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January 1, 2010Internal MedicineOpen Access

Short-Term Case Fatality Rate and Associated Factors among Inpatients with Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State: A Hospital-Based Analysis over a 15-Year Period

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Population

1,083 inpatients admitted to a teaching hospital in Taiwan between 1991 and 2005.

Design

Cohort

Follow-up

28 days

Authors

HCHua-Fen ChenFu Jen Catholic UniversityCWChih‐Yuan WangNational Sun Yat-sen UniversityHLHsinyu LeeNational Taiwan University

Discussion

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Implication

Pneumonia signals elevated 28-day mortality in DKA/HHS; leaves open whether comorbidity-targeted interventions improve survival.

Structured PICO

P
Population
1,083 inpatients (689 with diabetic ketoacidosis [DKA] and 394 with hyperglycemic hyperosmolar state [HHS]) admitted to a teaching hospital in Taiwan between 1991 and 2005.
O
Outcome
28-day case-fatality ratehard clinical

While 28-day case-fatality rates for DKA and HHS improved over a 15-year period, comorbidities such as pneumonia, stroke, and myocardial infarction remain significant predictors of mortality.

Limitations

  • Small sample size for certain subgroups (e.g., myocardial infarction cases, deceased individuals in reference groups)
  • Random variation in relative risk estimates after sample size attrition
  • Reduced statistical power in separate analyses according to primary and secondary diagnoses

Cite This Study

Chen et al. (2010) studied this question.

synapsesocial.com/papers/6a8247bc47f72330e2ffb836https://doi.org/10.2169/internalmedicine.49.2965
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  3. 3Prognostic Factors in the Diabetic Hyperosmolar State1987 · 67 citations
  4. 4Persisting Mortality in Diabetic Ketoacidosis1993 · 146 citations