Use of a standardised diabetic ketoacidosis management protocol improved clinical outcomes

被引:34
作者
Thuzar, Moe [1 ,3 ]
Malabu, Usman H. [1 ,2 ]
Tisdell, Ben [1 ]
Sangla, Kunwarjit S. [1 ,2 ,4 ]
机构
[1] Townsville Hosp, Dept Endocrinol & Diabet, Douglas, Qld, Australia
[2] James Cook Univ, Townsville, Qld, Australia
[3] Univ Queensland, Brisbane, Qld, Australia
[4] Statewide Diabet Network, Brisbane, Qld, Australia
关键词
Diabetic ketoacidosis; DKA; Management; Protocol; Outcomes; ADULT PATIENTS;
D O I
10.1016/j.diabres.2014.01.016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We analysed the clinical outcomes of using a standardised protocol in the management of diabetic ketoacidosis. Of 71 admissions, the protocol group (n = 35) had significantly shorter length of hospitalisation, shorter time to normalise bicarbonate, fewer incidence of hypokalaemia and hypoglycaemia compared with the control group (n = 36). Crown Copyright (C) 2014 Published by Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:E8 / E11
页数:4
相关论文
共 14 条
[1]  
[Anonymous], 2007, PRACT DIAB INT, DOI DOI 10.1002/PDI.1115
[2]  
Australian Institute of Health and Welfare, 2014, SEP STAT PRINC DIAGN
[3]   Mandatory protocol for treating adult patients with diabetic ketoacidosis decreases intensive care unit and hospital lengths of stay: Results of a nonrandomized trial [J].
Bull, Sarah V. ;
Douglas, Ivor S. ;
Foster, Mark ;
Albert, Richard K. .
CRITICAL CARE MEDICINE, 2007, 35 (01) :41-46
[4]   10 YEARS OF DIABETIC-KETOACIDOSIS [J].
DAVOREN, PM ;
BOWEN, K .
MEDICAL JOURNAL OF AUSTRALIA, 1990, 152 (06) :327-328
[5]   EPIDEMIOLOGY AND TREATMENT OF DIABETIC-KETOACIDOSIS IN A COMMUNITY POPULATION [J].
ELLEMANN, K ;
SOERENSEN, JN ;
PEDERSEN, L ;
EDSBERG, B ;
ANDERSEN, OO .
DIABETES CARE, 1984, 7 (06) :528-532
[6]  
Hara JS, 2013, ENDOCR PRACT, V27, P1
[7]   Impact of a critical pathway on inpatient management of diabetic ketoacidosis [J].
Ilag, LL ;
Kronick, S ;
Ernst, RD ;
Grondin, L ;
Alaniz, C ;
Liu, L ;
Herman, WH .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2003, 62 (01) :23-32
[8]   Diabetic ketoacidosis charges relative to medical charges of adult patients with type I diabetes [J].
Javor, KA ;
Kotsanos, JG ;
McDonald, RC ;
Baron, AD ;
Kesterson, JG ;
Tierney, WM .
DIABETES CARE, 1997, 20 (03) :349-354
[9]  
Kitabchi AE, 2009, DIABETES CARE, V32
[10]   Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State [J].
Maletkovic, Jelena ;
Drexler, Andrew .
ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 2013, 42 (04) :677-+