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diabetic ketoacidosis icd 10
Mays JA; Jackson KL; Derby TA; Behrens JJ; Goel S; Molitch ME; Kho AN; Wallia A
OBJECTIVE: A allocation of patients with diabetes are again ailing for diabetic ketoacidosis (DKA), termed alternate DKA, which is associated with poorer analytic outcomes. This abstraction evaluated alternate DKA, breach of care, and bloodshed throughout six institutions in the Chicago area.
RESEARCH DESIGN AND METHODS: A deidentified Bloom Allowance Portability and Accountability Act-compliant abstracts set from six institutions (HealthLNK) was acclimated to analyze 3,615 patients with DKA (ICD-9 250.1x) from 2006 to 2012, apery 5,591 inpatient admissions for DKA. Demographic and analytic abstracts were queried. Recurrence was authentic as added than one DKA episode, and breach of bloom affliction was authentic as acceptance at added than one site.
RESULTS: Of the 3,615 patients, 780 (21.6%) had alternate DKA. Patients with four or added DKAs (n = 211) represented 5.8% of the absolute DKA accumulation but accounted for 26.3% (n = 1,470) of the encounters. Of the 780 alternate patients, 125 (16%) were ailing at added than one hospital. These patients were added acceptable to recur (odds arrangement [OR] 2.96; 95% CI 1.99, 4.39; P < 0.0001) and had an boilerplate of 1.88-times the encounters than nonfragmented patients. Although alone 13.6% of patients died of any account during the abstraction period, allowance of afterlife added with age (OR 1.06; 95% CI 1.05, 1.07; P < 0.001) and cardinal of DKA encounters (OR 1.28; 95% CI 1.04, 1.58; P = 0.02) afterwards acclimation for age, sex, insurance, race, fragmentation, and DKA appointment count. This abstraction was bound by abridgement of medical record-level data, including comorbidities after ICD-9 codes.
CONCLUSIONS: Alternate DKA was accepted and associated with added breach of bloom affliction and added mortality. Further analysis is bare on abeyant interventions in this different population.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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