Paediatric anaesthesia & critical care
Incidence, Predictors, and Outcomes of Early Postoperative Dysnatremia After Pediatric Neurosurgery: A Prospective Observational Study
Authors' conclusion
About one-in-five children undergoing neurosurgery develop postoperative dysnatremia, and it is predicted by preoperative dysnatremia, sellar/suprasellar pathology, and higher blood loss. Dysnatremia is associated with poor clinical outcomes.
Study context
- Population
- Children aged < 18 years undergoing elective neurosurgery22-month study period
- Participants
- 668 children
- Outcome
- Incidence of postoperative dysnatremia (serum sodium < 135 or > 145 mEq/L)
- Follow-up
- First 3 postoperative days
Methodological detailssingle-center, consecutive patients
- Single-center
- Consecutive patients
Main finding
As reported in the abstract
Incidence of postoperative dysnatremia
Incidence of postoperative dysnatremia
18.6%
124/668
Observational data: associations, not effects.
Further findings
Predictors of postoperative dysnatremia (multivariate regression)
- Sellar/suprasellar pathologies, preoperative dysnatremia and higher blood loss were predictors
Outcomes with postoperative dysnatremia
- Higher occurrence of seizures, neurological deterioration and death, and longer intensive care unit (ICU) and hospital stays
Original publication
Incidence, Predictors, and Outcomes of Early Postoperative Dysnatremia After Pediatric Neurosurgery: A Prospective Observational Study. Paediatr Anaesth. Published 29 July 2026. doi:10. 1002/ pan. 70274
Composed by AI from the published abstract and checked against it. How Briefs are made →