title: Variability of DKA Management Among Pediatric Emergency Room and Critical Care Providers: A Call for More Evidence-Based and Cost-Effective Care?
abstract: Management protocols have been shown to be effective in the pediatric emergency medicine (PEM) and pediatric critical care (PCC) settings. Treatment protocols define clear goals which are achieved with consistency in implementation. Over the last decade, many new recommendations have been proposed on managing diabetic ketoacidosis (DKA). Although no perfect set of guidelines exist, many institutions are developing DKA treatment protocols. We sought to determine the variability between institutions in implementation of these protocols.
authors.affiliation: Missouri-Columbia University, Columbia, MO. E-ma-il: clarkmg@health.missouri.edu.
authors.forename: Matthew G
authors.initials: MG
authors.lastname: Clark
authors.forename: Abdallah
authors.initials: A
authors.lastname: Dalabih
mesh_terms: D003362:Cost-Benefit Analysis; D003422:Critical Care / Q000191:economics / Q000592:standards; D019091:Critical Pathways; D016883:Diabetic Ketoacidosis / Q000175:diagnosis / Q000191:economics / Q000628:therapy*; D004636:Emergency Service, Hospital / Q000191:economics / Q000592:standards; D019317:Evidence-Based Medicine / Q000191:economics / Q000592:standards; D019538:Health Care Surveys; D017721:Hospital Costs / Q000592:standards; D006801:Humans; D010372:Pediatrics / Q000191:economics / Q000592:standards; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000191:economics / Q000592:standards; D017064:Process Assessment, Health Care / Q000191:economics / Q000592:standards; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014481:United States