Objective: Our aim is to determine the severity, clinical features, presence of complications and outcome differences
in previously diagnosed and newly diagnosed Type 1 Diabetes Mellitus (T1DM) patients followed up with diabetic
ketoacidosis (DKA) in the pediatric intensive care unit.
Material and Methods: This study was conducted retrospectively in a 32-bed tertiary pediatric intensive care unit.
The patients were divided into newly diagnosed and previously diagnosed T1DM. All collected data were compared
between groups.
Results: 107 patients were included into the study. Most of the patients were male (51.4%). Most of the newly diagnosed
patients were in the 6-10 age group (49.2%). When patient complaints were evaluated before admission, the complaint
of nausea was statistically higher in previously diagnosed DM patients (p=0.041). The complaints of fatigue, polyuria,
polydipsia, and weight loss were statistically higher in newly diagnosed Type-1 DM (p value 0.001, 0.001, 0.001,
0.001, respectively). Hypokalemia was statistically higher in the newly diagnosed DM group during diabetic ketoacidosis
treatment (p=0.015). Although there was no difference between intensive care durations, total hospitalization days were
statistically longer in newly diagnosed DM patients (p values 0.145, 0.007, respectively). All patients survived.
Conclusion: The school age group was the most common age group in newly diagnosed T1DM. While polyuria,
polydipsia and weight loss are common in newly diagnosed Diabetic Ketoacidosis patients; Vomiting was common in
diabetic ketoacidosis patients with previous diagnosis. Trainings, national advertisements, etc. should be done to increase
the knowledge level of patients and families about these symptoms and the disease.
Amaç: Amacımız, çocuk yoğun bakım ünitesinde diyabetik ketoasidoz (DKA) ile takip edilen daha önce tanı almış ve yeni tanı almış Tip 1
Diabetes Mellitus (T1DM) hastalarının şiddeti, klinik özellikleri, komplikasyon varlığı ve sonuç farklılıklarını belirlemektir.
Gereç ve Yöntemler: Bu çalışma, 32 yataklı üçüncü basamak çocuk yoğun bakım ünitesinde geriye dönük olarak yapıldı. Hastalar yeni
tanı almış ve önceden tanı almış T1DM olarak ayrıldı. Toplanan tüm veriler gruplar arasında karşılaştırıldı.
Bulgular: 107 hasta çalışmaya dahil edildi. Hastaların çoğu erkekti (%51.4). Yeni tanı alan hastaların çoğu 6-10 yaş grubundaydı (%49.2).
Başvuru öncesi hasta şikâyetleri değerlendirildiğinde kusma şikayeti, daha önce tanı almış DM hastalarında istatistiksel olarak anlamlı
derecede yüksekti (p=0.041). Yeni tanı alan Tip-1 DM’de halsizlik, poliüri, polidipsi, kilo kaybı şikâyetleri istatistiksel olarak anlamlı derecede
yüksekti (p değeri sırasıyla 0.001, 0.001, 0.001, 0.001). Diyabetik ketoasidoz tedavisi sırasında yeni tanı almış DM grubunda hipokalemi
istatistiksel olarak daha yüksekti (p=0.015). Yoğun bakım süreleri arasında fark olmamasına rağmen yeni tanı konmuş DM hastalarında
toplam yatış günleri istatistiksel olarak daha uzundu (p değerleri sırasıyla 0.145, 0.007). Hastalarda mortalite görülmedi.
Sonuç: Okul yaş grubu, yeni tanı konan T1DM’de en sık görülen yaş grubuydu. Yeni tanı Diyabetik Ketoasidoz hastalarında poliüri,
polidipsi, kilo kaybı sık iken; eski tanılı diyabetik ketoasidoz hastalarında kusma yaygın olarak saptandı. Hastalar ve ailelerin bu semptomlar
ve hastalık hakkında bilgi düzeyini artırıcı eğitimler, ulusal reklamlar vb uygulamalar yapılmalıdır.
Primary Language | English |
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Subjects | Internal Diseases |
Journal Section | ORIGINAL ARTICLES |
Authors | |
Publication Date | September 20, 2022 |
Submission Date | January 26, 2022 |
Published in Issue | Year 2022 Volume: 16 Issue: 5 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.