Research Article
Outcomes of Children and Adolescents Admitted with Diabetic Ketoacidosis at Kenyatta National Hospital (KNH), Kenya
Table 2
Factors associated with mortality among children and adolescents with DKA.
| | Variables | Category () | Died, (%) | Recovered, (%) | OR (95% CI) | value |
| | Age in years | >12 (90) | 4 (4.4) | 86 (95.6) | 0.41 (0.12-1.47) | 0.211 | | ≤12 (69) | 7 (10.1) | 62 (89.9) | Ref | | | Sex | Female (91) | 8 (8.8) | 83 (91.2) | 2.09 (0.53-8.19) | 0.355 | | Male (68) | 3 (4.4) | 65 (95.6) | | | | Type of insulin the child is on | Mixtard (88) | 7 (8.0) | 81 (92.0) | 0.86 (0.01-7.77) | 1.0 | | Lantus+short-acting insulin (11) | 1 (9.1) | 10 (90.9) | Ref | | | Missed insulin doses | Yes (27) | 2 (7.4) | 25 (92.6) | 0.920 (0.17-4.86) | 1.0 | | No (76) | 6 (7.9) | 70 (92.1) | Ref | | | Serum creatinine levels raised >2 times above normal level | Yes (22) | 5 (22.7) | 17 (77.3) | 5.83 (1.60-21.2) | 0.012 | | No (125) | 6 (4.8) | 119 (95.2) | Ref | | | Anuria or reduced urine output of less than 0.5 mL/kg/hr for 12 hours | Yes (12) | 4 (33.3) | 8 (66.7) | 9.0 (2.17-37.3) | 0.007 | | No (133) | 7 (5.3) | 126 (94.7) | Ref | | | Level of consciousness | V/P/U (Abnormal) (76) | 9 (11.8) | 67 (88.2) | 5.24 (1.09-25.1) | 0.029 | | A (normal) (80) | 2 (2.5) | 78 (97.5) | Ref | | | Temperature above 37.5 degrees Celsius | Yes (88) | 7 (8.0) | 81 (92.0) | 1.383 (0.39-4.93) | 0.757 | | No (68) | 4 (5.9) | 64 (94.1) | Ref | | | DKA severity | Mild (13) | 0 (0) | 13 (100) | Ref | | | Moderate (20) | 0 (0) | 20 (100) | - | - | | Severe (23) | 2 (8.7) | 21 (91.3) | 1.095 (0.965-1.242) | 0.525 | | Admission ward () | Paediatrics (49) | 43 (87.8) | 6 (12.2) | 1.67 (0.49-5.70) | 0.531 | | Medical (70) | 65 (92.9) | 5 (7.1) | 0.41 (0.12-1.46) | 0.210 | | Paediatric ICU (19) | 19 (100) | 0 (0) | - | - | | Main ICU (21) | 21 (100) | 0 (0) | - | - |
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