Clinical and Biochemical Characteristics of Diabetes Ketoacidosis in a Tertiary Hospital in Riyadh
| Autor: | Shawana Abdulhamid Khan, Mussa H. Almalki, Badurudeen Mahmood Buhary, Abdulrahman Almaghamsi, Fahad Alshahrani |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty Abdominal pain Diabetic ketoacidosis endocrine system diseases Nausea Endocrinology Diabetes and Metabolism presenting symptoms 030209 endocrinology & metabolism Type 2 diabetes 030204 cardiovascular system & hematology precipitating cause lcsh:Diseases of the endocrine glands. Clinical endocrinology 03 medical and health sciences 0302 clinical medicine diabetic ketoacidosis Diabetes mellitus Internal Medicine medicine Cause of death Original Research Type 1 diabetes lcsh:RC648-665 diabetes business.industry nutritional and metabolic diseases medicine.disease Ketoacidosis medicine.symptom business |
| Zdroj: | Clinical Medicine Insights. Endocrinology and Diabetes Clinical Medicine Insights: Endocrinology and Diabetes, Vol 9 (2016) Clinical Medicine Insights: Endocrinology and Diabetes, Vol 2016, Iss 9, Pp 7-11 (2016) |
| ISSN: | 1179-5514 |
| Popis: | Diabetes is the fifth leading cause of death worldwide. Diabetic ketoacidosis (DKA) is a life-threatening acute complication of diabetes. The aim of this study is to investigate the clinical and biochemical characteristics of DKA among 400 patients admitted to hospital, most of whom had type 1 diabetes ( n = 372; 93%). Vomiting ( n = 319; 79.8%), nausea ( n = 282; 70.5%), and abdominal pain ( n = 303; 75.8%) were the presenting symptoms most commonly experienced by the patients. Tachycardia was the most common clinical sign noted in the patients on admission ( n = 243; 61.8%). The predominant precipitating cause of DKA was noncompliance to an insulin regimen ( n = 215; 54.2%). Recurrent DKA admissions in type 1 diabetes patients was higher than those with type 2 diabetes ( n = 232 versus n = 9, respectively; P = 0.002). Recurrent DKA admissions in female patients were higher than in male patients ( n = 167 versus n = 74, respectively; P = 0.002). Continued diabetic education (given to n = 384; 94%) and counseling on the importance of adhering to the recommended medical regime, addressing the social and cultural barriers that precipitate DKA, as well as the provision of timely medical attention may greatly reduce DKA episodes and their associated complications. |
| Databáze: | OpenAIRE |
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