Abstract #1221: Improvement in Clinical Outcomes Following Implementation of a Diabetic Ketoacidosis Management Protocol

2015 ◽  
Vol 21 ◽  
pp. 284-285
Author(s):  
Iva Neupane ◽  
Susan George ◽  
Nitin Trivedi
Keyword(s):  
Diabetic Ketoacidosis ◽  
Clinical Outcomes ◽  
Management Protocol

Use of a standardised diabetic ketoacidosis management protocol improved clinical outcomes

2014 ◽  
Vol 104 (1) ◽  
pp. e8-e11 ◽  
Author(s):  
Moe Thuzar ◽  
Usman H. Malabu ◽  
Ben Tisdell ◽  
Kunwarjit S. Sangla
Keyword(s):  
Diabetic Ketoacidosis ◽  
Clinical Outcomes ◽  
Management Protocol

Abstract #211 Analysis of a Community Hospital’s Diabetic Ketoacidosis Management Protocol

2018 ◽  
Vol 24 ◽  
pp. 33
Author(s):  
Chinelo Okigbo ◽  
Fatima Mohiuddin ◽  
Jesus Vargas ◽  
Edward Hamaty
Keyword(s):  
Diabetic Ketoacidosis ◽  
Management Protocol

Ketones and Contention: Bicarbonate Therapy and Clinical Outcomes in Severe Diabetic Ketoacidosis

CHEST Journal ◽  
2017 ◽  
Vol 152 (4) ◽  
pp. A755
Author(s):  
Alexander Morales ◽  
Mohammed Aboelsoud ◽  
Faeq Kukhon ◽  
Mahmoud Mowafy ◽  
Muhammad Ehtisham ◽  
...  
Keyword(s):  
Diabetic Ketoacidosis ◽  
Clinical Outcomes ◽  
Bicarbonate Therapy

Clinical outcomes of a false positive antenatal diagnosis of placenta accreta spectrum

2021 ◽  
Author(s):  
Bahram Salmanian ◽  
Amir A. Shamshirsaz ◽  
Karin Fox ◽  
nazlisadat meshinchi asl ◽  
Hadi Erfani ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Resource Utilization ◽  
False Positive ◽  
Maternal Morbidity ◽  
Placenta Accreta ◽  
Antenatal Diagnosis ◽  
Estimated Blood Loss ◽  
Management Protocol ◽  
Significant Difference ◽  
Placenta Accreta Spectrum

Objective: Antenatal diagnosis of placenta accreta spectrum (PAS) is critical to reduce maternal morbidity. While clinical outcomes of women with PAS have been extensively described, little information is available regarding the women who undergo cesarean delivery with a presumptive PAS diagnosis which is not confirmed by histopathologic examination. We sought to examine resource utilization and clinical outcomes of this group of women with a false-positive diagnosis of PAS. Study design: Retrospective analysis of patients with prenatally diagnosed PAS cared for between 2015 and 2020 by our multidisciplinary PAS team. Maternal outcomes were examined. Univariate analysis was performed and a multivariate model was employed to compare outcomes between women with and without histopathologically confirmed PAS. Results: A total of 162 patients delivered with the pre-operative diagnosis of PAS. Of these, 146 (90%) underwent hysterectomy and had histopathologic confirmation of PAS. Thirteen women did not undergo the planned hysterectomy. Three women underwent hysterectomy but pathologic examination did not confirm PAS. In comparing women with and without pathologic confirmation of PAS, the false positive PAS group delivered later in pregnancy (34 vs. 33 weeks of gestation, P=0.015) and had more planned surgery (88% vs. 47%, P = 0.002). There was no difference in skin incision type or hysterotomy placement for delivery. No significant difference in either the estimated blood loss or blood components transfused was noted between groups. Conclusion: Careful intraoperative evaluation of women with pre-operatively presumed PAS resulted in a 3/149 (2%) retrospectively unnecessary hysterectomy. Management of women with PAS in experienced centers benefits patients both in terms of resource utilization and avoidance of unnecessary maternal morbidity, understanding that our results are produced in a center of excellence for PAS. We also propose a management protocol to assist in the avoidance of unnecessary hysterectomy in women with the pre-operative diagnosis of PAS.

1177: Impact of Hyperchloremia on Clinical Outcomes in Patients Presenting With Diabetic Ketoacidosis

2020 ◽  
Vol 49 (1) ◽  
pp. 591-591
Author(s):  
Payal Desai ◽  
Christopher Droege ◽  
Madeline Foertsch ◽  
Paige Bradshaw ◽  
Eric Mueller
Keyword(s):  
Diabetic Ketoacidosis ◽  
Clinical Outcomes

scholarly journals Clinical outcomes of septic patients with diabetic ketoacidosis between 2004 and 2013 in a tertiary hospital in Taiwan

2016 ◽  
Vol 49 (5) ◽  
pp. 663-671 ◽  
Author(s):  
Yu-Chen Cheng ◽  
Chung-Hao Huang ◽  
Wei-Ru Lin ◽  
Po-Liang Lu ◽  
Ko Chang ◽  
...  
Keyword(s):  
Diabetic Ketoacidosis ◽  
Clinical Outcomes ◽  
Tertiary Hospital

scholarly journals Post-partum hypertriglyceridemia induced acute pancreatitis

2020 ◽  
Vol 9 (12) ◽  
pp. 5134
Author(s):  
Mahima Arya ◽  
Sunita Lalwani ◽  
Gargee Pore ◽  
Aniket Kakade
Keyword(s):  
Diabetes Mellitus ◽  
Acute Pancreatitis ◽  
Gestational Diabetes ◽  
Diabetic Ketoacidosis ◽  
Private Hospital ◽  
Post Partum ◽  
Serum Triglycerides ◽  
Random Blood Sugar ◽  
Management Protocol ◽  
Low Incidence

Gestational hypertriglyceridemia is well established but is considered an unusual cause of acute pancreatitis with a relatively low incidence. We hereby report a notable triad of hypertriglyceridemia, diabetic ketoacidosis and acute pancreatitis in a woman with 2 months of post-partum status delivered at a private hospital with known case of gestational diabetes mellitus. Presenting with acute abdomen with a surprise on table. Salmon pink coloured blood withdrawn in the vacutainer, turning lactescent post centrifugation. Her serum triglycerides level were 1750 mg/dl, random blood sugar of 870 mg/dl and total cholesterol of 978 mg/dl. Computerized tomography of abdomen was confirmatory of acute pancreatitis. Patient was treated aggressively with intravenous (IV) fluid resuscitation and IV insulin therapy as per diabetic ketoacidosis (DKA) management protocol. She recovered well and was discharged on day 4.

scholarly journals A medical audit on management protocol of Diabetic Ketoacidosis in EMW

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Umair Javaid Chaudhary ◽  
Sajid Abaidullah ◽  
Jawad Zaheer ◽  
Anjum Razzaq ◽  
Zafar Niaz ◽  
...  
Keyword(s):  
Diabetic Ketoacidosis ◽  
Blood Sugar ◽  
Blood Sugar Level ◽  
Blood Gases ◽  
Medical Audit ◽  
Serum Electrolytes ◽  
Arterial Blood ◽  
Audit Data ◽  
Management Protocol ◽  
Initial Blood

A retrospective medical audit was conducted on patients admitted in East Medical Ward from January 2004 to July 2005 with a diagnosis of diabetic ketoacidosis. There were 44 patients included in this audit. Patients who had initial blood sugar level more than 250mg/dl and later found to have negative urinary ketones were excluded from the audit. Data was collected on a predesigned proforma and was analysed by the programme SPSS version 10. Results: We found that mean age of the patients was 35.39 18.26 years including 21 (47.7%) males and 23 (52.3%) females. Fourteen (31.8%) patients had their first presentation as diabetic ketoacidosis where as rest of the patients were known diabetics including 56.8% diabetic for less than 10 years and 11.4% diabetic for more than 10 years. Blood sugar level of all the patients was checked at presentation and none of them had blood sugar level less than 250mg/dl and record was missing for 3 patients. Urinary ketones of 44 patients were found to be positive with a max.no. 20 (45.5%) having 4+ ketones where as 3 had their record missing. We found that out of 44 patients arterial blood gases record of 36 (81.8%) patients was available ( mean pH = 7.0786,mean pCO2 = 22.231, mean HCO3 = 12.867) and 8 (18.2%) had their record missing. Serum electrolytes investigation record showed that 11 (25%) patients had their record missing for serum Na+ and K+. Rest of the patients had their record available in which serum Na+ ranged from 131 to 151 mEq/L where as serum K+ values showed that only 1(2.3%) patient had hyperkalemia (serum K+ >5.5) and 4(9.1%) had hypokalemia (serum K+ <3.5).

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