Diabetic ketoacidosis in a pediatric intensive care unit
| Autor: | Guilherme Unchalo Eckert, Luzia S. Barberena, Clarice Laroque Sinot Lopes, Paula P. Pinheiro |
|---|---|
| Jazyk: | portugalština |
| Rok vydání: | 2017 |
| Předmět: |
Male
Pediatrics Crianças Severity of Illness Index Edema cerebral chemistry.chemical_compound 0302 clinical medicine Diabetes mellitus Diabetic ketoacidosis Insulin 030212 general & internal medicine Cerebral edema Child Children Pediatric intensive care unit Body surface area Medical record Age Factors lcsh:RJ1-570 Hypokalemia Child Preschool Mortalidade Female medicine.symptom Brazil medicine.medical_specialty Adolescent 030209 endocrinology & metabolism Hypoglycemia Intensive Care Units Pediatric 03 medical and health sciences Cetoacidose diabética medicine Humans Pediatrics Perinatology and Child Health Mortality Retrospective Studies Type 1 diabetes business.industry Infant Newborn Infant lcsh:Pediatrics Length of Stay medicine.disease Surgery Diabetes Mellitus Type 1 chemistry Pediatrics Perinatology and Child Health Glycated hemoglobin business |
| Zdroj: | Jornal de Pediatria (Versão em Português), Vol 93, Iss 2, Pp 179-184 (2017) Jornal de Pediatria, Vol 93, Iss 2, Pp 179-184 Jornal de Pediatria v.93 n.2 2017 Jornal de Pediatria Sociedade Brasileira de Pediatria (SBP) instacron:SBPE Jornal de Pediatria, Vol 93, Iss 2, Pp 179-184 (2017) |
| ISSN: | 2255-5536 |
| Popis: | Objective: To describe the characteristics of children aged 0–14 years diagnosed with diabetic ketoacidosis and compare the following outcomes between children with prior diagnosis of type 1 diabetes mellitus and children without prior diagnosis of type 1 diabetes mellitus length of hospital stay, severity on admission, insulin dosage, time of continuous insulin use, volume of fluids infused during treatment, and complications. Methods: A retrospective descriptive study with review of medical records of patients admitted to the pediatric intensive care unit of a referral hospital from June 2013 to July 2015. The following data regarding 52 admissions were analyzed: age, sex, weight, body surface area, signs, symptoms and severity on admission, blood gas, blood glucose, glycated hemoglobin, serum osmolarity, and index of mortality. The insulin dosage, time of continuous insulin use, volume administered in the expansion phase and in the first 24 h, length of stay, and complications such as electrolyte disturbances, hypoglycemia, cerebral edema, and death were compared between the two groups. Results: Patients without a previous diagnosis of DM1 were younger at admission, with mean age of 8.4 years (p |
| Databáze: | OpenAIRE |
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