Treatment Outcomes of Diabetic Ketoacidosis Patients
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Abstract
BACKGROUND: Diabetic ketoacidosis (DKA) is a serious emergency condition in diabetes patients and is associated with significant complications and mortality. Many affected patients experience prolonged hospital stays. In Thailand, data on the factors associated with the length of hospital stay remains limited.
OBJECTIVES: To assess the factors associated with length of hospital stay, mortality rate and precipitating factor among DKA patients.
METHODS: A retrospective study of DKA patients admitted to Bangbo Hospital from July 1, 2020 to June 30, 2024 was carried out. Various factors were analyzed using logistic regression to identify the predictors of longer hospital stays.
RESULTS: A total of 77 patients were included in the study, with their average age being 49.8 years. The majority of patients were female (61%). The mean length of hospital stay was 7.7 days, and the mortality rate was 5.2%. Multivariate logistic regression showed that community acquired infection was associated with a length of stay ≥7 days (adjusted odds ratio=5.03, 95% CI 1.61-15.71, P=0.005). Infections were the most common precipitating factor (59.7%), followed by poor compliance with treatments (45.5%).
CONCLUSIONS: Infection was found to be associated with a longer hospital stay for DKA. Infection and poor compliance remain the major precipitating factors. A strengthened educational program for preventing infections and raising awareness of diabetes control should be emphasized to reduce complications and mortality.
Thaiclinicaltrials.org number, TCTR20241110006
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