ACUTE PANCREATITIS IN PATIENTS WITH DIABETIC KETOACIDOSIS PRESENTING AT A TERTIARY CARE UNIT

Objective: To determine the frequency of acute pancreatitis among the patients diagnosed with diabetic ketoacidosis at our tertiary care hospital. Study Design: Co-relational study. Place and Duration of Study: Medicine department, Pak Emirates Military Hospital Rawalpindi, from Jun to Dec 201...

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Autores principales: Zubia Hassan, Imran Fazal, Nadeem Ashraf, Arshad Hayat, Kaswar Sajjad, Asad Zaman
Formato: article
Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2021
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spelling oai:doaj.org-article:e46d661e961447188523ecc8805834992021-12-02T17:10:36ZACUTE PANCREATITIS IN PATIENTS WITH DIABETIC KETOACIDOSIS PRESENTING AT A TERTIARY CARE UNIT0030-96482411-884210.51253/pafmj.v71i2.3767https://doaj.org/article/e46d661e961447188523ecc8805834992021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/3767https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the frequency of acute pancreatitis among the patients diagnosed with diabetic ketoacidosis at our tertiary care hospital. Study Design: Co-relational study. Place and Duration of Study: Medicine department, Pak Emirates Military Hospital Rawalpindi, from Jun to Dec 2019. Methodology: A total of 40 cases presenting with diabetic ketoacidosis were included in our study. Diabetic ketoacidosis was diagnosed by consultant medical specialist. All patients underwent baseline investigations including serum amylase, lipid profile and CT scan abdomen in order to diagnose acute pancreatitis. Relationship of age, gender, duration of diabetes mellitus and triglyceride levels was assessed with the presence of acute pancreatitis among the patients of diabetic ketoacidosis. Results: A total of forty patients were managed as diabetic ketoacidosis in our hospital during the study period. Out of them 8 (20%) had acute pancreatitis while 32 (80%) were not diagnosed with acute pancreatitis. Confusion (55%) was the commonest presenting complaint followed by abdominal pain (25%). With binary logistic regression analysis, we found that female gender and raised triglyceride levels had a statistically significant relationship with presence of acute pancreatitis among the patients of diabetic ketoacidosis included in this study. Conclusion: Considerable number of patients were diagnosed with acute pancreatitis who presented with diabetic ketoacidosis. Special attention should be paid towards female patients and those with raised triglyceride levels to look for the sign and symptoms of acute pancreatitis in order to diagnose and manage this condition.Zubia HassanImran FazalNadeem AshrafArshad HayatKaswar SajjadAsad ZamanArmy Medical College Rawalpindiarticleacute pancreatitisdiabetic ketoacidosisfrequencyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 606-09 (2021)
institution DOAJ
collection DOAJ
language EN
topic acute pancreatitis
diabetic ketoacidosis
frequency
Medicine
R
Medicine (General)
R5-920
spellingShingle acute pancreatitis
diabetic ketoacidosis
frequency
Medicine
R
Medicine (General)
R5-920
Zubia Hassan
Imran Fazal
Nadeem Ashraf
Arshad Hayat
Kaswar Sajjad
Asad Zaman
ACUTE PANCREATITIS IN PATIENTS WITH DIABETIC KETOACIDOSIS PRESENTING AT A TERTIARY CARE UNIT
description Objective: To determine the frequency of acute pancreatitis among the patients diagnosed with diabetic ketoacidosis at our tertiary care hospital. Study Design: Co-relational study. Place and Duration of Study: Medicine department, Pak Emirates Military Hospital Rawalpindi, from Jun to Dec 2019. Methodology: A total of 40 cases presenting with diabetic ketoacidosis were included in our study. Diabetic ketoacidosis was diagnosed by consultant medical specialist. All patients underwent baseline investigations including serum amylase, lipid profile and CT scan abdomen in order to diagnose acute pancreatitis. Relationship of age, gender, duration of diabetes mellitus and triglyceride levels was assessed with the presence of acute pancreatitis among the patients of diabetic ketoacidosis. Results: A total of forty patients were managed as diabetic ketoacidosis in our hospital during the study period. Out of them 8 (20%) had acute pancreatitis while 32 (80%) were not diagnosed with acute pancreatitis. Confusion (55%) was the commonest presenting complaint followed by abdominal pain (25%). With binary logistic regression analysis, we found that female gender and raised triglyceride levels had a statistically significant relationship with presence of acute pancreatitis among the patients of diabetic ketoacidosis included in this study. Conclusion: Considerable number of patients were diagnosed with acute pancreatitis who presented with diabetic ketoacidosis. Special attention should be paid towards female patients and those with raised triglyceride levels to look for the sign and symptoms of acute pancreatitis in order to diagnose and manage this condition.
format article
author Zubia Hassan
Imran Fazal
Nadeem Ashraf
Arshad Hayat
Kaswar Sajjad
Asad Zaman
author_facet Zubia Hassan
Imran Fazal
Nadeem Ashraf
Arshad Hayat
Kaswar Sajjad
Asad Zaman
author_sort Zubia Hassan
title ACUTE PANCREATITIS IN PATIENTS WITH DIABETIC KETOACIDOSIS PRESENTING AT A TERTIARY CARE UNIT
title_short ACUTE PANCREATITIS IN PATIENTS WITH DIABETIC KETOACIDOSIS PRESENTING AT A TERTIARY CARE UNIT
title_full ACUTE PANCREATITIS IN PATIENTS WITH DIABETIC KETOACIDOSIS PRESENTING AT A TERTIARY CARE UNIT
title_fullStr ACUTE PANCREATITIS IN PATIENTS WITH DIABETIC KETOACIDOSIS PRESENTING AT A TERTIARY CARE UNIT
title_full_unstemmed ACUTE PANCREATITIS IN PATIENTS WITH DIABETIC KETOACIDOSIS PRESENTING AT A TERTIARY CARE UNIT
title_sort acute pancreatitis in patients with diabetic ketoacidosis presenting at a tertiary care unit
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doaj.org/article/e46d661e961447188523ecc880583499
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AT nadeemashraf acutepancreatitisinpatientswithdiabeticketoacidosispresentingatatertiarycareunit
AT arshadhayat acutepancreatitisinpatientswithdiabeticketoacidosispresentingatatertiarycareunit
AT kaswarsajjad acutepancreatitisinpatientswithdiabeticketoacidosispresentingatatertiarycareunit
AT asadzaman acutepancreatitisinpatientswithdiabeticketoacidosispresentingatatertiarycareunit
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