PRECIPITATING FACTORS AND CLINICAL CHARACTERISTICS OF CHILDREN WITH DIABETIC KETOACIDOSIS AT CAN THO CHILDREN’S HOSPITAL

Minh Hieu Nguyen1, Minh Phuong Nguyen1, Hoang Phuc Le1, Phuoc Sang Nguyen1, Cong Ly Tran 1,
1 Can Tho University of Medicine and Pharmacy

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Abstract

Background: Diabetic ketoacidosis is an acute, serious, life-threatening complication caused by insulin deficiency. Objectives: To investigate the precipitating factors and clinical characteristics of children with diabetic ketoacidosis at Can Tho Children's Hospital. Materials and methods: A retrospective case series was conducted on 30 children diagnosed with diabetic ketoacidosis at Can Tho Children's Hospital from 2017-2021. Results: 66.7% of patients were from 11-16 years old. Female/male: 2.3/1. 33.3% of patients had a past medical history of diabetes. 56.7% of patients had an infection as a precipitating factor. Symptoms include unconsciousness (60%), fatigue (43.3%), gastrointestinal symptoms (nausea, vomiting, abdominal pain: 43,3%). Common signs are unconsciousness (56.7%), tachypnea (50%), Kussmaul breathing (43.3%), dehydration (43.3%). Conclusions: The majority of patients with diabetic ketoacidosis aged 11-16 years, were female, had no past medical history of diabetes, had an infection as a precipitating factor, had signs and symptoms including unconsciousness, tachypnea, Kussmaul breathing, dehydration, fatigue and gastrointestinal symptoms.

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References

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