Hasan Rashed A, Hamid Kewan, Dubre Donald, Nolan Brian, Sharman Mahesh
St Vincent Mercy Children's Hospital, Toledo, OH, USA.
Saint Peter's University Hospital, New Brunswick, NJ, USA.
Glob Pediatr Health. 2021 Jan 24;8:2333794X21991532. doi: 10.1177/2333794X21991532. eCollection 2021.
Intravenous fluid (IVF) administration using the two-bag system compared with the one-bag system in children with diabetic ketoacidosis (DKA) admitted between January 1, 2015 and December 31, 2016. Retrospective cohort study. Community-based hospital. A total of 109 patients were enrolled with a mean age of 13.24 years. The 2 groups had comparable demographics. Initial laboratory results were similar except for initial PH and Sodium. The two bag system had significantly less number of calls compared to one bag system (25.2 vs 5.2 = .0001). One bag system had fewer hypoglycemia <60 mg/dl (4 vs 12 = .049). No statistically significant observations noted in regards to glucose drop rate, number of intravenous fluid bags used, amount of fluid boluses given, hospital stay and Pediatric ICU stay. The two-bag system has less resource utilization and slower blood glucose drop rate, but higher hypoglycemic events.
2015年1月1日至2016年12月31日期间收治的糖尿病酮症酸中毒（DKA）患儿中，使用双袋系统与单袋系统进行静脉输液（IVF）给药的比较。回顾性队列研究。社区医院。共纳入109例患者，平均年龄13.24岁。两组人口统计学特征具有可比性。除初始pH值和钠含量外，初始实验室结果相似。与单袋系统相比，双袋系统的呼叫次数明显更少（25.2比5.2，P = 0.0001）。单袋系统低血糖<60mg/dl的情况较少（4例比12例，P = 0.049）。在血糖下降速率、使用的静脉输液袋数量、给予的液体推注量、住院时间和儿科重症监护病房住院时间方面，未观察到统计学上的显著差异。双袋系统资源利用率较低，血糖下降速率较慢，但低血糖事件较多。
