title: [Analysis of the cause of death in diabetic ketoacidosis based on 5 years of personal observation].
abstract: The authors observed 53 cases of diabetic ketoacidosis treated with low doses of insulin. Mean age of the patients was 41 +/- 17 years, duration of diabetes mellitus 7.5 +/- 6.4 years. Ketoacidosis was due to: infections in 36%, other diseases in 7%, and cessation of insulin therapy in 25% of cases. Ketoacidosis was a first sign of diabetes mellitus in 19% of cases while causative factor was not detected in 13% of cases. At the admission to hospital mean blood pH was 7.02 +/- 0.15, mean bicarbonate concentration 6.17 +/- 3.45 mM/l, and glycaemia 40.6 +/- 16.8 mM/l. Therapy of ketoacidosis was complicated by hypopotassemia in 1 patient and transient hypoglycaemia in another patient. Five patients (9.6%) died. Infections, myocardial infarction, acute pancreatitis, pulmonary edema, and disseminated intravascular coagulation were the causes of deaths.
authors.forename: E
authors.initials: E
authors.lastname: Semetkowska-Jurkiewicz
authors.forename: J
authors.initials: J
authors.lastname: Jaromczyk-Slisz
authors.forename: S
authors.initials: S
authors.lastname: Horoszek-Maziarz
mesh_terms: D000328:Adult; D000368:Aged; D002423:Cause of Death; D016883:Diabetic Ketoacidosis / Q000401:mortality* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015996:Survival Rate
vernacular_title: Analiza przyczyn śmiertelności w przebiegu kwasicy cukrzycowej na podstawie własnych 5-letnich obserwacji.