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Enlace permanente de la investigaciónCharacteristics of hyperglycemic crises in an adult population in a teaching hospital in Colombia / Carlos Esteban Builes Montaño ; Jorge Hernando Donado Gómez
Título : Characteristics of hyperglycemic crises in an adult population in a teaching hospital in Colombia Tipo de documento : documento electrónico Autores : Carlos Esteban Builes Montaño, ; Jorge Hernando Donado Gómez, Fecha de publicación : 2018 Títulos uniformes : Journal of Diabetes & Metabolic Disorders Idioma : Inglés (eng) Palabras clave : Diabetic ketoacidosis hyperglycemic hyperosmolar Nonketotic coma Latin America diabetes mellitus Resumen : Background: Hyperglycemic crisis are the most serious forms of acute decompensation of diabetes mellitus and require urgent medical attention. The epidemiological data of these conditions in Latin America are scarce and in Colombia unknown, that is why we decided to describe the clinical characteristics and factors associated with the mortality of adults who presented with hyperglycemic crises in a teaching hospital in Colombia. Materials and methods: Retrospective cohort study of all episodes of hyperglycemic crisis treated in Pablo Tobón Uribe Hospital in a three-year period. Results: The records of 2233 hospitalization episodes related to diabetes mellitus were review, the prevalence of hyperglycemic crises was 2%, half of the events were diabetic ketoacidosis and 57% of the events occurred in people with type 2 diabetes mellitus, 32% of the events were precipitated by an infection and 27% by and inadequate therapy. The average hospital length of stay was 14 ± 3 days and the mortality rate 2.27%. Conclusions: In a teaching hospital in Latin America hyperglycemic crises are common, with diabetic ketoacidosis being the most frequent, and in a significant number of cases may be preventable. The hospital length of stay in our population is longer than reported in the literature. Mención de responsabilidad : Carlos Esteban Builes-Montaño, Andres Chavarriaga, Lina Ballesteros, Manuela Muñoz, Sofia Medina, Jorge Hernando Donado-Gomez, Alex Ramirez-Rincón Referencia : J Diabetes Metab Disord. 2018 Sep 19;17(2):143-148. DOI (Digital Object Identifier) : 10.1007/s40200-018-0353-7 PMID : 30918848 En línea : https://link.springer.com/article/10.1007/s40200-018-0353-7 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4138 Characteristics of hyperglycemic crises in an adult population in a teaching hospital in Colombia [documento electrónico] / Carlos Esteban Builes Montaño, ; Jorge Hernando Donado Gómez, . - 2018.
Obra : Journal of Diabetes & Metabolic Disorders
Idioma : Inglés (eng)
Palabras clave : Diabetic ketoacidosis hyperglycemic hyperosmolar Nonketotic coma Latin America diabetes mellitus Resumen : Background: Hyperglycemic crisis are the most serious forms of acute decompensation of diabetes mellitus and require urgent medical attention. The epidemiological data of these conditions in Latin America are scarce and in Colombia unknown, that is why we decided to describe the clinical characteristics and factors associated with the mortality of adults who presented with hyperglycemic crises in a teaching hospital in Colombia. Materials and methods: Retrospective cohort study of all episodes of hyperglycemic crisis treated in Pablo Tobón Uribe Hospital in a three-year period. Results: The records of 2233 hospitalization episodes related to diabetes mellitus were review, the prevalence of hyperglycemic crises was 2%, half of the events were diabetic ketoacidosis and 57% of the events occurred in people with type 2 diabetes mellitus, 32% of the events were precipitated by an infection and 27% by and inadequate therapy. The average hospital length of stay was 14 ± 3 days and the mortality rate 2.27%. Conclusions: In a teaching hospital in Latin America hyperglycemic crises are common, with diabetic ketoacidosis being the most frequent, and in a significant number of cases may be preventable. The hospital length of stay in our population is longer than reported in the literature. Mención de responsabilidad : Carlos Esteban Builes-Montaño, Andres Chavarriaga, Lina Ballesteros, Manuela Muñoz, Sofia Medina, Jorge Hernando Donado-Gomez, Alex Ramirez-Rincón Referencia : J Diabetes Metab Disord. 2018 Sep 19;17(2):143-148. DOI (Digital Object Identifier) : 10.1007/s40200-018-0353-7 PMID : 30918848 En línea : https://link.springer.com/article/10.1007/s40200-018-0353-7 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4138 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000749 AC-2018-036 Archivo digital Producción Científica Artículos científicos Disponible 
Título : Colombian multicentric study on epidemiology of diabetic ketoacidosis in children with type 1 diabetes mellitus Tipo de documento : documento electrónico Autores : Carolina Jaramillo Arango, ; Mauricio Fernández Laverde, Fecha de publicación : 2017 Títulos uniformes : Endocrinology and Metabolism International Journal Idioma : Inglés (eng) Palabras clave : Type 1 diabetes mellitus Diabetic ketoacidosis Risk factors Pediatric intensive care units Epidemiology Multicenter studies Resumen : Background: Type 1 diabetes is a growing disease worldwide, where ketoacidosis is a serious cause commonly resulting in hospitalization. Little is known regarding the epidemiology of the development of ketoacidosis in Colombian children with a known diagnosis of diabetes. Objective: To describe the epidemiological profile of children with type 1 diabetes and ketoacidosis diagnosis. Settings: Using the online survey, http://www.e-encuesta.com/answer.do?testid=cRctXSlVSLk, seven pediatric intensive care units of the four main cities throughout the country reported epidemiological data of the patients that were admitted with episodes of ketoacidosis other than diabetes debut, between May of 2014 and May of 2016. Measurement and main results: Fifty-two events of diabetic ketoacidosis in 47 patients between ages 3 and 17 were included. The patients had mean glycosylated hemoglobin of 12% (SD: 2.9) and the median insulin dose used was 0.91 (IQR 0.74 – 1.2 UI/kg). One hundred percent of patients belonged to middle and low socioeconomic classes, 98.1% of patients were insured by the health care system, and 27.4% of patients did not have the necessary supplies for glucose control. Conclusion: The glycosylated hemoglobin levels can evidence that diabetic ketoacidosis patients were generally not well controlled prior to admission. The most common precipitating factors of diabetic ketoacidosis were the low adherence to treatment and infections. Patients must be informed about the importance of adherence to treatment and how to adjust insulin on sick days; the health care system must ensure patients have the supplies necessary for optimal diabetes control. Mención de responsabilidad : Carolina Jaramillo Arango, Yúrika P López-Alarcón, Juan C Jaramillo Bustamante, Mauricio Fernández-Laverde, Rosalba Pardo Carrero, Alejandro Marín-Agudelo Referencia : Endocrinol Metab Int J. 2017;5(2):205-9 DOI (Digital Object Identifier) : 10.15406/emij.2017.05.00118 Derechos de uso : CC BY-NC En línea : https://medcraveonline.com/EMIJ/EMIJ-05-00118.php Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4057 Colombian multicentric study on epidemiology of diabetic ketoacidosis in children with type 1 diabetes mellitus [documento electrónico] / Carolina Jaramillo Arango, ; Mauricio Fernández Laverde, . - 2017.
Obra : Endocrinology and Metabolism International Journal
Idioma : Inglés (eng)
Palabras clave : Type 1 diabetes mellitus Diabetic ketoacidosis Risk factors Pediatric intensive care units Epidemiology Multicenter studies Resumen : Background: Type 1 diabetes is a growing disease worldwide, where ketoacidosis is a serious cause commonly resulting in hospitalization. Little is known regarding the epidemiology of the development of ketoacidosis in Colombian children with a known diagnosis of diabetes. Objective: To describe the epidemiological profile of children with type 1 diabetes and ketoacidosis diagnosis. Settings: Using the online survey, http://www.e-encuesta.com/answer.do?testid=cRctXSlVSLk, seven pediatric intensive care units of the four main cities throughout the country reported epidemiological data of the patients that were admitted with episodes of ketoacidosis other than diabetes debut, between May of 2014 and May of 2016. Measurement and main results: Fifty-two events of diabetic ketoacidosis in 47 patients between ages 3 and 17 were included. The patients had mean glycosylated hemoglobin of 12% (SD: 2.9) and the median insulin dose used was 0.91 (IQR 0.74 – 1.2 UI/kg). One hundred percent of patients belonged to middle and low socioeconomic classes, 98.1% of patients were insured by the health care system, and 27.4% of patients did not have the necessary supplies for glucose control. Conclusion: The glycosylated hemoglobin levels can evidence that diabetic ketoacidosis patients were generally not well controlled prior to admission. The most common precipitating factors of diabetic ketoacidosis were the low adherence to treatment and infections. Patients must be informed about the importance of adherence to treatment and how to adjust insulin on sick days; the health care system must ensure patients have the supplies necessary for optimal diabetes control. Mención de responsabilidad : Carolina Jaramillo Arango, Yúrika P López-Alarcón, Juan C Jaramillo Bustamante, Mauricio Fernández-Laverde, Rosalba Pardo Carrero, Alejandro Marín-Agudelo Referencia : Endocrinol Metab Int J. 2017;5(2):205-9 DOI (Digital Object Identifier) : 10.15406/emij.2017.05.00118 Derechos de uso : CC BY-NC En línea : https://medcraveonline.com/EMIJ/EMIJ-05-00118.php Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4057 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000657 AC-2017-046 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2017-046.pdfAdobe Acrobat PDF
