Prevalence of diabetic ketoacidosis (DKA) and hyperglycaemic hyperosmolar syndrome (HHS) in emergency departments in Queensland, Australia
Journal Title: Journal of Modern Human Pathology - Year 2016, Vol 1, Issue 7
Abstract
A retrospective evaluation was undertaken on the frequency of presentations of DKA and HHS to emergency departments to three major hospitals. Biochemical results, glucose and bicarbonate specifically, and pH, when available, were used to classify patients into DKA or HHS and determine the prevalence based on sex and age, using five different age groups (0-19; 20-39; 40-59; 60-79, ≥ 80). The results showed 1,913 (0.92% of 207,665) patients who presented to the EDs had glucose > 14.0 mmol/L of which 261 (13.64%) were classified as either DKA (n = 199, 76.24%) or HHS (n = 62, 23.7%). There was greater prevalence amongst males for both conditions; for DKA the ratio was 1.4:1 M:F and for HHS the ratio was 1.6:1 M:F. The age group with greatest prevalence for both was 40-59 years, and the DKA:HHS ratio for each age group was 0-19 years 5.4:1; 20-39 years 3.3:1; 40-59 years 2.4:1; 60-79 years 3.0:1; 4 and 80+ years 4.3:1. Overall DKA was 3.3 times more prevalent than HHS in the patients presenting to EDs in these three hospitals; however HHS presents at a younger age group than commonly described due to the incidence of T2DM presenting at younger age.
Authors and Affiliations
Dimeski G, Eley R, Balachandran S, Sinnott M
Keywords
Related Articles
- EP ID EP553333
- DOI 10.14312/2397-6845.2016-9
- Views 52
- Downloads 0
Azathioprine induced Epstein-Barr virus positive mucocutaneous ulcer: A case report
Introduction: Epstein-Barr virus positive mucocutaneous ulcer (EBVMUC) is a rare, newly described provisional entity in the 2016 Update of World Health Organization classification of lymphoid neoplasms. The histomorpholo...
Primary plasmacytoma of the lung: A case report and review of literature
Solitary extramedullary plasmacytomas are uncommon entities accounting for less than 5% of all plasma cell neoplasms. Primary plasmacytomas of the lung are exceedingly rare, with approximately thirty-six cases described...
Inflammatory myofibroblastic tumor of the uterus that might STUMP you: Report of a case with clinicopathological and immunohistochemical findings
Inflammatory myofibroblastic tumor is an under-recognized locally aggressive tumor that has rarely been described in the uterus. We present a case in a 40-year-old patient with a large tumor mass in the posterior wall of...
Metastatic epithelioid hemangioendothelioma to the bone marrow with associated myelofibrosis resembling primary myelofibrosis
Epithelioid hemangioendothelioma (EHE) is a low-grade malignant vascular endothelial tumor. EHE of the spleen is rare and most often represents metastasis of EHE from other sites, or disseminated disease or multifocal di...
Atypical presentation of a desmoplastic small round cell tumor in the orbit: Case report and review of the literature
Desmoplastic small round cell tumor (DSRCT) is a rare malignant neoplasm. Typically it occurs in young adult males and involves the abdomen or pelvis. Other primary sites are uncommon. Only one other case of orbital DSRC...