AI Article Synopsis
- Diabetic ketoacidosis (DKA) is frequently seen in children with new-onset insulin-dependent diabetes mellitus (IDDM), and delayed diagnosis poses a major risk.
- Two pediatric endocrinologists reviewed patient records and found that 18% of kids with new-onset IDDM had a delayed diagnosis, with many misdiagnosed or improperly managed.
- A notable portion (46%) of those with delayed diagnoses ended up presenting with DKA, highlighting the need for better training among healthcare providers to improve early detection and management of IDDM.
Article Abstract
Introduction: Diabetic ketoacidosis (DKA) is a common presentation for pediatric new-onset insulin-dependent diabetes mellitus (IDDM). Delayed diagnosis is the major risk factor for DKA at disease onset.
Method: Two pediatric endocrinologists independently reviewed the admission records to assess the appropriateness of preadmission management in various health care settings.
Results: Eighteen percent (n = 45) of patients with new-onset IDDM had a delayed diagnosis. Twenty-eight were misdiagnosed (respiratory [n = 9], nonspecific [n = 7], genitourinary [n = 4], gastrointestinal [n = 8] issues) and 17 were mismanaged. One child died within 4 hr of hospitalization, presumably because of a hyperosmolar coma. Forty-six percent (n = 21) of patients with delayed diagnosis presented with DKA, comprising 18% of all DKA cases.
Discussion: A significant number of patients with new-onset IDDM were either misdiagnosed or mismanaged. All providers must be appropriately trained in diagnosing new-onset IDDM and follow the standard of clinical care practices.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771990 | PMC |
| http://dx.doi.org/10.1016/j.pedhc.2022.07.004 | DOI Listing |
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