N. Gómez Rivera, MG. García Zárate, I. Fonseca Chon, CO. Gómez Figueroa, IA. Gómez Jiménez and L. Villalobos García (2015). [Diabetic ketoacidosis in children: hospital experience. A 15-year retrospective study]. Boletin medico del Hospital Infantil de Mexico, 72(5), 313-317. https://doi.org/10.1016/j.bmhimx.2015.09.002

PubMed 29421529

[Abstract]
BACKGROUND: Diabetic ketoacidosis (DKA) is one of the major complications of diabetes mellitus (DM). The objective of this report was to highlight the clinical and laboratory importance in the treatment of patients with DKA during a 15-year period treated at the Hospital Infantil del Estado de Sonora (HIES).

METHODS: We retrospectively reviewed 140 patients with episodes of DKA to report clinical and laboratory features, mortality, and treatment with HIES protocol.

RESULTS: Mortality was 0%. Using descriptive statistics we observed minimal complications without neurologic sequelae in three patients with cerebral edema.

CONCLUSIONS: The HIES protocol is a practical and effective electrolyte and acid-base treatment for DKA.