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Journal article

Predictors of intensive care unit and hospital length of stay in diabetic ketoacidosis

Freire A, Umpierrez G, Afessa B, Latif K, Bridges L, Kitabchi A...(+6 more)

J Crit Care, vol. 17, issue 4 (2002) pp. 207-211

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Abstract

OBJECTIVE: To determine the predictive value for prolonged intensive care unit (ICU) and hospital length of stay (LOS) in patients with diabetic ketoacidosis (DKA) of the Acute Physiology and Chronic Health Evaluation II (APACHE II) score and Logistic Organ Dysfunction System (LODS), and to identify associated characteristics. DESIGN: Prospective cohort, 18-month observation. SUBJECTS AND SETTING: All admissions to a 12-bed, inner-city, university-affiliated hospital, medical ICU from July 1999 to December 2000. MEASUREMENTS: Data for APACHE II and LODS scoring systems were collected within 24 hours of admission. Lengths of ICU and hospital stay were the primary outcomes. Prolonged ICU and hospital LOS were defined as 3 or more and 6 or more days. RESULTS: A total of 584 patients, mean age 49, 56% men, 82% African American were admitted to the ICU. At admission they had (mean +/-SD) APACHE II (18 +/- 10), LODS (5 +/- 4), and predicted mortality of 32% +/- 29%. DKA was the admitting diagnosis in 42 (7.6%) patients; they had lower APACHE II (12 +/- 6), LODS (2 +/- 1), and predicted mortality 5% +/- 5% than the general ICU population (all, P

Author-supplied keywords

  • Adult
  • African Americans/statistics & numerical data
  • Aged
  • Apache
  • Diabetic Ketoacidosis/ethnology/*therapy
  • Female
  • Health Services Research
  • Hospital Mortality
  • Humans
  • Intensive Care Units/*utilization
  • Length of Stay/*statistics & numerical data
  • Male
  • Middle Aged
  • Outcome Assessment (Health Care)
  • Prospective Studies
  • Tennessee/epidemiology

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