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138134

Precipitating Factors for the Development of Diabetic Ketoacidosis in a Tertiary Care Hospital in Bahrain

Article

Last updated: 03 Jan 2025

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Abstract

Background: Diabetic ketoacidosis is a commonly presenting complication of diabetes occurring commonly in type 1 and occasionally in type 2 DM patients as well, the precipitating factors for which are varied and only a few studies have explored this.
Objective : To review the causative factors that lead to the occurrence of DKA among the adult age group of patients in Bahrain.
Methods: The study was conducted in a retrospective, descriptive method in Salmaniya Medical Complex, Bahrain. The age group included consisted of adult patients of age 14 years and onwards, during a period of two years 2017- 2018. Patient demographic data as well as related scientific data during the hospital stay were collected.
Results: A major precipitating factor was non-compliance (62 patients) with treatment regimen followed by infectious causes (26 patients). Poor diabetic control also caused a high occurrence of DKA (16 patients), as well as disruption in insulin supply, lead to DKA in patients on an insulin pump (3 patients). A high readmission rate was noted in the admission analysis due to repetitively occurring causative factors.
Conclusion:Preventing the occurrence of precipitating factors of DKA, through patient education and support can decrease the occurrence of this preventable complication of diabetes, leading to decrease morbidity and mortality related to DKA.

DOI

10.21608/ejhm.2021.138134

Keywords

diabetes, Diabetic ketoacidosis, precipitating factors

Authors

First Name

Fatema H.

Last Name

Mandeel

MiddleName

-

Affiliation

Department of Endocrinology, Salmaniya Medical Complex, Bahrain

Email

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City

-

Orcid

-

First Name

Husain T.

Last Name

Radhi

MiddleName

-

Affiliation

Department of Endocrinology, Salmaniya Medical Complex, Bahrain

Email

-

City

-

Orcid

-

First Name

Aysha A.

Last Name

Sarwani

MiddleName

-

Affiliation

Department of Endocrinology, Salmaniya Medical Complex, Bahrain

Email

-

City

-

Orcid

-

First Name

Ahmed H.

Last Name

Alsadah

MiddleName

-

Affiliation

Department of Accident and Emergency, Qatif, KSA

Email

-

City

-

Orcid

-

Volume

82

Article Issue

1

Related Issue

20276

Issue Date

2021-01-01

Receive Date

2021-01-10

Publish Date

2021-01-01

Page Start

123

Page End

128

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 82_Issue 1_Pages 123-128.pdf

PDF . 452.9kB

Link

https://ejhm.journals.ekb.eg/article_138134.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=138134

Order

21

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Precipitating Factors for the Development of Diabetic Ketoacidosis in a Tertiary Care Hospital in Bahrain

Details

Type

Article

Created At

22 Jan 2023