NGHIÊN CỨU TỶ LỆ VÀ KẾT QUẢ ĐIỀU TRỊ NT CETON Ở BN ĐTĐ TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ NĂM 2023

Abstract

Background: Diabetic ketoacidosis needs to be properly diagnosed and managed promptly. Methods: A prospective, cross-sectional study on 59 patients with diabetic ketoacidosis were treated according to the strategies at Can Tho General Hospital and data were collected from 03/2022-05/2024. The primary outcomes were the treatment outcomes of DKA including in-hospital glycemic control, the length of hospital stay and in-hospital mortality. Results: There were 3053 diabetic patients admitted to the Endocrinology Deparment, including 59  ketoacidosis (1,93%), 59,3% of patients had moderate DKA, 27,1% had severe DKA, the mean age was 43,6±14,6 years. There was 23,7% of patients achieved treatment outcomes that was fully three criteria: good glycemic control, short hospital stay and no patients died in the hospital. The rate of glycemia reached target when acidosis resolved was 55,9%. The average total number of days in the hospital was 7,1 days, the longest was 17 days. The length of hospital stay less than 7 days had a rate of 61%. Conclusion: The management of DKA and monitoring glycemia, pH, HCO3^-, blood/urinary ketones and electrolytes according to the treatment guidelines help to improve glycemia, decrease complications, reduce the length of hospital stay and minimise in hospital mortality.