23 years of managing diabetic ketoacidosis at Auckland Hospital

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dc.contributor.author Braatvedt, Geoffrey en
dc.contributor.author Tekiteki, A en
dc.contributor.author Britton, H en
dc.contributor.author Wallace, J en
dc.contributor.author Khanolkar, M en
dc.date.accessioned 2017-08-04T00:30:06Z en
dc.date.issued 2017-02-17 en
dc.identifier.citation New Zealand Medical Journal 130(1450):16-24 17 Feb 2017 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri http://hdl.handle.net/2292/34794 en
dc.description.abstract To examine the length of stay and need for intensive care of people admitted with diabetic ketoacidosis (DKA) to a single centre between 1988 and 2011.Patients aged ≥15 years admitted for the first time with DKA (plasma glucose ≥ 10mmol/L and a bicarbonate concentration ≤15mmol/L and a pH <7.35, and raised plasma or urine ketones or anion gap) to Auckland City Hospital from 1988-2011 were identified retrospectively. The patients were divided into four cohorts (1988-1996; 1997-2001; 2002-2006; 2007-2011). Over this time period there was no significant change to the insulin infusion protocol.There were 576 admissions with DKA in 388 people over the 23 years. The mean age of the patients and glucose concentration at presentation to hospital fell significantly over time. The admission pH and bicarbonate concentration was higher in more recent cohorts. The length of stay and need for intensive care admission fell significantly over time, but the number of patients subsequently readmitted with DKA remained high. In-hospital mortality remained low.DKA remains an important reason for admission to this hospital, but the severity of DKA at presentation has reduced over time. The need for intensive care admission and length of stay has fallen dramatically. en
dc.format.medium Electronic en
dc.language eng en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title 23 years of managing diabetic ketoacidosis at Auckland Hospital en
dc.type Journal Article en
pubs.issue 1450 en
pubs.begin-page 16 en
pubs.volume 130 en
dc.description.version VoR - Version of Record en
dc.rights.holder Copyright: New Zealand Medical Association en
dc.identifier.pmid 28207721 en
pubs.author-url https://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2017/vol-130-no-1450-17-february-2017/7155 en
pubs.end-page 24 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 614753 en
dc.identifier.eissn 1175-8716 en
pubs.record-created-at-source-date 2017-04-28 en
pubs.dimensions-id 28207721 en

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