Factores de riesgo de cetoacidosis diabética
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Objetivo: Determinar los factores de riesgo de la cetoacidosis diabética en los pacientes con diabetes mellitus en la emergencia del hospital Abel Gilbert Pontón.
Materiales y métodos: Se realizó un estudio observacional, retrospectivo, analítico. Se analizaron 126 pacientes con diabetes mellitus tipo 2 con posible diagnóstico de cetoacidosis del servicio de emergencia del mes de junio del 2016 a junio del 2017. Obteniendo un total de 54 casos con cetoacidosis diabética confirmados.
Resultados:
El porcentaje de los pacientes de sexo femenino fue mayor con respecto al masculino (59.26%), la edad más frecuente fue entre los 20 y 40 años, el 44% no recibió ningún tratamiento, mientras que los pacientes que lo recibieron destacan los antidiabéticos orales como el mas más frecuente en el 33% de los pacientes. El 53.7 % de pacientes presentó comorbilidades, siendo la más frecuente la hipertensión arterial.
El 52% de pacientes con cetoacidosis presento una infección, siendo la más frecuente la infección de vías urinarias.
La cetoacidosis se presentó con mayor frecuencia en mujeres debido a que en nuestra población predomino el sexo femenino.
Las infecciones fueron el desencadenante más importante en nuestro estudio, del cual las infecciones de vías urinarias jugaron el papel más llamativo
Objective: To determine the incidence and factors associated with diabetic ketoacidosis in patients with diabetes mellitus, in emergency of the Hospital Abel Gilbert Ponton. Materials and methods: An observational, retrospective, analytical study was performed. We analyzed 126 patients with type 2 diabetes mellitus like posibble ketoacidosis cases in emergency service during june of 2016 to june of 2017. Being 54 who were patients with Ketoacidosis. Results: The percentage of female patients was higher with respect to the male (59.26%), the most frequent age was between 20 and 40 years, 44% did not receive any treatment, while the patients who did receive oral antidiabetics it was the most frequent treatment in 33% of patients. 53.7% of patients presented comorbidities, the most frequent being arterial hypertension. 52% of patients with ketoacidosis had an infection, the most frequent being urinary tract infection. Ketoacidosis occurred more frequently in women due to the predominance of females in our population. The comorbidity that must be taken into account is arterial hypertension due to the large percentage of ketoacidotic patients who possess it. Infections were the most important trigger in our study, of which urinary tract infections played the most striking role
Objective: To determine the incidence and factors associated with diabetic ketoacidosis in patients with diabetes mellitus, in emergency of the Hospital Abel Gilbert Ponton. Materials and methods: An observational, retrospective, analytical study was performed. We analyzed 126 patients with type 2 diabetes mellitus like posibble ketoacidosis cases in emergency service during june of 2016 to june of 2017. Being 54 who were patients with Ketoacidosis. Results: The percentage of female patients was higher with respect to the male (59.26%), the most frequent age was between 20 and 40 years, 44% did not receive any treatment, while the patients who did receive oral antidiabetics it was the most frequent treatment in 33% of patients. 53.7% of patients presented comorbidities, the most frequent being arterial hypertension. 52% of patients with ketoacidosis had an infection, the most frequent being urinary tract infection. Ketoacidosis occurred more frequently in women due to the predominance of females in our population. The comorbidity that must be taken into account is arterial hypertension due to the large percentage of ketoacidotic patients who possess it. Infections were the most important trigger in our study, of which urinary tract infections played the most striking role
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Cetoacidosis diabética, Factores de riesgo, Estudios retrospectivos, Epidemiología analítica, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador