Triaging children with Diabetic Ketoacidosis (DKA) by PRISM III score and assessment of the outcomes - A tertiary care experience.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background: DKA is an acute life threatening condition with mortality of 3.4% to 13.4% in developing countries like India. Objective: Utilise PRISM III score for triage and prognostication in DKA. Methodology: It is a cross sectional hospital based study conducted on 50 DKA patients of age 1 month to 12 years, fulfilling the criteria (ISPAD guidelines) for 2 years duration at Department of Pediatrics, Niloufer Hospital, Osmania Medical College. PRISM III score was used to triage these children with DKA which comprised of 17 physiologic variables. Results: Of the 50 patients studied, 52% were females. 60% children had moderate DKA and 38% had severe DKA. 66% were discharged and the rest 34% have expired. There was statistically significant association noted between PRISM III scores and duration of ICU stay and between severity of DKA and the outcome in terms of Discharge or Death. The death rate was directly proportional to severity of DKA. Mean score in death is statistically greater than the mean score in discharge. Conclusion: PRISM III score is a suitable and accurate triage system for DKA which uses readily available clinical data and is easy to compute.
Authors and Affiliations
Dr. C. V Nikhila, Dr. B. Shalini, Dr. A. Amaresh
Keywords
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- EP ID EP238775
- DOI 10.9790/0853-1611063742
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