Objectives: To compare clinical management and key outcomes of critically ill children with diabetic ketoacidosis (DKA) in two cohorts (2015 cohort: managed according to the 2015 British Society of Paediatric Endocrinology and Diabetes (BSPED) guidelines; 2020 cohort: managed according to the 2020 BSPED guidelines).
Design: Retrospective cohort study using prospectively collected data.
Setting: A critical care advice and transport service based in London, and referring hospitals within the critical care network.