Outcome of Patients with Diabetic Ketoacidosis in South of Iran
Journal Title: Journal of Endocrinology and Diabetes - Year 2017, Vol 4, Issue 2
Abstract
Introduction: Diabetic Keto acidosis (DKA) is the most common cause of mortality in children with diabetes mellitus. The aim of this study is to investigate the complications of DKA and its complications in hospitalized patients in Namazi hospital, Shiraz, Iran. Methods: This study is a sectional descriptive survey. The statistical population included patients with DKA in the age range of 1 month to 18 years, who were hospitalized in Nemazee hospital in 2009 to 2013. All patients’ records were investigated to find out if there were complications of DKA. Data analysis was conducted using SPSS software. Results: Total population of patients was 224 cases 59.8% of patients had newly diagnosed diabetes. The cause of DKA in the other 40.2% of patients who were known cases of diabetes included lack of insulin injection in 16.5%, infection in 13.4%, stress of surgery or trauma in 0.9%, and unknown cause in 9.4% of the cases. The common complications included renal failure in 15 cases, coma in 2 cases, cerebral edema in 2 cases, cardiac arrhythmia in 3 cases, infection in 10 cases, and mortality in 4 cases. The mortality rate was 1.7%. There was a significant relation between mortality and low level of consciousness at admission time, hospitalization in ICU, hypokalemia during treatment, and older age. Conclusions: The cause of DKA was dominantly unknown. Renal failure was considered as the dominant complication in this hospital. Since there was 1.7% mortality rate of DKA in this hospital, there was an urgent need for accurate and correct treatment.
Authors and Affiliations
Homa Ilkhanipour, Hossein Moravej, Zahra seratishirazi, Maryam Sadat Azargoon, Anis Amirhakimi
Keywords
Related Articles
- EP ID EP333781
- DOI 10.15226/2374-6890/4/2/00177
- Views 88
- Downloads 0
Iatrogenic Milk Alkali Syndrome in a Patient Recovering from Acute Renal Failure
We describe a 49 year old morbidly obese man with iatrogenic milk alkali syndrome. He presented with sepsis resulting in acute renal failure with resultant hyperphosphatemia treated with high dose calcium carbonate. As h...
An Innovative Approach to Improve Diabetes Management in Accountable Care Organizations
As the Affordable Care Act becomes more widely operational across the United States, the expectation is that all citizens will benefit from better access to quality healthcare. This broad-based prospect of benefit is esp...
A Comprehensive Nutriceutical Approach to Metabolic and Vascular Health
A composite nutriceutical containing extracts of Momordica charantia, pine bark extract, hematococcus pluvialis, red yeast rice, the antioxidants alpha-lipoic acid and oxidoreductase ubiquinone Q10, vitamins B9 and B12,...
Similar Outcomes for Two Anemia Treatment Strategies among Elderly Hemodialysis Patients with Diabetes
Background/Aims: To compare mortality and cardiovascular risk in elderly dialysis patients with diabetes under two clinical strategies of anemia correction: maintaining hematocrit (Hct) between 34.5 and < 39.0% (high Hct...
Several Types of Somatic Mutations Induce Autonomous Production of Aldosterone in Primary Aldosteronism
It is well known that primary aldosteronism (PA) is the most common form of secondary hypertension, and also that aldosterone-producing adenoma (APA) and bilateral hyperaldosteronism (idiopathic hyperaldosteronism: IHA)...