Characteristics of hyperglycemic crises in an adult population in a teaching hospital in Colombia

被引：9

作者：

Builes-Montaño C.E. ^{[1
,2
]}

Chavarriaga A. ^{[3
]}

Ballesteros L. ^{[3
]}

Muñoz M. ^{[3
]}

Medina S. ^{[3
]}

Donado-Gomez J.H. ^{[1
,2
,3
]}

Ramirez-Rincón A. ^{[3
]}

机构：

[1] Hospital Pablo Tobón Uribe, Calle 78b #69-240, Medellín

[2] Universidad de Antioquia, Carrera 51d #62 29, Antioquia

[3] Universidad Pontificia Bolivariana, Calle 78b #72a-159, Antioquia

来源：

Journal of Diabetes & Metabolic Disorders | 2018年 / 17卷 / 2期

关键词：

Diabetes mellitus; Diabetic ketoacidosis; Hyperglycemic hyperosmolar Nonketotic coma; Latin America;

D O I：

10.1007/s40200-018-0353-7

中图分类号：

学科分类号：

摘要：

Background: Hyperglycemic crisis are the most serious forms of acute decompensation of diabetes mellitus and require urgent medical attention. The epidemiological data of these conditions in Latin America are scarce and in Colombia unknown, that is why we decided to describe the clinical characteristics and factors associated with the mortality of adults who presented with hyperglycemic crises in a teaching hospital in Colombia. Materials and methods: Retrospective cohort study of all episodes of hyperglycemic crisis treated in Pablo Tobón Uribe Hospital in a three-year period. Results: The records of 2233 hospitalization episodes related to diabetes mellitus were review, the prevalence of hyperglycemic crises was 2%, half of the events were diabetic ketoacidosis and 57% of the events occurred in people with type 2 diabetes mellitus, 32% of the events were precipitated by an infection and 27% by and inadequate therapy. The average hospital length of stay was 14 ± 3 days and the mortality rate 2.27%. Conclusions: In a teaching hospital in Latin America hyperglycemic crises are common, with diabetic ketoacidosis being the most frequent, and in a significant number of cases may be preventable. The hospital length of stay in our population is longer than reported in the literature. © 2018, Springer Nature Switzerland AG.

引用

页码：143 / 148

页数：5

共 31 条

[1]

IDF Diabetes Atlas - Home, (2017)

[2]

Escobedo J., Buitron L.V., Velasco M.F., Ramirez J.C., Hernandez R., Macchia A., Et al., High prevalence of diabetes and impaired fasting glucose in urban Latin America: the CARMELA study, Diabet Med, 26, 9, pp. 864-871, (2009)

[3]

Aschner P., King H., Triana de Torrado M., Rodriguez B.M., Glucose intolerance in Colombia. A population-based survey in an urban community, Diabetes Care, 16, 1, pp. 90-93, (1993)

[4]

Aschner P., Diabetes en Latinoamérica. Epidemiología de la diabetes en Colombia, Av Diabetol, 26, 2, pp. 95-100, (2010)

[5]

Vargas-Uricoechea H., Casas-Figueroa L.A., An epidemiologic analysis of diabetes in Colombia, Ann Glob Health, 81, 6, pp. 742-753

[6]

Umpierrez G., Korytkowski M., Diabetic emergencies - ketoacidosis, hyperglycaemic hyperosmolar state and hypoglycaemia, Nat Rev Endocrinol, 12, 4, pp. 222-232, (2016)

[7]

Kitabchi A.E., Umpierrez G.E., Miles J.M., Fisher J.N., Hyperglycemic crises in adult patients with diabetes, Diabetes Care, 32, 7, pp. 1335-1343, (2009)

[8]

Anthanont P., Khawcharoenporn T., Tharavanij T., Incidences and outcomes of hyperglycemic crises: a 5-year study in a tertiary care center in Thailand, J Med Assoc Thail, 95, 8, pp. 995-1002, (2012)

[9]

Xu Y., Bai J., Wang G., Zhong S., Su X., Huang Z., Chen G., Zhang J., Hou X., Yu X., Lu B., Wang Y., Li X., Hu H., Zhang C., Liang Y., Shaw J., Wu X., Clinical profile of diabetic ketoacidosis in tertiary hospitals in China: a multicentre, clinic-based study, Diabet Med, 33, 2, pp. 261-268, (2016)

[10]

Alourfi Z., Homsi H., Precipitating factors, outcomes, and recurrence of diabetic ketoacidosis at a university hospital in Damascus, Avicenna J Med, 5, 1, pp. 11-15, (2015)

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