Diabetic ketoacidosis: predictors of outcome in a pediatric intensive care unit of a developing country.

@article{Jayashree2004DiabeticKP,
  title={Diabetic ketoacidosis: predictors of outcome in a pediatric intensive care unit of a developing country.},
  author={Muralidharan Jayashree and Sunit C Singhi},
  journal={Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies},
  year={2004},
  volume={5 5},
  pages={427-33}
}
OBJECTIVES To study the outcome and predictors of mortality in children with diabetic ketoacidosis. DESIGN Retrospective case series. SETTING Pediatric intensive care unit of an urban multiple-specialty teaching and referral hospital in north India. PATIENTS Sixty-eight patients with diabetic ketoacidosis treated between 1993 and 2000. INTERVENTIONS Data were retrieved from case records with respect to patients' age; clinical features; osmolality at admission; blood glucose, serum… CONTINUE READING

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Complications noted during treatment were hypokalemia ( n = 28 ; 41% ) , hypoglycemia ( n = 10 ; 15% ) , cerebral edema ( n = 9 ; 13.2% ) , and pulmonary edema ( n = 2 ; 3% ) .
Complications noted during treatment were hypokalemia ( n = 28 ; 41% ) , hypoglycemia ( n = 10 ; 15% ) , cerebral edema ( n = 9 ; 13.2% ) , and pulmonary edema ( n = 2 ; 3% ) .
Two thirds of children with diabetic ketoacidosis in our series had new - onset diabetes , and 13.2% died .
Two thirds of children with diabetic ketoacidosis in our series had new - onset diabetes , and 13.2% died .
Precipitating events identified were new - onset diabetes with sepsis ( 37% ) , new - onset diabetes alone ( 31% ) , insulin omission ( 15% ) , and infection with insulin omission ( 7% ) .
Precipitating events identified were new - onset diabetes with sepsis ( 37% ) , new - onset diabetes alone ( 31% ) , insulin omission ( 15% ) , and infection with insulin omission ( 7% ) .
Precipitating events identified were new - onset diabetes with sepsis ( 37% ) , new - onset diabetes alone ( 31% ) , insulin omission ( 15% ) , and infection with insulin omission ( 7% ) .
Precipitating events identified were new - onset diabetes with sepsis ( 37% ) , new - onset diabetes alone ( 31% ) , insulin omission ( 15% ) , and infection with insulin omission ( 7% ) .
Two thirds of children with diabetic ketoacidosis in our series had new - onset diabetes , and 13.2% died .
Two thirds of children with diabetic ketoacidosis in our series had new - onset diabetes , and 13.2% died .
Two thirds of children with diabetic ketoacidosis in our series had new - onset diabetes , and 13.2% died .
SepsisNo subtypeInfection
Precipitating events identified were new - onset diabetes with sepsis ( 37% ) , new - onset diabetes alone ( 31% ) , insulin omission ( 15% ) , and infection with insulin omission ( 7% ) .
InfectionNo subtypeSepsis
Precipitating events identified were new - onset diabetes with sepsis ( 37% ) , new - onset diabetes alone ( 31% ) , insulin omission ( 15% ) , and infection with insulin omission ( 7% ) .
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