ADOPA
Publicado: 04/21/2024
DOI: https://doi.org/10.58994/adopa.v2i1.31
Características clínicas y epidemiológicas de los pacientes ingresados por cetoacidosis diabética en el Hospital Infantil Dr. Robert Reid Cabral (HIRRC). Enero–diciembre 2022. Santo Domingo, República Dominicana
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Resumen
Introduction: Type 1 Diabetes Mellitus is a metabolic disease, characterized by hyperglycemia resulting from a deficit in the secretion and/or action of insulin. It is the most common chronic disease in children and adolescents. Diabetic Ketoacidosis is the most common cause of hospitalization and the main complication in children with Type 1 Diabetes Mellitus. Younger children, especially those under 5 years of age, are at greater risk of suffering from diabetic ketoacidosis, as are those with a low mass index. bodily. Poor adherence to treatment and infectious processes represents the main triggers of this complication worldwide.
Material and method: An observational, descriptive, longitudinal study of prospective data collection was carried out at the Dr. Robert Reid Cabral Children’s Hospital, in Santo Domingo. Dominican Republic in January-December 2022.
Results: The female sex was the most affected with 57% and the age group from 10 to 14 years with 51%, the debut was more common with 71%, the triggers of the clinical picture of these patients were infections with a 35%, the most common clinical manifestations were vomiting with 54%, polyuria with 57%, abdominal pain with 54% and polydipsia in 43%, 46% of patients were alert at the time of admission, severe ketoacidosis was the most common with 40%. The main complications were Kidney Injury 14% and acute respiratory distress syndrome 6% and Infection associated with the health system 5%. The hospital stay was 4 to 6 days, with a mean of 8.01 days, with a range of 4 to 45 days. 5% of the patients died.
Conclusion: The onset of ketoacidosis was the most frequent clinical presentation in new type 1 diabetics, non-adherence to treatment and infections were the main triggers in already diagnosed patients.
Abstract
Introduction: Type 1 Diabetes Mellitus is a metabolic disease, characterized by hyperglycemia resulting from a deficit in the secretion and/or action of insulin. It is the most common chronic disease in children and adolescents. Diabetic Ketoacidosis is the most common cause of hospitalization and the main complication in children with Type 1 Diabetes Mellitus. Younger children, especially those under 5 years of age, are at greater risk of suffering from diabetic ketoacidosis, as are those with a low mass index. bodily. Poor adherence to treatment and infectious processes represents the main triggers of this complication worldwide.
Material and method: An observational, descriptive, longitudinal study of prospective data collection was carried out at the Dr. Robert Reid Cabral Children’s Hospital, in Santo Domingo. Dominican Republic in January-December 2022.
Results: The female sex was the most affected with 57% and the age group from 10 to 14 years with 51%, the debut was more common with 71%, the triggers of the clinical picture of these patients were infections with a 35%, the most common clinical manifestations were vomiting with 54%, polyuria with 57%, abdominal pain with 54% and polydipsia in 43%, 46% of patients were alert at the time of admission, severe ketoacidosis was the most common with 40%. The main complications were Kidney Injury 14% and acute respiratory distress syndrome 6% and Infection associated with the health system 5%. The hospital stay was 4 to 6 days, with a mean of 8.01 days, with a range of 4 to 45 days. 5% of the patients died.
Conclusion: The onset of ketoacidosis was the most frequent clinical presentation in new type 1 diabetics, non-adherence to treatment and infections were the main triggers in already diagnosed patients.
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Referencias
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