Key result
Residence (aOR 4.31; 95% CI 1.25-14.80) and abdominal pain (aOR 4.28) were significantly associated with a longer hospital stay among children admitted with diabetic ketoacidosis.
Why the study?
Outcomes that should be measured during diabetic ketoacidosis management are crucial, but data in Ethiopia were limited.
What are the treatment outcomes and factors associated with length of hospital stay among children with type 1 diabetes admitted with DKA?
Cross-Sectional
No
What are the treatment outcomes and factors associated with length of hospital stay among children with type 1 diabetes admitted with DKA?
Odds Ratio: 4.31 (95% CI 1.25–14.8)
In Ethiopian children with type 1 diabetes and DKA, the vast majority survive to discharge, though factors like residence and abdominal pain significantly prolong hospital stay.
High survival to discharge in pediatric DKA; observational data leaves open whether targeting residence or abdominal pain shortens stay.
Background. Outcomes that should be measured during diabetic ketoacidosis management is crucial. However, data associated to this was limited in Ethiopia. Methods. A cross-sectional study was conducted among children with diabetic keto acidosis between 2016 and 2021.Data were stored in Epi-data version 4.6 and exported into STATA 14.0 software for analysis. The association between independent variables and length of hospital stay was assessed using binary logistic regression. Finally, variables with P-value <.05 were considered statistically significant. Result. Median length of hospital stay was 8 ± 6.2 days. Majority of patients (97.5%) improved and discharged. Factors that affected longer hospital stay were Residence(aOR = 4.31;95% CI = 1.25-14.80),family history of diabetes (aOR = 0.12; 95% CI = 0.02-0.64), glycemia at admission (aOR = 1.01; 95% CI = 1.00-1.02),insulin skipping (aOR = 0.08; 95% CI = 0.01-0.98), abdominal pain (aOR = 4.28; 95% CI = 1.11-15.52) and time in which the patient get out of diabetic ketoacidosis(aOR = 6.39; 95% CI = 1.09-37.50). Conclusion. Majority of patients showed improvement and discharged to homes after a long hospital stay. Majority of patients resolved from diabetic ketoacidosis between 24 and 48 hours.
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Meseret et al. (2024) conducted a cross-sectional in Type 1 Diabetes with Diabetic Ketoacidosis. Residence was evaluated on Longer hospital stay (aOR 4.31, 95% CI 1.25-14.80). Residence (aOR 4.31; 95% CI 1.25-14.80) and abdominal pain (aOR 4.28) were significantly associated with a longer hospital stay among children admitted with diabetic ketoacidosis.
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