Predictive factors of ketoacidosis in type 1 diabetes mellitus

  • Listianingrum Listianingrum Departments of Child Health, Faculty of Medicine Gadjah Mada University, Yogyakarta, Central Java
  • Suryono Yudha Patria Departments of Child Health, Faculty of Medicine Gadjah Mada University, Yogyakarta, Central Java
  • Tunjung Wibowo Departments of Child Health, Faculty of Medicine Gadjah Mada University, Yogyakarta, Central Java
DOI: https://doi.org/10.14238/pi59.4.2019.169-74
Keywords: ketoacidosis; type-1 diabetes mellitus; predictor factor

Abstract

Background Diabetic ketoacidosis (DKA) is an acute complication in type 1 diabetes mellitus (DM) and a significant cause of morbidity and mortality in developing countries. Diabetic ketoacidosis can be prevented by good management of the disease. Risk factors from previous studies that increase the DKA incidence were peripubertal age, female gender, low socio-economic status, low parental education status, DKA at the first diagnosis of type 1 DM, infection, psychological problems, poor metabolic control, and non-compliance with insulin treatment.

Objective To determine whether sex, age, socio-economic status, parental education level, DKA at the initial diagnosis of type 1 DM, infection, psychological problems, poor metabolic control, and failing to take insulin as needed were predictive of DKA in type 1 DM patients.

Methods We conducted a retrospective cohort study using medical records from type 1 DM patients aged 0-20 years, at the Department of Child Health, Dr. Sardjito Hospital, Yogyakarta, from January 2011 to May 2017. We assessed for the incidence and predictors of DKA. Logistic regression analysis was done to determine which factors increased DKA incidence.

Results A total of 57 type 1 DM patients were recruited, with DKA incidence of 37 (65%). Five (8.8%) DKA patients died. Multivariate analysis revealed that infection (OR 5.23; 95%CI 1.47 to 19.68; P=0.014) and DKA at the first diagnosis of type 1 DM (OR 5.37; 95%CI 1.40 to 19.52; P=0.011) were significant risk factors for DKA.  

Conclusion  Infection and DKA at the first diagnosis of type 1 DM are significant predictors of increased DKA incidence.

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Published
2019-07-16
How to Cite
1.
Listianingrum L, Patria S, Wibowo T. Predictive factors of ketoacidosis in type 1 diabetes mellitus. PI [Internet]. 16Jul.2019 [cited 23Nov.2024];59(4):169-4. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1694
Issue
Vol 59 No 4 (2019): July 2019
Section
Pediatric Endocrinology

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Received 2017-12-06
Accepted 2019-07-16
Published 2019-07-16