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7. Frequency and Outcome of Diabetic Ketoacidosis in Newly Diagnosed Type-1 Diabetic Children

 

 

Shahzadi Asma Tahseen

 

 

 

Postgraduate Registrar, Dept. of Pediatrics, The Civil Hospital, Bahawalpur

 

 

 

ABSTRACT

 

Objective: To determine the frequency and outcome (mortality) of DKA in newly diagnosed cases of T1DM of one to 15 years of age.

 

Study Design: Cross sectional study

 

Place and Duration of Study: This study was carried out at the Pediatrics Unit-I, Bahawal Victoria hospital Bahawalpur from 1st January 2011 to 30th March 2014.

 

Materials and Methods: The study was conducted on newly diagnosed cases of T1DM with or without DKA in children of one to 15 years of age admitting in pediatrics unit-I. The children with DKA were managed in the Pediatric Intensive Care Unit according to the standard DKA protocol of International Society of Pediatric and Adolescent Diabetes. Patients were examined at 96 hours after admission to see the outcome in term of death and survival. The data about the age, sex, severity of the disease and outcome was collected.

 

Results: There were 65 cases of T1DM in the study; 60% were males. Out of 65 cases of T1DM 56 were cases of DKA; 59% were male. The frequency of DKA was 86.15%. The frequency f DKA among males and females was 84.61% and 88.46% respectively but the difference was statistically insignificant. Out of 56 cases of DKA, 25% were mild in severity, 32.14% moderate and 42.86% severe. The case fatality in DKA was 5.36%. The mortality was only among severe form of DKA.

 

Conclusion: DKA is common among TIDM with mortality among severe cases of DKA.

Key Words: Type 1 Diabetes Mellitus, Diabetic Ketoa    dos s, Out ome; Mortality

 

Citation of article: Tahseen SA. Frequency and Out ome of Diabetic Ketoacidosis in Newly Diagnosed Type-1 Diabetic Children. Med Forum 2016;27(3):24-27.