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
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- EP ID EP333781
- DOI 10.15226/2374-6890/4/2/00177
- Views 86
- Downloads 0
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