Clinical characteristics and outcomes of care in patients hospitalized with diabetic ketoacidosis
<h3>Aims</h3><p dir="ltr">To assess the clinical characteristics and outcomes of patients hospitalized with DKA.</p><h3>Methods</h3><p dir="ltr">We examined the hospital database for patients admitted with DKA to all government hospitals...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , , , , , , |
| منشور في: |
2022
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| الموضوعات: | |
| الوسوم: |
إضافة وسم
لا توجد وسوم, كن أول من يضع وسما على هذه التسجيلة!
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| الملخص: | <h3>Aims</h3><p dir="ltr">To assess the clinical characteristics and outcomes of patients hospitalized with DKA.</p><h3>Methods</h3><p dir="ltr">We examined the hospital database for patients admitted with DKA to all government hospitals in Qatar over 6 years.</p><h3>Results</h3><p dir="ltr">We evaluated a total of 1330 patients [(37.3 % with type 1 diabetes (T1DM) and 62.7 % with type 2 diabetes (T2DM)] with 1613 episodes of DKA. Patients with T2DM were older than those with T1DM [48.0 (38.0–60.0), 26.0 (21.0–31.0) years] while there was no difference in DKA severity and laboratory values on admission or time to resolution of DKA. Admission to the intensive care unit was higher (38.9 % vs. 26.6 %; P < 0.001) with a longer hospital stay [5 (2.0–9.0) vs. 2 (2.0–4.0) days, P < 0.001] and markedly higher mortality (7.4 % vs. 1 %; P < 0.001) in patients with T2DM compared to T1DM. On multivariable logistic regression analysis, significant predictors of mortality were older age (odds ratio, 1.11; 95 % CI, 1.07–1.15; P = 0.0001), and admission to the intensive care unit (odds ratio, 3.61; 95 % CI, 1.69–7.72;P = 0.001).</p><h3>Conclusion</h3><p dir="ltr">In this national cohort of patients hospitalized with DKA, those with T2DM had a 7-fold increase in inpatient mortality associated with older age and admission to the intensive care unit.</p><h2>Other Information</h2><p dir="ltr">Published in: Diabetes Research and Clinical Practice<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.diabres.2022.110041" target="_blank">https://dx.doi.org/10.1016/j.diabres.2022.110041</a></p> |
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