Cerebral edema in children with diabetic ketoacidosis Authors
نویسندگان
چکیده
INCIDENCE — Clinically significant cerebral edema occurs in approximately 1 percent of episodes of diabetic ketoacidosis in children and has a mortality rate of 20 to 90 percent; 50 to 80 percent of diabetes-related deaths are caused by cerebral edema [1-3]. Overall mortality rates for diabetic ketoacidosis (DKA) in children range from 0.15 to 0.51 percent in national population studies in Canada, the United Kingdom, and the United States [4-7]. Other causes of death from DKA include aspiration pneumonia, multiple organ failure, gastric perforation, and traumatic hydrothorax [5].
منابع مشابه
A new scoring system for stratifying risk for cerebral edema in children suffering diabetic ketoacidosis
Background: Predicting adverse neurovascular complications due to diabetic ketoacidosis (DKA) particularly in children leads to more appropriately management of disease as well as achievement of acceptable patients' survival. Cerebral edema is a life-threatening adverse event following DKA responsible for high mortality rate. Recently, authors have focused introducing new risk assessment tools ...
متن کاملبررسی فاکتورهای مستعد کننده، عوارض و پیش آگهی در کودکان مبتلا به کتواسیدوز دیابتی در زنجان
Background and Objective: Diabetic ketoacidosis is one of the most common and life threatening complications in children with diabetes mellitus. The aim of this study was to evaluate predisposing factors, complications and prognosis of the patients with diabetic ketoacidosis admitted to Zanjan hospitals. Materials and Methods: The records of patients with DKA admitted to Mousavi and Vali-e Asr ...
متن کاملManagement of Diabetic Ketoacidosis in Children
Diabetic ketoacidosis (DKA) is one of the leading causes of mortality in diabetic children. This study aimed to determine the frequency of mortality and complications of DKA during treatment in order to make the necessary modifications with regard to the common treatment problems. This was a cross sectional study, where patients were selected by examining the records of 112 children under the ...
متن کاملRisk factors for cerebral edema in children with diabetic ketoacidosis.
A BSTRACT Background Cerebral edema is an uncommon but devastating complication of diabetic ketoacidosis in children. Risk factors for this complication have not been clearly defined. Methods In this multicenter study, we identified 61 children who had been hospitalized for diabetic ketoacidosis within a 15-year period and in whom cerebral edema had developed. Two additional groups of children ...
متن کاملCerebrovascular complications of diabetic ketoacidosis in children.
Neurological deterioration in children with diabetic ketoacidosis (DKA) is commonly caused by cerebral edema. However, subtle cerebral injuries including strokes should also be suspected, since children with hyperglycemia and DKA are prone to thrombosis. In this paper, a case involving a 2 month-old patient that presented cerebral edema and stroke as complications of DKA is reported. In the dis...
متن کامل