{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:03:17Z","timestamp":1787169797453,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007941","name":"Addis Ababa University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007941","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Endocrino Diabet &amp; Metabol"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Diabetic ketoacidosis (DKA) is a serious acute complication of diabetes mellitus that carries a significant risk of mortality with delayed treatment in low\u2010resource countries. This study aimed to determine the outcome of paediatric DKA patients' managed with a modified DKA treatment protocol using intermittent bolus subcutaneous insulin administration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study design with retrospective data collection was conducted among children younger than 14\u2009years of age admitted from January 2013 to February 2017. A modified protocol was prepared based on a reference from the international society for paediatric and adolescent diabetes and other international guidelines. Data were analysed using Statistical package for social science (SPSS) version 22.0. Descriptive statistics were performed. Binary logistic regression was used to identify associations, and significant variables were further considered for multivariate logistic regression to determine the outcome of DKA patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      Among the 190 patients, 55.5% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0105) were newly diagnosed. The overall average time required for resolution of DKA was 48\u2009\u00b1\u200927.8\u00a0h. Mental status on presentation (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.001), shock on presentation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.01) and severity of DKA (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) were found to have a significant association with the mean time for clearance of DKA. Hypoglycaemia was the most common treatment\u2010related complication, which occurred in 23.7% of patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a045) followed by hypokalaemia in 4.3% of patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a08), and no patient developed cerebral oedema and death.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The time required for clearance of DKA was prolonged, and hypoglyceamia was a common complication for children younger than 5\u2009years of age. The modified protocol of DKA is reasonable management for low\u2010resource settings with further modification.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/edm2.363","type":"journal-article","created":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T00:49:22Z","timestamp":1660092562000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Outcome of diabetic ketoacidosis among paediatric patients managed with modified\n                    <scp>DKA<\/scp>\n                    protocol at Tikur Anbessa specialized hospital and Yekatit 12 hospital, Addis Ababa, Ethiopia"],"prefix":"10.1002","volume":"5","author":[{"given":"Tigist","family":"Bacha","sequence":"first","affiliation":[{"name":"Department of Pediatrics and Child Health, School of Medicine, College of Health Sciences St Paul Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yemisrach","family":"Shiferaw","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health, School of Medicine, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2351-6328","authenticated-orcid":false,"given":"Ermias","family":"Abebaw","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health, School of Medicine Debre Markos University  Debre Markos Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.8.1856"},{"key":"e_1_2_10_3_1","first-page":"1","article-title":"A prevalence of diabetic ketoacidosis in newly diagnosed diabetes mellitus pediatric patients in Tikur Anbessa 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