Treatment Outcome and Associated Factors among Type 1 Diabetic Children Admitted with DKA in Bahir Dar City Public Referral Hospital, Northwest, Ethiopia: A Cross-sectional Study.

IF 1.4 Q3 PEDIATRICS
Global Pediatric Health Pub Date : 2024-04-23 eCollection Date: 2024-01-01 DOI:10.1177/2333794X241248320
Fentahun Meseret, Silenat Muluken, Tilaye Gebru Gebi, Tsegasew Embiale Yigrem
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Abstract

Background. Outcomes that should be measured during diabetic ketoacidosis management is crucial. However, data associated to this was limited in Ethiopia. Methods. A cross-sectional study was conducted among children with diabetic keto acidosis between 2016 and 2021.Data were stored in Epi-data version 4.6 and exported into STATA 14.0 software for analysis. The association between independent variables and length of hospital stay was assessed using binary logistic regression. Finally, variables with P-value <.05 were considered statistically significant. Result. Median length of hospital stay was 8 ± 6.2 days. Majority of patients (97.5%) improved and discharged. Factors that affected longer hospital stay were Residence(aOR = 4.31;95% CI = 1.25-14.80),family history of diabetes (aOR = 0.12; 95% CI = 0.02-0.64), glycemia at admission (aOR = 1.01; 95% CI = 1.00-1.02),insulin skipping (aOR = 0.08; 95% CI = 0.01-0.98), abdominal pain (aOR = 4.28; 95% CI = 1.11-15.52) and time in which the patient get out of diabetic ketoacidosis(aOR = 6.39; 95% CI = 1.09-37.50). Conclusion. Majority of patients showed improvement and discharged to homes after a long hospital stay. Majority of patients resolved from diabetic ketoacidosis between 24 and 48 hours.

埃塞俄比亚西北部巴希尔达尔市公立转诊医院收治的患有 DKA 的 1 型糖尿病儿童的治疗结果及相关因素:横断面研究。
背景。在糖尿病酮症酸中毒治疗过程中,衡量治疗效果至关重要。然而,埃塞俄比亚与此相关的数据非常有限。研究方法数据存储在 Epi-data 4.6 版中,并导出到 STATA 14.0 软件中进行分析。使用二元逻辑回归评估自变量与住院时间之间的关系。最后,P 值为 0 的变量得出结论。住院时间中位数为 8 ± 6.2 天。大多数患者(97.5%)病情好转并出院。影响住院时间延长的因素有:居住地(aOR = 4.31;95% CI = 1.25-14.80)、糖尿病家族史(aOR = 0.12;95% CI = 0.02-0.64)、入院时血糖水平(aOR = 1.01;95% CI = 1.00-1.02)、胰岛素漏服(aOR = 1.01;95% CI = 1.00-1.02)、血糖水平(aOR = 1.01;95% CI = 1.00-1.02)、血糖水平(aOR = 1.01;95% CI = 1.00-1.02)。02)、胰岛素漏服(aOR = 0.08;95% CI = 0.01-0.98)、腹痛(aOR = 4.28;95% CI = 1.11-15.52)和患者摆脱糖尿病酮症酸中毒的时间(aOR = 6.39;95% CI = 1.09-37.50)。结论大多数患者的病情有所好转,并在长期住院后出院回家。大多数患者在 24 至 48 小时内摆脱了糖尿病酮症酸中毒。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Global Pediatric Health
Global Pediatric Health Nursing-Pediatrics
CiteScore
2.20
自引率
0.00%
发文量
105
审稿时长
12 weeks
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