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On 22 ธันวาคม ค.ศ. 2022 9 นาฬิกา 05 นาที 28 วินาที +0700,
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Added resource Prevalence and risk factors of hyperglycemic crisis in diabetic patients at Sanam Chai Khet Hospital,Sanam Chai Khet District, Chachoengsao Province, Thailand to Prevalence and risk factors of hyperglycemic crisis in diabetic patients at Sanam Chai Khet Hospital,Sanam Chai Khet District, Chachoengsao Province, Thailand
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38 | Phramongkutklao College of Medicine", | 38 | Phramongkutklao College of Medicine", | ||
39 | "maintainer_email": "bdt.mc@pcm.ac.th", | 39 | "maintainer_email": "bdt.mc@pcm.ac.th", | ||
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42 | "name": "project-summary-601_04", | 42 | "name": "project-summary-601_04", | ||
43 | "notes": "Recently, the Hyperglycemic crisis is the most severe | 43 | "notes": "Recently, the Hyperglycemic crisis is the most severe | ||
44 | acute complication of diabetes and is associated with significant | 44 | acute complication of diabetes and is associated with significant | ||
45 | morbidity and mortality in diabetes patients. A cross-sectional study | 45 | morbidity and mortality in diabetes patients. A cross-sectional study | ||
46 | is used in the quantitative method. The population in this study are | 46 | is used in the quantitative method. The population in this study are | ||
47 | selected under the condition that they must be diabetes type 2 | 47 | selected under the condition that they must be diabetes type 2 | ||
48 | patient, age 18-year-old above, and visit the disease at Sanam Chai | 48 | patient, age 18-year-old above, and visit the disease at Sanam Chai | ||
49 | Khet Hospital, Sanam Chai Khet District, Chachoengsao Province, | 49 | Khet Hospital, Sanam Chai Khet District, Chachoengsao Province, | ||
50 | Thailand, July 1st,2015 \u2013 July 1st,2020 \r\nIn This study, five | 50 | Thailand, July 1st,2015 \u2013 July 1st,2020 \r\nIn This study, five | ||
51 | years-data collected from 2,834 patients who were diagnosed with | 51 | years-data collected from 2,834 patients who were diagnosed with | ||
52 | Diabetes mellitus at Sanamchaikhet hospital in 5 years 2,761 patients | 52 | Diabetes mellitus at Sanamchaikhet hospital in 5 years 2,761 patients | ||
53 | (97.4%) had no hyperglycemic crisis, 59 patients (2.1%) developed HHS, | 53 | (97.4%) had no hyperglycemic crisis, 59 patients (2.1%) developed HHS, | ||
54 | and 14 patients (2.1%) developed DKA. No mixed DKA/HHS has been | 54 | and 14 patients (2.1%) developed DKA. No mixed DKA/HHS has been | ||
55 | diagnosed. Diabetic ketoacidosis patients show that they were referred | 55 | diagnosed. Diabetic ketoacidosis patients show that they were referred | ||
56 | to other hospitals 9(64.3%), admitted to hospital 3(21.4%), and not | 56 | to other hospitals 9(64.3%), admitted to hospital 3(21.4%), and not | ||
57 | admitted to hospital 2(14.3%). The patients admitted to the hospital | 57 | admitted to hospital 2(14.3%). The patients admitted to the hospital | ||
58 | have time to admit about 5.33 days which is precipitated by infection | 58 | have time to admit about 5.33 days which is precipitated by infection | ||
59 | 11(78.6%), the first diagnosis of diabetes mellitus 1(7.1%), Unknown | 59 | 11(78.6%), the first diagnosis of diabetes mellitus 1(7.1%), Unknown | ||
60 | cause 2(7.1%), and diabetic ketoacidosis patient who has complication | 60 | cause 2(7.1%), and diabetic ketoacidosis patient who has complication | ||
61 | to need orotracheal tube was 1(7.1%). In a hyperosmolar hyperglycemic | 61 | to need orotracheal tube was 1(7.1%). In a hyperosmolar hyperglycemic | ||
62 | state, patients show that they were not admitted to hospital 46(78%), | 62 | state, patients show that they were not admitted to hospital 46(78%), | ||
63 | referred to other hospitals 1(1.7%), and admitted to hospital | 63 | referred to other hospitals 1(1.7%), and admitted to hospital | ||
64 | 12(20.3%). The patients admitted to the hospital have time to admit | 64 | 12(20.3%). The patients admitted to the hospital have time to admit | ||
65 | about 7.17 days which is precipitated by infection 5(8.5%), Inadequate | 65 | about 7.17 days which is precipitated by infection 5(8.5%), Inadequate | ||
66 | insulin 4(6.8%), High sugar intake 3(5.1%), psychological disorder | 66 | insulin 4(6.8%), High sugar intake 3(5.1%), psychological disorder | ||
67 | 1(1.7%), and Unknown cause 46(78%). The study shows factors associated | 67 | 1(1.7%), and Unknown cause 46(78%). The study shows factors associated | ||
68 | with diabetic ketoacidosis in diabetes patients; For Type of Diabetes | 68 | with diabetic ketoacidosis in diabetes patients; For Type of Diabetes | ||
69 | Mellitus, patients who were unspecified diabetes mellitus are 49.54 | 69 | Mellitus, patients who were unspecified diabetes mellitus are 49.54 | ||
70 | times more likely to develop DKA than patients who are type 2 diabetes | 70 | times more likely to develop DKA than patients who are type 2 diabetes | ||
71 | mellitus (Adjusted OR 49.54, 95%CI = 6.16 \u2013 398.50, p-value | 71 | mellitus (Adjusted OR 49.54, 95%CI = 6.16 \u2013 398.50, p-value | ||
72 | <0.001) Smoking, patients who were current smokers are 4.76 times more | 72 | <0.001) Smoking, patients who were current smokers are 4.76 times more | ||
73 | likely to develop DKA than patients who quit or never smoking | 73 | likely to develop DKA than patients who quit or never smoking | ||
74 | (Adjusted OR 4.76, 95%CI = 1.03 \u2013 21.95, p-value 0.04) Alcohol | 74 | (Adjusted OR 4.76, 95%CI = 1.03 \u2013 21.95, p-value 0.04) Alcohol | ||
75 | drinking, patients who were current alcohol drinking are 5.85 times | 75 | drinking, patients who were current alcohol drinking are 5.85 times | ||
76 | more likely to develop DKA than patients who quit (Adjusted OR 5.85, | 76 | more likely to develop DKA than patients who quit (Adjusted OR 5.85, | ||
77 | 95%CI = 1.27 \u2013 27.00, p-value 0.02) and Comorbidity, patients who | 77 | 95%CI = 1.27 \u2013 27.00, p-value 0.02) and Comorbidity, patients who | ||
78 | have 1-2 comorbidities drinking are 0.11 times less likely to develop | 78 | have 1-2 comorbidities drinking are 0.11 times less likely to develop | ||
79 | DKA than patients who have no comorbidity (Adjusted OR 0.11, 95%CI = | 79 | DKA than patients who have no comorbidity (Adjusted OR 0.11, 95%CI = | ||
80 | 0.13 \u2013 0.89, p-value 0.04) \r\nThe study shows factors associated | 80 | 0.13 \u2013 0.89, p-value 0.04) \r\nThe study shows factors associated | ||
81 | with the hyperosmolar hyperglycemic state in diabetes patients, | 81 | with the hyperosmolar hyperglycemic state in diabetes patients, | ||
82 | Patients with chronic kidney disease are 2.42 times more likely to | 82 | Patients with chronic kidney disease are 2.42 times more likely to | ||
83 | develop HHS than patients who had no chronic kidney disease (Adjusted | 83 | develop HHS than patients who had no chronic kidney disease (Adjusted | ||
84 | OR 2.42, 95%CI = 1.10 \u2013 5.92, p-value 0.027) \r\n", | 84 | OR 2.42, 95%CI = 1.10 \u2013 5.92, p-value 0.027) \r\n", | ||
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150 | "title": "Prevalence and risk factors of hyperglycemic crisis in | 184 | "title": "Prevalence and risk factors of hyperglycemic crisis in | ||
151 | diabetic patients at Sanam Chai Khet Hospital,Sanam Chai Khet | 185 | diabetic patients at Sanam Chai Khet Hospital,Sanam Chai Khet | ||
152 | District, Chachoengsao Province, Thailand", | 186 | District, Chachoengsao Province, Thailand", | ||
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