2018
DOI: 10.4103/jfmpc.jfmpc_116_18
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Correlation between the outcomes and severity of diabetic ketoacidosis: A retrospective pilot study

Abstract: Introduction:Diabetic ketoacidosis (DKA) is a serious acute metabolic complication of diabetes mellitus (DM). It is classified into mild, moderate, and severe based on severity as per the American Diabetes Association (ADA) guidelines. There are limited data on the correlation between the severity of DKA and its outcomes using this classification system. The aim is to study the correlation between the outcomes and severity of DKA in a tertiary care center in India.Methodology:In this retrospective pilot study,… Show more

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Cited by 13 publications
(20 citation statements)
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“…Moderate and severe severity had higher mortality rates. This is consistent with the study of George, et al 1 , who conducted a study in India with 8%, 41%, and 51%, respectively. This study is in line with the significance of severity with the death of DKA patients in Dr. Soetomo General Hospital Surabaya with a significance value of 0.001 (p < 0.005).…”
Section: Discussionsupporting
confidence: 93%
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“…Moderate and severe severity had higher mortality rates. This is consistent with the study of George, et al 1 , who conducted a study in India with 8%, 41%, and 51%, respectively. This study is in line with the significance of severity with the death of DKA patients in Dr. Soetomo General Hospital Surabaya with a significance value of 0.001 (p < 0.005).…”
Section: Discussionsupporting
confidence: 93%
“…The report is commonly collected from hospital data and DM type 2 patients. 1,2 Several factors such as age, gender, and high blood glucose can increase the risk of mortality in DKA patients. Other risk factors such as discontinued insulin therapy, disturbance of bicarbonate level, pH, and increased leukocyte DKA patients caused by infection, abnormal albumin level, electrolyte disturbance, and creatinine serum are suspected to influence mortality of DKA patients.…”
Section: Introductionmentioning
confidence: 99%
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“…The DKA patients in this study consisted of 7 patients of type 1 DM (11.11%) and 56 patients with type 2 DM (88.89%). This result is in accordance with George, Mishra, & Iyadurai (2018), Thewjitcharoen et al, (2019), and Usman, Syed Sulaiman, Khan, & Adnan (2015). DKA is always associated with type 1 DM but, lately, the prevalence of DKA in patients with type 2 DM has been increasing.…”
Section: Discussionsupporting
confidence: 84%
“…DKA patients are mostly aged from 50-59 years (38.10%), with the mean age being 49.51 ± 13.88 years. This result is in accordance with George, Mishra, & Iyadurai (2018), Thewjitcharoen et al, (2019), and Usman, Syed Sulaiman, Khan, & Adnan (2015). Factors that make the elderly more susceptible to DKA are decreased pancreatic beta cells' regenerative capabilities and insulin secretion with a sedentary lifestyle (Lee & Halter, 2017).…”
Section: Discussionsupporting
confidence: 81%