Show simple item record

dc.contributor.authorOddie, S.J.*
dc.contributor.authorCraven, V.*
dc.contributor.authorDeakin, K.*
dc.contributor.authorWestman, J.*
dc.contributor.authorScally, Andy J.*
dc.date.accessioned2014-04-28T11:05:01Z
dc.date.available2014-04-28T11:05:01Z
dc.date.issued2013
dc.identifier.citationOddie, S. J., Craven, V., Deakin, K., Westman, J., Scally, A. (2013) Severe neonatal hypernatraemia: a population based study. Archives of Disease in Childhood - Fetal and Neonatal Edition, 98(5), F384-F387.
dc.identifier.urihttp://hdl.handle.net/10454/6117
dc.description.abstractAIMS: To describe incidence, presentation, treatment and short term outcomes of severe neonatal hypernatraemia (SNH, sodium >/=160 mmol/l). METHODS: Prospective, population based surveillance study over 13 months using the British Paediatric Surveillance Unit. Cases were >33 weeks gestation at birth, fed breast or formula milk and <28 days of age at presentation. RESULTS: Of 62 cases of SNH reported (7, 95% CI 5.4 to 9.0 per 1 00 000 live births), 61 mothers had intended to achieve exclusive breast feeding. Infants presented at median day 6 (range 2-17) with median weight loss of 19.5% (range 8.9-30.9). 12 had jaundice and 57 weight loss as a presenting feature. 58 presented with weight loss >/=15%. 25 babies had not stooled in the 24 h prior to admission. Serum sodium fell by median 12.9 mmol/l per 24 h (range 0-30). No baby died, had seizures or coma or was treated with dialysis or a central line. At discharge, babies had regained 11% of initial birth weight after a median admission of 5 (range 2-14) days. 10 were exclusively breast fed on discharge from hospital. CONCLUSIONS: Neonatal hypernatraemia at this level, in this population, is strongly associated with weight loss. It occurs almost exclusively after attempts to initiate breast feeding, occurs uncommonly and does not appear to be associated with serious short term morbidities, beyond admission to hospital.
dc.subjectBreast feeding; Adverse effects;
dc.subjectFemale;
dc.subjectGreat Britain; Epidemiology;
dc.subjectHumans;
dc.subjectHypernatremia; Complications; Therapy;
dc.subjectIncidence;
dc.subjectInfant; Newborn;
dc.subjectDiseases; Physiopathology;
dc.subjectIreland;
dc.subjectLinear Models;
dc.subjectMale;
dc.subjectProspective studies;
dc.subjectSodium; Blood;
dc.subjectWeight loss;
dc.subjectREF 2014
dc.titleSevere neonatal hypernatraemia: a population based study
dc.typeArticle
dc.identifier.doihttps://doi.org/10.1136/archdischild-2012-302908


This item appears in the following Collection(s)

Show simple item record