Clinical characteristics of people with diabetic ketoacidosis at a clinic in The Gambia: a retrospective study
Clinical characteristics of people with diabetic ketoacidosis at a clinic in The Gambia: a retrospective study
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冈比亚诊所糖尿病酮症酸中毒患者的临床特征：一项回顾性研究
DOI：
10.1080/16089677.2022.2083391
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Agboghoroma O
中科院分区：
文献类型：
--
作者：
Agboghoroma O
背景糖尿病酮症酸中毒（DKA）仍然是低收入和中等收入国家糖尿病（DM）患者住院和死亡的重要原因。DKA患者的临床特征各不相同，可能与全球观察到的结局有关。本研究的目的是描述的临床特征的人与糖尿病酮症酸中毒（DKA）在一个诊所在冈比亚在一个半yearperiod.MethodsThis是一个回顾性的图表审查，其中包括人与DM谁是从2017年6月至2018年12月在医学研究理事会冈比亚卫生和热带医学伦敦学校。从电子病历系统中提取所有患者的生物数据、人体测量数据和入院数据。数据进行了分析，在DKA.ResultsIn总数，103人糖尿病住院的临床和生化特征的差异DKA的诊断在研究期间。其中16例为女性，所有患者的平均年龄为35 ± 13岁。2人患有1型DM，15人被归类为2型DM。12人在DKA住院期间首次诊断为DM，6人确诊为败血症。有没有显着差异的年龄在诊断DM或生化feature.ConclusionDKA是一个常见的适应症糖尿病患者在医学研究理事会冈比亚伦敦学校卫生和热带医学和大多数DKA患者有2型糖尿病。需要进一步的研究来更准确地描述这种情况下的DKA。
BackgroundDiabetic ketoacidosis (DKA) remains an important cause of hospitalisation and death in people with diabetes mellitus (DM) living in low- and middle-income countries. The clinical profile of patients with DKA varies, and maybe contributory to the outcomes observed globally. The aim of this study was to describe the clinical characteristics of people with diabetic ketoacidosis (DKA) seen at a clinic in The Gambia during a one-and-a-half-year period.MethodsThis was a retrospective chart review that included people with DM who were seen from June 2017 to December 2018 at the Medical Research Council the Gambia at London School of Hygiene and Tropical Medicine. Biodata, anthropometric and admissions data were extracted for all patients from the electronic medical records system. Data were analysed for differences in clinical and biochemical characteristics on admission for DKA.ResultsIn total, 23 out of 103 admissions for people with DM were for a diagnosis of DKA during the study period. Sixteen of those included were females and the mean age of all patients was 35 ± 13years. Two people had type 1 DM and 15 people were categorised as type 2 DM. DM was diagnosed for the first time during admission for DKA for 12 people and 6 people had confirmed sepsis. There were no significant differences in age at diagnosis of DM or biochemical characteristics.ConclusionDKA was a common indication for admission for people with DM in the Medical Research Council the Gambia at London School of Hygiene and Tropical Medicine and the majority of patients with DKA had type 2 DM. Further studies are needed to describe DKA in this setting more accurately.
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