Key result
The provided text only contains a supplementary table of excluded studies for a meta-analysis on diabetic ketoacidosis readmission, with no primary clinical results reported.
Why the study?
Risk factors associated with readmission in patients with diabetic ketoacidosis needed to be systematically identified and quantified.
What are the risk factors associated with the readmission of patients with diabetic ketoacidosis?
Meta-Analysis
What are the risk factors associated with the readmission of patients with diabetic ketoacidosis?
Low income, psychiatric disorders, and discharge against medical advice are significant risk factors for readmission in patients with diabetic ketoacidosis, highlighting the need for tailored interventions and structured discharge planning.
Supports targeted discharge planning for vulnerable DKA patients; extends risk-factor evidence but leaves open interventional trials.
Purpose: This study aimed to identify risk factors associated with the readmission of patients with diabetic ketoacidosis (DKA) through a systematic review and meta-analysis. Methods: A systematic literature review was conducted in accordance with the PRISMA guidelines. Relevant studies were retrieved from international databases (PubMed, EMBASE, Cochrane Library, CINAHL, PsycINFO, and Web of Science) and Korean databases (RISS, KoreaMed, KMbase, KISS, and DBpia). Study quality was evaluated using the Newcastle-Ottawa Scale. Meta-analysis was performed using a random-effects model with the Hartung-Knapp-Sidik-Jonkman adjustment to account for the limited number of studies and heterogeneity. Results: Fifteen studies were included in the review, and eight were eligible for meta-analysis. From the systematic review, 21 risk factors for DKA readmission were identified and categorized into five domains: demographic, socioeconomic, diabetes-related, comorbidity, and health-behavioral factors. In the meta-analysis, significant risk factors included low income, psychiatric disorders, and discharge against medical advice. Conclusion: This study demonstrates that DKA readmissions result from the complex interplay of multiple clinical and social factors. By identifying these risk factors and suggesting risk-stratification criteria, the findings may support the development of tailored interventions, such as self-management education, integrated mental health care, structured discharge planning, and coordinated post-discharge follow-up.
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Sun-Kyung Hwang (2025) conducted a meta-analysis in diabetic ketoacidosis. Risk factors for readmission was evaluated on readmission. The provided text only contains a supplementary table of excluded studies for a meta-analysis on diabetic ketoacidosis readmission, with no primary clinical results reported.
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