Are potassium levels in children with hemolytic uremic syndrome predictive of outcome英文文献资料.docVIP

Open Journal of Pediatrics, 2012, 2, 264-267 OJPed /10.4236/ojped.2012.24043 Published Online December 2012 (http://www.SciRP.org/journal/ojped/) Are potassium levels in children with hemolytic uremic syndrome predictive of outcome?* 1,2# 3 4,5 4,6 Miguel M. Glatstein , Vala Snehal , Syed Amir Ahmad , Dennis Scolnik 1 Division of Pediatric Emergency Medicine, Department of Pediatrics, Dana’s Children Hospital, University of Tel Aviv, Tel Aviv, Israel 2 3 4 Division of Clinical Pharmacology and Toxicology, Ichilov Hospital, University of Tel Aviv, Tel Aviv, Israel Division of Neonatal and Pediatric Emergency Medicine, Synergy Neonatal and Pediatric Hospital, Ahmadabad, India Division of Pediatric Emergency Medicine, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Canada 5 Department of Emergency Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia Division of Clinical Pharmacology and Toxicology, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, 6 Canada # Email: Nopasara73@ Received 21 June 2012; revised 17 September 2012; accepted 3 October 2012 ABSTRACT 1. BACKGROUND Objective: To ascertain the role of serum potassium levels in predicting clinical outcomes in diarrhea-as- sociated hemolytic uremic syndrome (HUS D+). Me- thods: We reviewed clinical and laboratory data from HUS D+ patients at our tertiary care institution from 2001 to 2008. Serum potassium concentration at pre- sentation and during the acute phase of acute renal failure were recorded and related to laboratory pa- rameters and clinical outcomes. Results: 15 HUS D+ cases were identified. E. coli 0157:H7 was found in 9/15 cases (70%). Potassium levels were not predic- tive of clinical outcomes. Normal serum potassium le