FACTORS ASSOCIATED WITH DIABETIC KETOACIDOSIS IN CHILDREN AT CAN THO CHILDREN’S HOSPITAL
Main Article Content
Abstract
Background: Diabetes mellitus is one of the most common endocrine disorders in children, with diabetic ketoacidosis being a frequent and serious complication. Objective: To describe the clinical and paraclinical characteristics and some associated factors of diabetic ketoacidosis in diabetes mellitus. Materials and methods: A cross-sectional descriptive study with analytical components was conducted on 60 pediatric patients aged from 2 months to 16 years with diabetes mellitus, with and without diabetic ketoacidosis, who were hospitalized for inpatient treatment at Can Tho Children's Hospital from 2022 to 2024. Results: The median age was 12(4-15) years, with an approximately equal male-to-female ratio. Most children had no personal history (91.7%) or family history (88.3%) of the disease. A blood glucose cut-off level of 20.8 mmol/L at admission effectively distinguished between the groups with and without diabetic ketoacidosis. Age, infection, vomiting, fatigue, and blood glucose levels were independently associated with the occurrence of diabetic ketoacidosis. Conclusion: Careful monitoring is required for children with diabetes mellitus who exhibit symptoms of vomiting and abdominal pain, with routine blood glucose assessments recommended in these cases.
Keywords
Diabetes mellitus, Ketosis, children
Article Details
References
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