RT Book, Section
A1 Lee, Grace S.
A1 Honiden, Shyoko
A2 Farcy, David A.
A2 Chiu, William C.
A2 Flaxman, Alex
A2 Marshall, John P.
SR Print(0)
ID 55813831
T1 Chapter 31. Hyperglycemic Emergency
T2 Critical Care Emergency Medicine
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-162824-2
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=55813831
RD 2024/04/23
AB Diabetic  ketoacidosis  (DKA)  and  hyperosmolar  hyperglycemic  state  (HHS)  encompass  two  severe  complications  of  diabetes  mellitus  (DM).  The  incidence  is  increasing  in  the  United  States,  with  120,000  hospitalizations  for  DKA  in  2005,  which  was  a  20%  increase  compared  with  2000.1  Of  the  hospitalizations  for  DKA  in  2005,  72%  were  44  years  old  or  younger,  21%  were  between  45  and  64  years  old,  and  <1%  were  65  years  old  or  older.1  Although  the  rate  of  hospitalizations  for  DKA  continues  to  rise,  mortality  from  DKA  has  been  declining,  and  in  2005  mortality  was  0.8  deaths  per  100,000.1  HHS,  on  the  other  hand,  has  a  lower  rate  of  hospitalization  but  a  higher  mortality  at  a  rate  of  5–20%.2,3  The  cost  of  DKA  is  profound  and  the  aggregate  cost  of  its  hospitalizations  is  approximately  $850  million.4