Publications Scientifiques

[ Article ] Diabetic Ketosis Decompensations at the National Hospital in Benin (West Africa), What Did We Learn about the Precipitating Factors?

Date de soumission: 13-02-2017
Année de Publication: 2016
Entité/Laboratoire Unité d'Endocrinologie et des Maladies Métaboliques (UEMM)
Document type : Article
Discipline(s) : Endocrinologie, Métabolisme & Nutrition
Titre Diabetic Ketosis Decompensations at the National Hospital in Benin (West Africa), What Did We Learn about the Precipitating Factors?
Auteurs GNINKOUN COMLAN JULES [1], ALASSANI ADEBAYO [2], Sagna Yempabou [3], ADJAGBA MAHOUNA PHILIPPE DOTOU [4], DJROLO FRANÇOIS [5],
Journal: Journal of Diabetes Mellitus
Catégorie Journal: Internationale
Impact factor: 0
Volume Journal: 6
DOI:
Resume We performed a retrospective study on diabetic ketosis decompensations in 101 diabetic patients in Endocrinology and Metabolic Diseases Service of the National Hospital and Universitary Koutoukou Hubert Maga (CNHU-HKM) for a period of 3 years. Objective: The main objective of the study was to identify the underlying factors of ketosis decompensations for a more focused education program. Results: The mean age was 43.84 years. In half of cases (49.5%), the ketosis decompensations were inaugural for the diabetes. Type 2 diabetes was predominant with a frequency of 85.1% versus 14.9% for type 1 diabetes. The overall prevalence rate of ketosis decompensations was 21.82%. The precipitating factors were infections (51.49%) and treatment withdrawal (25.74%). The average blood glucose was 4.46 g/L with ranges of 1.86 g/L and 13 g/L. The outcome was favorable in 89.1% of cases. The mortality rate was 7.9%. The average hospital stay was 13.23 days. Conclusion: This study showed that ketosis decompensations are still frequent. The main precipitating factors are infection and therapeutic noncompliance. Preventive actions are needed through screening programs, regular monitoring and targeted education.
Mots clés Ketoacidosis, Diabetes, Complications, Ketosis-Prone
Pages 301 - 306
Fichier

Publications par entité

  • Centre de Formation et de Recherche en matière de Population (CEFORP) (15)
  • Centre Interfacultaire de Formation et de Recherche en Environnement pour le Développement Durable (CIFRED) (18)
  • Chaire Internationale en Physique Mathématique et Applications (CIPMA-Chaire UNESCO) (16)
  • Ecole Nationale d'Administration et de Magistrature (ENAM) (41)
  • Ecole Nationle d'Economie Appliquée et de Management (50)
  • Ecole Normale Supérieure (16)
  • Ecole Polytechnique d'Abomey-Calavi (EPAC) (799)
  • Faculté de droit et de Science Politique (FADESP) (40)
  • Faculté des Lettres et Sciences Humaines (FLASH) (715)
  • Faculté des Sciences Agronomiques (1335)
  • Faculté des Sciences de la Santé (FSS) (1454)
  • Faculté des Sciences Economiques et de Gestion (FASEG) (118)
  • Faculté des Sciences et Techniques (FAST) (719)
  • Faculté des Sciences Humaines et Sociales (FASHS) (15)
  • Institut de Formation et de Recherche en Informatique (IFRI) (65)
  • Institut de Mathématiques et de Sciences Physiques (IMSP) (48)
  • Institut National de l'Eau (INE) (13)
  • INSTITUT NATIONAL DE LA JEUNESSE DE L’EDUCATION PHYSIQUE ET SPORT(INJEPS) (187)
  • Institut National des Métiers d'Art d'Archéologie et de la Culture (INMAAC) (4)
  • Institut Régional de Santé Publique (IRSP) (47)

Publications par sexe

  • Femme( 822 )
  • Homme (