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
Related Articles
- EP ID EP238775
- DOI 10.9790/0853-1611063742
- Views 74
- Downloads 0
Profile of HIV Positive Attendees at Integrated Counseling and Testing Centre of A Teaching Institution in West Bengal
Introduction : HIV/AIDS has turned out into global pandemic. There were approximately 36.7 million people worldwide living with HIV/AIDS at the end of 2016. Of these, 2.1 million were children (<15 years old). An estimat...
Too Much Too Soon- A Case Series on Carcinoma Endometrium in Young Women
Endometrial carcinoma is predominantly a disease of postmenopausal women .Only 1-6% occur in women under 40 years. Majority of cases are associated with hype- estrogenic states. Younger patients present with clinical cha...
QT Dispersion-An Ignored Screening Tool For Cardiovascular Disease In Diabetics
Background: Diabetes Mellitus Type 2 is a major global non-communicable disease among adults causing micro and macrovascular complications, one being cardiovascular system. QT dispersion represents the summation of sever...
Clinico-Endoscopic study in the patients of upper gastrointestinal bleeding: study from tertiary hospital North East, India.
Objectives: upper gastro intestinal(GI) bleeding is a common medical emergency with significant morbidity and mortality rates. Diversity of lesions and its locations makes the diagnosis of upper GI bleeding and their man...
Study on Effect of Steroid on Calcium and Vitamin D in Children with Nephrotic Syndrome in a Tertiary Care Hospital in Jharkhand
Minimal Change Disease is the leading cause of childhood Nephrotic Syndrome . Therefore in nephrotic syndrome, most children beyond the first year of life will be treated with corticosteroids .Children with Nephrotic syn...