A study of clinical profile and factors associated with diabetic ketoacidosis at tertiary health care center
Journal Title: Medpulse International Journal of Medicine - Year 2017, Vol 3, Issue 3
Abstract
Background: Diabetic ketoacidosis is an acute metabolic complication of diabetes characterized by the triad of hyperglycemia, acidosis, and ketosis that take place in the presence of very low levels of effective insulin action. Aims and Objectives: To Study Clinical profile and factors associated with Diabetic Ketoacidosis at tertiary health care center. Methodology: This was a cross-sectional study in the patients who were admitted to the tertiary health care center with diabetes keto acidosis during the one-year period i.e. March 2015 to March 2016, all detailed history of the patients .The data is presented in the tabular form expressed in tabular form. Results: the majority of the patients were in the age group of 30-45 i.e. 38.78 followed by 45-60 i.e. 24.49%, >60 -22.45%, 15-30 -14.29% respectively. Majority of the patients were Female i.e. 59.18%, Followed by Male i.e. 40.82 %. The most common clinical features were Nausea and Vomiting i.e. 90.00%, Excess Urination -65.00%, Abdominal pain in 59.00%, Breathing difficulty -55.00%, Tachycardia in 54.50 %, Altered consciousness in 49.23%. Most common associated factors like Patients discontinued insulin in 45%, followed by HbA1C > 9 were 39%, H/o infection were 35%, Low BMI in 29%, H/o Psychological stress in 15%, and H/o Delayed or improper management of diabetes in 13%. Conclusion: It can be concluded from our study that The most common clinical features were Nausea and Vomiting , Excess Urination , Abdominal pain in , Breathing difficulty, Tachycardia etc. and the most common associated factors were Patients discontinued insulin followed by HbA1C > 9, H/o infection, Low BMI, H/o Psychological stress , H/o Delayed or improper management of diabetes etc.
Authors and Affiliations
Ramdas Bokil
A study of LDL-C among patients with hypothyroidism at tertiary health care centre
Background: Thyroid dysfunction has been implicated as to be have a great impact on lipids as well as a number of other coronary artery diseases. Community based studies have shown that subclinical hypothyroidism (SCH) i...
Study of acute febrile illness with low platelet count
Aim: To Evaluate different cause, Clinical profile and complication of Acute febrile illness with low platelet count. Material and Method: Total 200 Patient age>12 year admitted with acute onset of fever (AM temperature>...
A study of clinical profile of seizure disorders at tertiary health care center
Background: A seizure (from the latin word “to take possession of”) is a paroxysmal event due to abnormal, excessive, hypersynchronous discharge from an aggregate of central nervous system neurons. Aims and Objectives: T...
Study of various aetiological factors and clinical patterns of anaemia
Present study was undertaken at general hospital, Solapur. To study various aetiological factors and clinical patterns of anaemia’s. The study included 100 consecutive patients (50 males, 50 females), with age ranging fr...
Role of CT guided fine needle aspiration biopsy in the diagnosis of suspected lung cancer
Problem Statement: Diagnosing lung cancer in its earlier stages has always been a challenging entity for physicians, surgeons and radiologists alike. Though FNAB has an established role in diagnosing lung cancer, the pre...