SFEIES24 Poster Presentations Diabetes & Metabolism (68 abstracts)
Audit on diabetic ketoacidosis (DKA) management in county hospital navan
Hadi Saiyid 1 , M Asif Khan 1 , Muhammad Akram Khan 1 , Arzoo Sardar 1 , Azher Nawaz Khan 1 , Hamza Sajjad 1 , Mohammed Faraz Rafey 1,2 & Shabahat Shah 1
1Department of Diabetes and Endocrinology, Our Lady’s Hospital Navan, Navan, Ireland; 2Royal College of Physicians of Ireland, Dublin, Ireland
Introduction: DKA is a fatal complication of diabetes mellitus, if not treated appropriately. In hospital guideline on management of DKA has been developed in Our lady’s hospital Navan and updated last in 2019.
Aim: To assess the adherence of DKA guideline in our hospital and to assess the complexity of medical admissions with DKA in our hospital.
Methods: We collected retrospective data for our audit and prospective data on our re-audit with the help of hospital records, analyzed the data on excel. Audit was presented in hospital grand-rounds and re-audit conducted post education.
Results: Audit was conducted on retrospective data of inpatients between 1st of January 2023 to 31st December 2023, Re-audit was conducted prospectively between 15th of January 2024 to 15th of April 2024. In the audit 30 patients were included, with mean age of 38.5±22.4 years, average length of stay of 4.5 days, with mean blood glucose levels of 24.5±9.21 mmol/l, mean ketone levels of 5.2±1.2 mmol/l, mean HCO3 of 14.6±4.6 mmol/mol, and mean Ph of 7.21±0.13. Compliance with guidelines on fluid replacement was 95%, with insulin dose was 91% and with K replacement was 91%. In the Re-audit, 3 patients were included, with a mean age of 25±4.5 years, average length of stay was 3.3 days, mean glucose of 19.4±6.5 mmol/l, mean ketone of 6.1±0.5 mmol/l, mean HCO3 of 17.4±3.6 mmol/mol, and mean Ph of 7.2±0.01. Overall compliance rates with fluids, insulin and K replacement in the re-audit was 100%.
Conclusion: We have highlighted the importance of completing an audit cycle with education of doctors on management of DKA in a county hospital.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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