PREDICTORS OF FACTORS AFFECTING HOSPITAL LENGTH OF STAY IN INTENSIVE CARE UNIT AMONG PATIENTS WITH DIABETIC KETOACIDOSIS

Abstract

Background: Diabetic ketoacidosis (DKA) is considered as a serious and potentially life-threatening complication of diabetes mellitus leading to a state of hyperglycemia, dehydration, and metabolic acidosis.

Aim of the study: to identify Predictors of factors affecting hospital length of stay in intensive care unit among patients with diabetic ketoacidosis.

Method: a retrospective cross-sectional analysis of all diabetic ketoacidosis (DKA) patients admitted to the Intensive Care Unit at El Menoufia University Hospital and Shebin El Kom Teaching Hospital in Egypt. Study was conducted on 864 patients

Result: The mean of HBa1c prior to admission is above normal 11.706±2.443. There was positive statistically significant of pH with length of stay and HCO3 (p < 0.05 and < 0.001 respectively). The majority of individuals without complications are in the normal weight range (50.8%). While, there is a significant association (p < 0.001) between being underweight and complications, with 43.8%. However, there is a negative association of pH with resorption of DKA Normalization of AG/hours & ICU/Admission.

Conclusion: have found strong associations between DKA and risk factors such as age, poor compliance with treatment, infection, dehydration, emotional stress, acute pancreatitis, surgery, myocardial infarction, and stroke.

Recommendation: Enhancing patient education regarding the importance of maintaining good glycemic control by providing periodic comprehensive assessments and tailored management strategies.