A Prediction Model of Mortality in Patients Hospitalized with Diabetic Ketoacidosis in a Tertiary Referral Hospital in Surabaya, Indonesia
Abstract Background: The mortality rate of diabetic ketoacidosis (DKA) remains high in Indonesia. Different patterns were contributing to DKA mortality from previous studies. We aim to identify clinical and laboratory findings as mortality predictors of DKA. Methods: This retrospective study was...
Saved in:
Main Authors: | , , |
---|---|
Format: | Article PeerReviewed |
Language: | English Indonesian English |
Published: |
Indian Journal of Forensic Medicine and Toxicology
|
Subjects: | |
Online Access: | https://repository.unair.ac.id/130966/1/24.%20Artikel.pdf https://repository.unair.ac.id/130966/2/24%20karil.pdf https://repository.unair.ac.id/130966/3/24.%20turnitin.pdf https://repository.unair.ac.id/130966/ https://medicopublication.com/index.php/ijfmt/article/view/14751 https://doi.org/10.37506/ijfmt.v15i2.14751 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Institution: | Universitas Airlangga |
Language: | English Indonesian English |
id |
id-langga.130966 |
---|---|
record_format |
dspace |
spelling |
id-langga.1309662024-03-05T06:41:07Z https://repository.unair.ac.id/130966/ A Prediction Model of Mortality in Patients Hospitalized with Diabetic Ketoacidosis in a Tertiary Referral Hospital in Surabaya, Indonesia Hermina Novida, - Fajar Setiyawan, - Soebagijo Adi Soelistijo, Soebagijo R5-920 Medicine (General) Abstract Background: The mortality rate of diabetic ketoacidosis (DKA) remains high in Indonesia. Different patterns were contributing to DKA mortality from previous studies. We aim to identify clinical and laboratory findings as mortality predictors of DKA. Methods: This retrospective study was conducted in a tertiary referral hospital in Surabaya. Medical records of DKA patients from January 2016 to December 2018 were analyzed. Clinical and laboratory data were obtained from medical records for three years period. Clinical outcome was defined as either discharged home or death. Results: Fifty-six among 116 DKA patients did not survive during hospitalized. Age of 60 or older, the depressed mental state with GCS below 13, potassium serum less than 3.5 mmol/L, and bicarbonate serum less than 15 mmol/L are found to be significant as independent factors of mortality in DKA patients. Conclusion: The mortality rate of DKA patients in this study is still high. It independently associated with the age of 60 years or older, depressed mental state, hypokalemia, and low bicarbonate level. Early stratification of these predictors would help to treat patients accordingly. Indian Journal of Forensic Medicine and Toxicology Article PeerReviewed text en https://repository.unair.ac.id/130966/1/24.%20Artikel.pdf text id https://repository.unair.ac.id/130966/2/24%20karil.pdf text en https://repository.unair.ac.id/130966/3/24.%20turnitin.pdf Hermina Novida, - and Fajar Setiyawan, - and Soebagijo Adi Soelistijo, Soebagijo A Prediction Model of Mortality in Patients Hospitalized with Diabetic Ketoacidosis in a Tertiary Referral Hospital in Surabaya, Indonesia. Indian Journal of Forensic Medicine & Toxicology, 15 (2). ISSN 09739122, 09739130 https://medicopublication.com/index.php/ijfmt/article/view/14751 https://doi.org/10.37506/ijfmt.v15i2.14751 |
institution |
Universitas Airlangga |
building |
Universitas Airlangga Library |
continent |
Asia |
country |
Indonesia Indonesia |
content_provider |
Universitas Airlangga Library |
collection |
UNAIR Repository |
language |
English Indonesian English |
topic |
R5-920 Medicine (General) |
spellingShingle |
R5-920 Medicine (General) Hermina Novida, - Fajar Setiyawan, - Soebagijo Adi Soelistijo, Soebagijo A Prediction Model of Mortality in Patients Hospitalized with Diabetic Ketoacidosis in a Tertiary Referral Hospital in Surabaya, Indonesia |
description |
Abstract
Background: The mortality rate of diabetic ketoacidosis (DKA) remains high in Indonesia. Different
patterns were contributing to DKA mortality from previous studies. We aim to identify clinical and laboratory
findings as mortality predictors of DKA.
Methods: This retrospective study was conducted in a tertiary referral hospital in Surabaya. Medical records
of DKA patients from January 2016 to December 2018 were analyzed. Clinical and laboratory data were
obtained from medical records for three years period. Clinical outcome was defined as either discharged
home or death.
Results: Fifty-six among 116 DKA patients did not survive during hospitalized. Age of 60 or older, the
depressed mental state with GCS below 13, potassium serum less than 3.5 mmol/L, and bicarbonate serum
less than 15 mmol/L are found to be significant as independent factors of mortality in DKA patients.
Conclusion: The mortality rate of DKA patients in this study is still high. It independently associated
with the age of 60 years or older, depressed mental state, hypokalemia, and low bicarbonate level. Early
stratification of these predictors would help to treat patients accordingly. |
format |
Article PeerReviewed |
author |
Hermina Novida, - Fajar Setiyawan, - Soebagijo Adi Soelistijo, Soebagijo |
author_facet |
Hermina Novida, - Fajar Setiyawan, - Soebagijo Adi Soelistijo, Soebagijo |
author_sort |
Hermina Novida, - |
title |
A Prediction Model of Mortality in Patients Hospitalized with Diabetic Ketoacidosis in a Tertiary Referral Hospital in Surabaya, Indonesia |
title_short |
A Prediction Model of Mortality in Patients Hospitalized with Diabetic Ketoacidosis in a Tertiary Referral Hospital in Surabaya, Indonesia |
title_full |
A Prediction Model of Mortality in Patients Hospitalized with Diabetic Ketoacidosis in a Tertiary Referral Hospital in Surabaya, Indonesia |
title_fullStr |
A Prediction Model of Mortality in Patients Hospitalized with Diabetic Ketoacidosis in a Tertiary Referral Hospital in Surabaya, Indonesia |
title_full_unstemmed |
A Prediction Model of Mortality in Patients Hospitalized with Diabetic Ketoacidosis in a Tertiary Referral Hospital in Surabaya, Indonesia |
title_sort |
prediction model of mortality in patients hospitalized with diabetic ketoacidosis in a tertiary referral hospital in surabaya, indonesia |
publisher |
Indian Journal of Forensic Medicine and Toxicology |
url |
https://repository.unair.ac.id/130966/1/24.%20Artikel.pdf https://repository.unair.ac.id/130966/2/24%20karil.pdf https://repository.unair.ac.id/130966/3/24.%20turnitin.pdf https://repository.unair.ac.id/130966/ https://medicopublication.com/index.php/ijfmt/article/view/14751 https://doi.org/10.37506/ijfmt.v15i2.14751 |
_version_ |
1794550695413678080 |