Hospital presentations with diabetic ketoacidosis: A retrospective review

Steven James; Kylie Annetts; Thuy Frakking; Marc Broadbent; John Waugh; Lin Perry; Julia Lowe; Sean Clark

doi:10.1016/j.auec.2022.06.001

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Hospital presentations with diabetic ketoacidosis: A retrospective review

Journal article

Peer reviewed

Hospital presentations with diabetic ketoacidosis: A retrospective review

Steven James, Kylie Annetts, Thuy Frakking, Marc Broadbent, John Waugh, Lin Perry, Julia Lowe and Sean Clark

Australasian Emergency Care, Vol.26(1), pp.1-6

2023

DOI: https://doi.org/10.1016/j.auec.2022.06.001

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Abstract

Diabetes mellitus, type 1

Diabetic ketoacidosis

Emergency Department

Type 1 diabetes

Socio-economic status

Background: Diabetic ketoacidosis (DKA) is a significant source of preventable episodes of care and cost. This study aimed to describe the demographic and clinical characteristics of people with type 1 diabetes (T1D) presenting to the Emergency Department (ED) with DKA in an area of socioeconomic deprivation in metropolitan Queensland, Australia, and to describe factors associated with hospital admission and representation in this population. Methods: This was a retrospective descriptive analysis of routine healthcare record data for January 2015-December 2019. People with T1D were identified through hospital discharge codes. Results: More than half (n = 165) the estimated local T1D population (n = 317) experienced an index ED presentation for DKA; mean ± SD age at ED presentation was 31.1 + /− 19.3 years, 126 (76.4%) were aged ≥ 16 years and 20 (12.1%) were newly diagnosed. Index DKA presentation was significantly associated with female sex (p = 0.04) but no other demographic or geographic variables. More than half the presentations (n = 92, 55.8%) occurred outside regular business hours. Twenty-three representations occurred within 90 days, associated with older age (p = 0.045) and lower residential socioeconomic score (p = 0.02). Conclusion: Findings highlight the frequent problem of DKA and the importance of socioeconomic influences. This flags the need and opportunity to improve support to people with T1D to promote diabetes self-care.

Details

Title: Hospital presentations with diabetic ketoacidosis: A retrospective review
Authors: Steven James (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Kylie Annetts (Author) - Caboolture Hospital
Thuy Frakking (Author) - Caboolture Hospital
Marc Broadbent (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
John Waugh (Author) - Caboolture Hospital
Lin Perry (Author) - University of Technology Sydney
Julia Lowe (Author) - University of Newcastle Australia
Sean Clark (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Publication details: Australasian Emergency Care, Vol.26(1), pp.1-6
Publisher: Elsevier Ltd
DOI: 10.1016/j.auec.2022.06.001
Organisation Unit: School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland; School of Health - Nursing
Language: English
Record Identifier: 99655798202621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Emergency Medicine; Nursing

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Source: InCites