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CHARACTERISTICS AND TREATMENT OUTCOMES OF CHILDREN WITH DIABETES AT CAN THO CHILDREN’S HOSPITAL
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Abstract
Background: Diabetes mellitus is one of the most common endocrine disorders in children. Objective: To describe the clinical characteristics and evaluate the treatment outcomes of diabetes in children. Materials and Methods: This analytic cross-sectional study was conducted on children diagnosed with diabetes who were admitted to Can Tho Children's Hospital during the research period. Results: In our study, 56.3% of the children were over 10 years old, and 56.3% were female. 91.7% had no family history of diabetes. Common symptoms included significant weight loss (62.5%), polydipsia, polyuria (52.1%), and appetite (35.4%). Other symptoms included nausea/vomiting (35.4%) and abdominal pain (8.3%). Dehydration was present in 20.8% of cases, rapid respiratory rate in 31.3%, and Kussmaul breathing in 25%. Rapid capillary refill time (22.9%), weak pulse, and hypotension (6.3%) were also observed. There is a correlation between the degree of dehydration and the level of ketosis (Spearman ρ=0.579, p=0.019). The median hospitalization duration was 7.9 days, with fluctuations ranging from 5.3 to 12 days. Conclusion: The symptoms of increased appetite, excessive thirst, frequent urination, and weight loss are fully present in pediatric patients with diabetes. It is essential to pay attention to other functional symptoms and signs in children to detect early cases of diabetic ketoacidosis.
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Keywords
Diabetes mellitus, Ketosis, children
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