Abstract

PEREZ SARMIENTO, Raúl; CASTRO GUTIERREZ, Nguyen; RIVERO TRUIT, Fidel  and  GALINDO PORTUONDO, Eduardo. Morbimortality from diabetic ketoacidosis in the Intensive Care Unit. AMC [online]. 2005, vol.9, n.1, pp.52-63. ISSN 1025-0255.

A descriptive study was carried out to characterize morbimortality from diabetic ketoacidosis in the Intensive Care Unit at Manuel Ascunce Domenech Provincial Hospital of Camagüey, from June 2001 to May 2004. The universe and study sample were composed by 72 patients , the aged groups among 16 to 35 years (58 %) and the feminine sex (66, 6%). Infections were the first underlying cause (33, 3 %), fallowed by errors in the administration of treatment (25 %) and as form of diabetes debut (20, 8 %). Insulinotherapy (37, 5 %) and the combination of insuline with oral hypoglycemiants (16, 66 %) constituted the ways of treatment that practiced more than a half of patients. Vomiting (75 %), abdominal pain (54, 1 %) and slight stupor (50 %) were the signs and symptoms more representative of all found with more than 50 % hyperglucemia (79, 16 %), low serum bicarbonate (70, 83 %) and academia (66, 69 %) were the laboratory findings more evident. Orly 20, 84 % of patients died, pulmonary thromboembolism was the main complication of them (8, 33 %).

Keywords : INDICATORS OF MORBILITY AND MORTALITY; DESCRIPTIVE EPIDEMIOLOGY; DIABETIC KETOACIDOSIS [mortality]; INTENSIVE CARE.