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Revista del Nacional (Itauguá)
Print version ISSN 2072-8174
Abstract
TABOADA TORRES, Verónica; TORRES DE TABOADA, Estela and AYALA SAUCEDO, Américo Ramón. Precipiting causes of acute hyperglycemic crisis in patients in the Centro Médico Nacional - Hospital Nacional. Rev. Nac. (Itauguá) [online]. 2024, vol.16, n.1, pp.27-38. ISSN 2072-8174. https://doi.org/10.18004/rdn2024.ene.01.027.038.
Introduction:
hyperglycemic crises are the most frequent endocrinological emergencies in clinical practice and, along with hypoglycemia, are described as serious acute metabolic complications in diabetic patients.
Objective:
to identify the precipiting causes of acute hyperglycemic crisis in hospitalized patients in the Centro Médico Nacional - Hospital National.
Methodology:
this was an observational, descriptive, cross -sectional study of patients hospitalized at the Centro Médico Nacional - Hospital National, from May 2021 to October 2023. The data were obtained from a review of the clinical records.
Results:
Of the 100 patients evaluated, the most frequent acute hyperglycemic crisis was diabetic ketoacidosis (CAD) 53 %, followed by the hyperglycemic hyperosmolar state (EHH) 25 % and the mixed state 22 %. The most frequent triggers were the abandonment of treatment, disease debut and infections. Global mortality was 12 %.
Conclusion:
the most frequent causes of decompensations were abandoning treatment, novo diabetes and infectious processes.
Keywords : acute hyperglycemic crisis; diabetic ketoacidosis; hyperglycemic hyperosmolar state; diabetes mellitus.