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10.1007/s00125-016-4034-0 http://scihub22266oqcxt.onion/10.1007/s00125-016-4034-0 C5016550!5016550!27397023     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Diabetologia 2016 ; 59 (10): 2082-7 Nephropedia Template TP {{tp|p=27397023|t=2016. Risk of death following admission to a UK hospital with diabetic ketoacidosis |pdf=|usr=}}{{27397023}} gab.com Text Risk of death following admission to a UK hospital with diabetic ketoacidosis JO: Diabetologia http://www.kidney.de/pget.php?&tw=1&pmid=27397023 #FOAvip Aims/hypothesis: The aim of this study was to assess the risk of death during hospital admission for diabetic ketoacidosis (DKA) and, subsequently, following discharge. In addition, we aimed to characterise the risk factors for multiple presentations with DKA. Methods: We conducted a retrospective cohort study of all DKA admissions between 2007 and 2012 at a university teaching hospital. All patients with type 1 diabetes who were admitted with DKA (628 admissions of 298 individuals) were identified by discharge coding. Clinical, biochemical and mortality data were obtained from electronic patient records and national databases. Follow-up continued until the end of 2014. Results: Compared with patients with a single DKA admission, those with recurrent DKA (more than five episodes) were diagnosed with diabetes at an earlier age (median 14 [interquartile range 9?23] vs 24 [16?34] years, p?<?0.001), had higher levels of social deprivation (p?=?0.005) and higher HbA1c values (103 [89?108] vs 79 [66?96] mmol/mol; 11.6% [10.3?12.0%] vs 9.4% [8.2?10.9%], p?<?0.001), and tended to be younger (25 [22?36] vs 31 [23?42] years, p?=?0.079). Antidepressant use was greater in those with recurrent DKA compared with those with a single episode (47.5% vs 12.6%, p?=?0.001). The inpatient DKA mortality rate was no greater than 0.16%. A single episode of DKA was associated with a 5.2% risk of death (4.1 [2.8?6.0] years of follow-up) compared with 23.4% in those with recurrent DKA admissions (2.4 [2.0?3.8] years of follow-up) (HR 6.18, p?=?0.001). Conclusions/interpretation: Recurrent DKA is associated with substantial mortality, particularly among young, socially disadvantaged adults with very high HbA1c levels. Electronic supplementary material: The online version of this article (doi:10.1007/s00125-016-4034-0) contains peer-reviewed but unedited supplementary material, which is available to authorised users. Twit Text FOAVip Risk of death following admission to a UK hospital with diabetic ketoacidosis ????Diabetologia http://www.kidney.de/pget.php?&tw=1&pmid=27397023 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27397023 #FOAvip English Wikipedia <ref>{{Cite pmid|27397023}}</ref> Risk of death following admission to a UK hospital with diabetic ketoacidosis #MMPMID27397023 Gibb FW; Teoh WL; Graham J; Lockman KA Diabetologia 2016[]; 59 (10): 2082-7 PMID27397023show ga Aims/hypothesis: The aim of this study was to assess the risk of death during hospital admission for diabetic ketoacidosis (DKA) and, subsequently, following discharge. In addition, we aimed to characterise the risk factors for multiple presentations with DKA. Methods: We conducted a retrospective cohort study of all DKA admissions between 2007 and 2012 at a university teaching hospital. All patients with type 1 diabetes who were admitted with DKA (628 admissions of 298 individuals) were identified by discharge coding. Clinical, biochemical and mortality data were obtained from electronic patient records and national databases. Follow-up continued until the end of 2014. Results: Compared with patients with a single DKA admission, those with recurrent DKA (more than five episodes) were diagnosed with diabetes at an earlier age (median 14 [interquartile range 9?23] vs 24 [16?34] years, p? äRisk of death following admission to a UK hospital with diabetic ketoa(epmc).pdf DeepDyve Pubget Overpricing