Norwich Medical School, University of East Anglia, Norwich, Norfolk NR4 7TJ, UK.
Norwich Medical School, University of East Anglia, Norwich, Norfolk NR4 7TJ, UK; Norfolk and Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norfolk NR4 7UY, UK.
Diabetes Res Clin Pract. 2017 May;127:140-146. doi: 10.1016/j.diabres.2017.03.004. Epub 2017 Mar 19.
In 2013 the Joint British Diabetes Societies published an update to their 2010 guideline on the management of diabetic ketoacidosis (DKA). In 2014 a national survey was conducted to assess the management of DKA across the UK using the JBDS or local guidelines. Hospitals were invited to submit data on 5 people presenting with DKA. These data were published in 2016. However, whether those national results were applicable to individual hospitals remains unknown.
To assess the management of people presenting with DKA at a single hospital and compare the results with the national dataset.
Using the identical data collection tool as used in the national survey we collected information on 40 subjects (a total of 52 admissions) admitted with DKA between April 2014 and July 2015.
The data collected locally were very similar to those found in the national dataset. The management of DKA was best during the first few hours after admission, then biochemical and physical monitoring frequency decreased. The number of people who developed hypokalaemia and hypoglycaemia were very similar to the national data. Rates of biochemical improvement were slightly better locally.
The data from the national DKA survey, even though based on a maximum of 5 people per hospital from across the UK are applicable at a hospital level.
2013 年，英国糖尿病学会联合委员会发布了其 2010 年糖尿病酮症酸中毒（DKA）管理指南的更新版。2014 年，进行了一项全国性调查，使用 JBDS 或当地指南评估英国各地 DKA 的管理情况。邀请医院提交 5 例 DKA 患者的数据。这些数据于 2016 年公布。然而，这些全国性结果是否适用于个别医院仍不清楚。
评估一家医院就诊的 DKA 患者的管理情况，并将结果与全国数据集进行比较。
使用与全国调查中使用的相同数据收集工具，我们收集了 2014 年 4 月至 2015 年 7 月期间因 DKA 入院的 40 名患者（共 52 例入院）的信息。
本地收集的数据与全国数据集非常相似。DKA 入院后的最初几小时内管理效果最佳，随后生化和物理监测频率降低。发生低钾血症和低血糖的人数与全国数据非常相似。生化改善的比率在本地略高。
即使全国 DKA 调查的数据基于英国各地每家医院最多 5 名患者，也适用于医院层面。
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