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The burden of diabetic emergencies on the resuscitation area of a district-level public hospital in Cape Town
Thesis (MFamMed)--Stellenbosch University, 2020.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2020
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| _version_ | 1867613899987091456 |
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| access_status_str | Open Access |
| author | Lotter, Nuraan |
| author2 | Van Hoving, Daniel J. |
| author_browse | Lotter, Nuraan Van Hoving, Daniel J. |
| author_facet | Van Hoving, Daniel J. Lotter, Nuraan |
| author_sort | Lotter, Nuraan |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MFamMed)--Stellenbosch University, 2020. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/109084 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:43:29.289Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/109084 The burden of diabetic emergencies on the resuscitation area of a district-level public hospital in Cape Town Lotter, Nuraan Van Hoving, Daniel J. Lahri, S. Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Emergency Medicine. Diabetes -- Complications Diabetic emergencies -- Incidence -- Cape Town (South Africa) Hyperglycemia Hypoglycemia Public hospitals -- Cape Town (South Africa) UCTD Thesis (MFamMed)--Stellenbosch University, 2020. ENGLISH SUMMARY : Introduction: Diabetes and its complications continue to cause a daunting and growing concern on resource-limited environments. There is a paucity of data relating to the care of diabetic emergencies in the emergency centres of entry-level hospitals in Africa. The aim of this study was to describe the burden of diabetic emergencies presenting to the emergency centre of an urban district-level hospital in Cape Town, South Africa. Methods: The Khayelitsha Hospital Emergency Centre database was retrospectively analysed for patients presenting with a diabetic emergency within a 24-week randomly selected period. The database was supplemented by a retrospective chart review to include additional variables for participants with diabetic ketoacidosis (DKA), uncomplicated hyperglycemia, severe hypoglycaemia and hyperosmolar hyperglycaemic state (HHS). Summary statistics are presented of all variables. Results: The prevalence of all diabetic emergencies was 8.1% (197/2424) (DKA n=96, 48.7%; uncomplicated hyperglycaemia n=45, 22.8%; severe hypoglycaemia n=44, 22.3%; HHS n=12, 6%). The median age was 48 years, with those presenting with DKA being substantially younger (36 years). A likely precipitant was identified in 175 (88%) patients; infection was the most common precipitant (n=79, 40.1%). Acute kidney injury occurred in 80 (40.6%) cases. The median length of stay in the resuscitation area was 13 hours (IQR 7.2-24) and 101 (51.3%) participants represented with a diabetic- related emergency within six months of the study period. The overall mortality rate was 5% (n=10). Conclusion: This study highlights the high burden of diabetic emergencies on the provision of acute care at a district- level hospital. The high prevalence of diabetic emergency presentations (8%), the high infection rate (40%), and the high percentage of patients returning with a diabetic emergency (51%) could be indicative of the need for improved community-based diabetic programmes. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. Masters 2020-06-30T12:20:12Z 2021-01-31T19:34:41Z 2020-06-30T12:20:12Z 2021-01-31T19:34:41Z 2020-12 Thesis http://hdl.handle.net/10019.1/109084 en_ZA Stellenbosch University v, 53 pages ; illustrations application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Diabetes -- Complications Diabetic emergencies -- Incidence -- Cape Town (South Africa) Hyperglycemia Hypoglycemia Public hospitals -- Cape Town (South Africa) UCTD Lotter, Nuraan The burden of diabetic emergencies on the resuscitation area of a district-level public hospital in Cape Town |
| title | The burden of diabetic emergencies on the resuscitation area of a district-level public hospital in Cape Town |
| title_full | The burden of diabetic emergencies on the resuscitation area of a district-level public hospital in Cape Town |
| title_fullStr | The burden of diabetic emergencies on the resuscitation area of a district-level public hospital in Cape Town |
| title_full_unstemmed | The burden of diabetic emergencies on the resuscitation area of a district-level public hospital in Cape Town |
| title_short | The burden of diabetic emergencies on the resuscitation area of a district-level public hospital in Cape Town |
| title_sort | burden of diabetic emergencies on the resuscitation area of a district level public hospital in cape town |
| topic | Diabetes -- Complications Diabetic emergencies -- Incidence -- Cape Town (South Africa) Hyperglycemia Hypoglycemia Public hospitals -- Cape Town (South Africa) UCTD |
| url | http://hdl.handle.net/10019.1/109084 |
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