[Diabetic ketoacidosis in children: hospital experience. A 15-year retrospective study]

Area of Science:

• Endocrinology and Metabolism
• Pediatric Critical Care

Context:

• Diabetic ketoacidosis (DKA) is a severe complication of diabetes mellitus (DM).
• Effective DKA management protocols are crucial in pediatric healthcare settings.
• A 15-year retrospective study was conducted at the Hospital Infantil del Estado de Sonora (HIES).

Purpose:

• To evaluate the clinical and laboratory outcomes of DKA treatment.
• To assess the effectiveness of the HIES DKA treatment protocol.
• To report on mortality and complication rates in pediatric DKA patients.

Summary:

• A retrospective review of 140 pediatric DKA cases treated with the HIES protocol was performed.
• The study analyzed clinical and laboratory features, mortality, and treatment outcomes.
• Zero mortality was recorded, with minimal complications and no neurological sequelae in cerebral edema cases.

Impact:

• The HIES protocol demonstrates practical efficacy in electrolyte and acid-base management for DKA.
• This protocol offers a successful model for pediatric DKA treatment, minimizing severe outcomes.
• Findings support the HIES protocol as an effective standard for DKA care in similar institutions.