James Cook University Hospital, Middlesbrough, UK.
Diabet Med. 2010 Jun;27(6):705-8. doi: 10.1111/j.1464-5491.2010.02939.x.
To describe the admission characteristics and outcomes of children admitted to paediatric intensive care because of acute diabetes complications in England and Wales.
Retrospective review of children admitted to paediatric intensive care in England and Wales between April 2003 and March 2007 with acute diabetes complications using data from the Paediatric Intensive Care Audit Network (PICANet).
There were 341 admissions in 330 patients for acute diabetes complications, comprising 0.6% of all 56 322 intensive care admissions. There was a steady annual increase during this period from 0.54% to 0.67%. The majority of admissions were for ketoacidosis (87%), with more female admissions than males (56% vs. 44%). Forty per cent of the diabetes admissions were aged 11-15 years. There were five deaths (1.5%), all female.
Acute diabetes complications are an increasing cause of admission to paediatric intensive care, particularly for teenage girls. The overall mortality rate was low for intensive care admissions for diabetes. Earlier diagnosis of new cases, heightened awareness of this condition and better management of existing diabetic patients may obviate the need for costly intensive care treatment.
描述英国和威尔士因急性糖尿病并发症而入住儿科重症监护病房的患儿的入院特征和结局。
利用儿科重症监护审核网络（PICANet）的数据，对 2003 年 4 月至 2007 年 3 月期间因急性糖尿病并发症入住英格兰和威尔士儿科重症监护病房的患儿进行回顾性分析。
共有 330 例患儿发生 341 例急性糖尿病并发症，占所有 56322 例重症监护入院病例的 0.6%。在此期间，每年的入院率呈稳步上升趋势，从 0.54%上升至 0.67%。大多数入院病例为酮症酸中毒（87%），女性入院人数多于男性（56%比 44%）。40%的糖尿病入院患儿年龄在 11-15 岁之间。有 5 例死亡（1.5%），均为女性。
急性糖尿病并发症是导致儿科重症监护病房入院的一个日益增加的原因，特别是对少女而言。糖尿病重症监护入院的总体死亡率较低。早期诊断新病例、提高对这种疾病的认识以及更好地管理现有糖尿病患者，可能会避免需要昂贵的重症监护治疗。
