Are the results from the 2014 UK national survey on the management of diabetic ketoacidosis applicable to individual centres?
نویسندگان
چکیده
BACKGROUND In 2013 the Joint British Diabetes Societies published an update to their 2010 guideline on the management of diabetic ketoacidosis (DKA). In 2014 a national survey was conducted to assess the management of DKA across the UK using the JBDS or local guidelines. Hospitals were invited to submit data on 5 people presenting with DKA. These data were published in 2016. However, whether those national results were applicable to individual hospitals remains unknown. AIM To assess the management of people presenting with DKA at a single hospital and compare the results with the national dataset. METHODS Using the identical data collection tool as used in the national survey we collected information on 40 subjects (a total of 52 admissions) admitted with DKA between April 2014 and July 2015. RESULTS The data collected locally were very similar to those found in the national dataset. The management of DKA was best during the first few hours after admission, then biochemical and physical monitoring frequency decreased. The number of people who developed hypokalaemia and hypoglycaemia were very similar to the national data. Rates of biochemical improvement were slightly better locally. CONCLUSIONS The data from the national DKA survey, even though based on a maximum of 5 people per hospital from across the UK are applicable at a hospital level.
منابع مشابه
Institutional factors in the management of adults with diabetic ketoacidosis in the UK: results of a national survey.
Determining what obstacles diabetes specialist teams face when providing services for patients with diabetic ketoacidosis has not previously been determined on a national scale. Between May and November 2014 a survey of all 220 UK diabetes specialist teams was conducted to assess their ability to provide comprehensive care for adult patients presenting with ketoacidosis [1] (see Appendix S1). S...
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عنوان ژورنال:
- Diabetes research and clinical practice
دوره 127 شماره
صفحات -
تاریخ انتشار 2017