Clinical profile and outcome of hyperglycaemic emergencies at a rural hospital in southern Nigeria
Diabetes int. (Middle East/Afr. ed.)
; 25(2): 16-18, 2018. tab
Article
in En
| AIM
| ID: biblio-1261231
Responsible library:
CG1.1
ABSTRACT
We have documented the clinical pattern of hyperglycaemic emergencies (HGEs) and predictors of outcome at a tertiary hospital in a rural setting in Nigeria. In a 2-year retrospective review, we identified 88 patients with HGEs. Fifty-four (61%) were females, and mean age was 55 years. Forty-seven (53%) had hyperglycaemic hyperosmolar states (HHS), 34 (39%) had diabetic ketoacidosis (DKA), and 7 (8%) had a mixed type of HGE. The commonest precipitating factor was infection and was seen in 39 (44.3%) patients; 28 (32%) were newly diagnosed with diabetes. The mortality rate overall was 34% and the case fatality rate of DKA, HHS, and mixed-type HGE was 23%, 38%, and 57% respectively. Elevated urea was a predictor of poor outcome; while age, gender, and the presence of chronic diabetes complications were not predictors of outcome. We conclude that the mortality rate in HGEs is high, and that elevated urea is a predictor of poor outcome.Effective diabetes education, prompt recognition of symptoms, and treatment of metabolic derangements in HGEs may reduce morbidity and mortality
Full text:
1
Main subject:
Hospitals, Rural
/
Diabetic Ketoacidosis
/
Diabetes Complications
/
Hyperglycemia
/
Nigeria
Type of study:
Prognostic_studies
Country/Region as subject:
Africa
Language:
En
Journal:
Afr. ed.)
Year:
2018
type:
Article