EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

TO STUDY THE CLINICAL PROFILE OF CHILDREN OF TYPE 1 DM, ADMITTED WITH DIABETIC KETOACIDOSIS (DKA) IN PICU.

*Dr. Sudhir Mehta MBBS, DCH, DNB (PEDIATRICS), MRCPCH

ABSTRACT

OBJECTIVE: To study the clinical profile of children of type 1 DM, admitted with diabetic ketoacidosis (DKA) in PICU. METHODS: We retrospectively analysed the case records of 40 children admitted with DKA to our intensive care unit, from 2010-2015. Information regarding personal details, chief complaints, clinical features, laboratory parameters, management and outcome was recorded using a predesigned proforma. RESULTS: The median age at presentation was 9 years (range 3 yr- 16yrs); 17 boys and 23 girls were enrolled. Diabetes was newly diagnosed in 25 cases and known cases of type1 diabetes were 15. Commonest presenting complaints were febrile illness (76%), rapid breathing (62%), vomiting (61%), and altered sensorium (24%). Average length of PICU stay was 72 hrs. All of the cases had elevated HbA1c, except two. Co-morbities found was UTI in 15 (37%), and Cerebral edema was seen in 5 cases. There was no mortality in our study. CONCLUSION: DKA in children if diagnosed early and managed timely has good outcome. Poor compliance is most important precipitating factor in known cases of T1DM.

Keywords: Diabetic Ketoacidosis, Type I DM, Cerebral Edema.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )