a Prevalence and associated factors of diabetic ketoacidosis among pediatrics: Hospital Based Cross Sectional Study in Hawassa University, Comprehensive specialized Hospital

  • kurabachew mengistu Hawassa University
Keywords: Diabetic ketoacidosis, Hyperglycemia, Cerebral edema, Ketonemia

Abstract

Diabetic ketoacidosis is a medical emergency that requires prompt hospital admission and treatment.  It contributes significantly to morbidity and mortality in children with type-1 diabetes mellitus. DKA is a result of absolute or relative shortage of insulin deficiency, resulted in hyperglycemia, ketonemia, acidemia, and systemic inflammation.

Objective: To study the prevalence of diabetic ketoacidosis and associated factors among pediatric diabetic age group in Hawassa University teaching hospital from September 2014 to August 2019 G.C.

Methodology: The research area is in a pediatric clinic, Hawassa University teaching hospital. This study is a retrospective cross-sectional study of 150 cases had diabetes mellitus. Data were collected from patient records by trained Data collectors. Data intended for our study that consists of the patient's history, physical examination, progress notes, treatment results, and a summary of deaths from September 2014 until August 2019.

Result: DKA prevalence is 72 percent. It was common among the age group 10 to 14 years, which is 28.7 per cent. The majority of them, 98.7 percent are type 1 DM. Of all patients with DKA 50 (46.2%) were on drugs, of which 48 (96%) had used insulin and 2 (4%) were on oral hypoglycemic agents.

Conclusion: Diabetic ketoacidosis was high among patients with Type-1 diabetes. Most patients with DKA presented with symptoms of poly (polyphagia, polydipsia, and polyuria).

 

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Published
2020-06-26
Section
Original Article