Ignacio Fonseca Chon

Cetoacidosis diabética en niños: experiencia hospitalaria. Estudio retrospectivo de 15 años

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.