DIABETIC KETOACIDOSIS IN ADULT PATIENTS

Abstract

Objective : This cross-sectional retrospective study aims to determine the precipitating factors, outcomes, and related factors of mortality rate of DKA in adult patients at Seka hospital.

Materials and methods : The patients aged above 18 years old who were admitted in Seka hospital with the diagnosis DKA from July 2017 to December 2020 were enrolled. The data were collected from In Patient Medical Record. Descriptive statistics and inferential statistics (Chi-Square and Odd ratio) were used to analysed the data with the statistic significant when p value < 0.05.

Results : The number of 38 patients were enrolled in this study. The precipitating factor of DKA is insulin deficiency or poor compliance (58.0%), Infection (34.2%), Acute coronary syndrome (2.6%), Cerebrovascular accident (2.6%) and trauma (2.6%). The mortality rate of DKA is 2.6%. The significant related factor of mortality rate of DKA is body weight (p = 0.032), Arterial blood pH (p < 0.001) and Respiratory failure (OR = 73, p < 0.001). The average length of stay is 7.5 day.

Conclusion : It is thus recommended that health promotion activities at NCD clinics should be organized to provide accurate knowledge about Diabetes control, Body weight control for prevent the incident rate and reduce mortality rate of DKA.