Endocrine Abstracts

Goal: Diabetes is a common condition, affecting the young and the elderly, which can lead to acute accidents such as ketoacidosis, diabetic ketosis, hypoglycemia and hyperglycemia with various decompensation factors, which may be of cardiac origin, neurological or infectious. The objective of the study was to clarify the epidemiological and clinical profile of diabetic patients, to establish the reasons for urgent consultations in diabetic patients.

Methods: Cross-sectional descriptive study for one year (August 2017–July 2018) carried out on the patient registers seen during this period, including all diabetic patients who consulted in the urgency of Ibn rochd Casablanca Hospital.

Results: 502 diabetic patients were seen in the emergency department of Ibn Rochd Hospital Casablanca with an average age of 52.4 years. We noted a female predominance of 56.3%. Diabetes was type 2 in 390 patients (77.68%), type 1 in 110 patients (21.9%) and 2 patients (0.3%) had gestational diabetes. The reasons for consultation were dominated by diabetic ketosis with a prevalence of 22.3% followed by major hyperglycemia (21.3%), diabetic ketoacidosis (5.3%) and hypoglycaemia (5.3%). Revealing ketosis was found in 1.42% of cases. The decompensating factors found were foot infections with a frequency of 19.9% and other infections (urinary, bartholinitis, pneumopathies\..) with a frequency of 6.17% each. Neurological disorders found in this population were mainly ischemic attacks with a prevalence of 2.14%, myocardial ischemia accounted for 0.36%. Only patients whose vital and functional prognosis were not involved were admitted to the service, the others were referred in intensive care, in neurology in cardiology, pneumology according to the clinical picture.

Conclusion: The involvement of the emergency department in the care of the diabetic patient and in prioritizing their urgency is necessary to optimize the resources available to the emergency physician.