the presence of fever (>38°C) on admission and the duration of hospitalisation.
authors.affiliation: a Department of Pediatrics , Tawam Hospital , Al Ain.
authors.forename: Amar
authors.initials: A
authors.lastname: Al Shibli
authors.affiliation: a Department of Pediatrics , Tawam Hospital , Al Ain.
authors.forename: Dima
authors.initials: D
authors.lastname: Abukhater
authors.affiliation: a Department of Pediatrics , Tawam Hospital , Al Ain.
authors.forename: Najla
authors.initials: N
authors.lastname: Al Kuwaiti
authors.affiliation: a Department of Pediatrics , Tawam Hospital , Al Ain.
authors.forename: Muhammad Bassel
authors.initials: MB
authors.lastname: Noureddin
authors.affiliation: a Department of Pediatrics , Tawam Hospital , Al Ain.
authors.forename: Mariam
authors.initials: M
authors.lastname: Al Harbi
authors.affiliation: a Department of Pediatrics , Tawam Hospital , Al Ain.
authors.forename: Aysha
authors.initials: A
authors.lastname: Al Kaabi
authors.affiliation: a Department of Pediatrics , Tawam Hospital , Al Ain.
authors.forename: Salwa
authors.initials: S
authors.lastname: Al Kaabi
authors.affiliation: a Department of Pediatrics , Tawam Hospital , Al Ain.
authors.forename: May
authors.initials: M
authors.lastname: Hamie
authors.affiliation: a Department of Pediatrics , Tawam Hospital , Al Ain.
authors.forename: Abdulla
authors.initials: A
authors.lastname: Al Amri
authors.affiliation: b Department of Pediatrics , College of Medicine and Health Sciences, United Arab Emirates University , Al Ain , United Arab Emirates.
authors.forename: Hassib
authors.initials: H
authors.lastname: Narchi
mesh_terms: D001988:Bronchiolitis / Q000150:complications*; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D006760:Hospitalization; D006801:Humans; D007010:Hyponatremia / Q000209:etiology*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009422:Nervous System Diseases / Q000209:etiology*; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D012964:Sodium / Q000097:blood*; D014479:United Arab Emirates
chemical_list: D012964:Sodium
keywords: Hospitalisation; Infant; Neurological manifestations; Respiratory tract infections; Viral diseases