Mandeel, F., Radhi, H., Sarwani, A., Alsadah, A. (2021). Precipitating Factors for the Development of Diabetic Ketoacidosis in a Tertiary Care Hospital in Bahrain. The Egyptian Journal of Hospital Medicine, 82(1), 123-128. doi: 10.21608/ejhm.2021.138134
Fatema H. Mandeel; Husain T. Radhi; Aysha A. Sarwani; Ahmed H. Alsadah. "Precipitating Factors for the Development of Diabetic Ketoacidosis in a Tertiary Care Hospital in Bahrain". The Egyptian Journal of Hospital Medicine, 82, 1, 2021, 123-128. doi: 10.21608/ejhm.2021.138134
Mandeel, F., Radhi, H., Sarwani, A., Alsadah, A. (2021). 'Precipitating Factors for the Development of Diabetic Ketoacidosis in a Tertiary Care Hospital in Bahrain', The Egyptian Journal of Hospital Medicine, 82(1), pp. 123-128. doi: 10.21608/ejhm.2021.138134
Mandeel, F., Radhi, H., Sarwani, A., Alsadah, A. Precipitating Factors for the Development of Diabetic Ketoacidosis in a Tertiary Care Hospital in Bahrain. The Egyptian Journal of Hospital Medicine, 2021; 82(1): 123-128. doi: 10.21608/ejhm.2021.138134
Precipitating Factors for the Development of Diabetic Ketoacidosis in a Tertiary Care Hospital in Bahrain
1Department of Endocrinology, Salmaniya Medical Complex, Bahrain
2Department of Accident and Emergency, Qatif, KSA
Abstract
Background: Diabetic ketoacidosis is a commonly presenting complication of diabetes occurring commonly in type 1 and occasionally in type 2 DM patients as well, the precipitating factors for which are varied and only a few studies have explored this. Objective : To review the causative factors that lead to the occurrence of DKA among the adult age group of patients in Bahrain. Methods: The study was conducted in a retrospective, descriptive method in Salmaniya Medical Complex, Bahrain. The age group included consisted of adult patients of age 14 years and onwards, during a period of two years 2017- 2018. Patient demographic data as well as related scientific data during the hospital stay were collected. Results: A major precipitating factor was non-compliance (62 patients) with treatment regimen followed by infectious causes (26 patients). Poor diabetic control also caused a high occurrence of DKA (16 patients), as well as disruption in insulin supply, lead to DKA in patients on an insulin pump (3 patients). A high readmission rate was noted in the admission analysis due to repetitively occurring causative factors. Conclusion:Preventing the occurrence of precipitating factors of DKA, through patient education and support can decrease the occurrence of this preventable complication of diabetes, leading to decrease morbidity and mortality related to DKA.
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