E-ISSN 1858-8360 | ISSN 0256-4408
 

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Diabetic Ketoacidosis in children admitted to Pediatric Intensive Care Unit of King Fahad Hospital, Al-Baha, Saudi Arabia: Precipitating factors, epidemiological parameters and clinical presentation.

Satti Abdulrahim Satti; Imad Yassin Saadeldin; Ali Saeed Dammas.

Abstract
Type I diabetes mellitus is the most common endocrine-metabolic disorder of childhood and adolescence and diabetic ketoacidosis (DKA) can be life-threatening. The study aims at identifying precipitating factors, states epidemiological features and describes clinical presentations in children with DKA admitted to Pediatric Intensive Care Unit (PICU), King Fahad Hospital, Al-Baha, Saudi Arabia. The hospital records of 80 children admitted to PICU with DKA between January 2000 and December 2004 were reviewed. Results were compared with published data from Saudi Arabia and other countries. Age at admission ranged between 8 months and 14 years (mean = 10.7 years). Female to male ratio was 1.22:1. Consanguinity was reported among 32(40%) of all admitted children's parents. A family history of diabetes (either type 1 or 2) was reported in 59 (74%). The leading precipitating factor for DKA was infections (82.1%). An episode of DKA was the first clinical presentation of diabetes among 52(65%). The common presenting symptoms were: vomiting in 57(71.3%) and abdominal pain in 53 (66.3%). All children were dehydrated. Other signs included acidotic breathing and tachypnea each in 60%. Only two children were comatose (2.5%). Three of presenting cases were initially misdiagnosed as acute appendicitis before correct diagnosis was established. Cerebral edema occurred in one child. There were no deaths. DKA is an important cause of hospital admissions in our hospital, and 65% of newly diagnosed cases present with DKA. More effort should be put to prevent and reduce the incidence of DKA at initial presentation and later.

Key words: Al-Baha; Child; Clinical features; Diabetic ketoacidosis; Saudi Arabia


 
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Pubmed Style

Satti SA, Saadeldin IY, Dammas AS. Diabetic Ketoacidosis in children admitted to Pediatric Intensive Care Unit of King Fahad Hospital, Al-Baha, Saudi Arabia: Precipitating factors, epidemiological parameters and clinical presentation.. Sudan J Paed. 2013; 13(2): 24-30.


Web Style

Satti SA, Saadeldin IY, Dammas AS. Diabetic Ketoacidosis in children admitted to Pediatric Intensive Care Unit of King Fahad Hospital, Al-Baha, Saudi Arabia: Precipitating factors, epidemiological parameters and clinical presentation.. http://www.sudanjp.com/?mno=280721 [Access: November 24, 2021].


AMA (American Medical Association) Style

Satti SA, Saadeldin IY, Dammas AS. Diabetic Ketoacidosis in children admitted to Pediatric Intensive Care Unit of King Fahad Hospital, Al-Baha, Saudi Arabia: Precipitating factors, epidemiological parameters and clinical presentation.. Sudan J Paed. 2013; 13(2): 24-30.



Vancouver/ICMJE Style

Satti SA, Saadeldin IY, Dammas AS. Diabetic Ketoacidosis in children admitted to Pediatric Intensive Care Unit of King Fahad Hospital, Al-Baha, Saudi Arabia: Precipitating factors, epidemiological parameters and clinical presentation.. Sudan J Paed. (2013), [cited November 24, 2021]; 13(2): 24-30.



Harvard Style

Satti, S. A., Saadeldin, . I. Y. & Dammas, . A. S. (2013) Diabetic Ketoacidosis in children admitted to Pediatric Intensive Care Unit of King Fahad Hospital, Al-Baha, Saudi Arabia: Precipitating factors, epidemiological parameters and clinical presentation.. Sudan J Paed, 13 (2), 24-30.



Turabian Style

Satti, Satti Abdulrahim, Imad Yassin Saadeldin, and Ali Saeed Dammas. 2013. Diabetic Ketoacidosis in children admitted to Pediatric Intensive Care Unit of King Fahad Hospital, Al-Baha, Saudi Arabia: Precipitating factors, epidemiological parameters and clinical presentation.. Sudanese Journal of Paediatrics, 13 (2), 24-30.



Chicago Style

Satti, Satti Abdulrahim, Imad Yassin Saadeldin, and Ali Saeed Dammas. "Diabetic Ketoacidosis in children admitted to Pediatric Intensive Care Unit of King Fahad Hospital, Al-Baha, Saudi Arabia: Precipitating factors, epidemiological parameters and clinical presentation.." Sudanese Journal of Paediatrics 13 (2013), 24-30.



MLA (The Modern Language Association) Style

Satti, Satti Abdulrahim, Imad Yassin Saadeldin, and Ali Saeed Dammas. "Diabetic Ketoacidosis in children admitted to Pediatric Intensive Care Unit of King Fahad Hospital, Al-Baha, Saudi Arabia: Precipitating factors, epidemiological parameters and clinical presentation.." Sudanese Journal of Paediatrics 13.2 (2013), 24-30. Print.



APA (American Psychological Association) Style

Satti, S. A., Saadeldin, . I. Y. & Dammas, . A. S. (2013) Diabetic Ketoacidosis in children admitted to Pediatric Intensive Care Unit of King Fahad Hospital, Al-Baha, Saudi Arabia: Precipitating factors, epidemiological parameters and clinical presentation.. Sudanese Journal of Paediatrics, 13 (2), 24-30.





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