Abstract

Background: Length of hospital stay and overall in hospital mortality of diabetic keto acidosis during management are the foremost primary out comes that should be measured. Because, it is highly trusted on the improvement of diabetic keto acidosis related complication management. However, data associated to length of stay, mortality rate due to diabetic keto acidosis remains to be limited in Ethiopia. In addition to this, Nonfiction is much scarce in relation to factors associated with treatment outcome starting from its initial presentation and the overall management process.

Objective: To assess treatment outcome of children< 0.05 were considered as statistically significant.

Result: The mean length of hospital stay was 9.5±6.2 days. About 59.3% of had long hospital stay (>7days).Majority of the clients (97.5%) were improve and discharged with 14.2% management complication and 4(2.5%) died in the hospital. Factors that affect long hospital stay were residence (AOR=4.31;95CI=1.25- 14.80), family history of diabetes (AOR=0.12; 95%CI=0.02-0.64), glycaemia at admission (AOR=1.01;95%CI=1.00-1.02), insulin skipping (AOR=0.08;95%CI=0.01-0.98), abdominal pain (AOR=4.28;95%CI=1.11 -15.52), time in which the patient get out of diabetic keto acidosis (AOR=6.39;95%CI=1.09-37.50).

Conclusion and Recommendation: Majority of clients were showed improvement and discharged to their home after longer hospital stay and with very low mortality rate followed by complication (14.2%).The time with in which the majority of the clients get out of DKA were found in between 24-48 hours. Thus, to achieve the intended treatment out come early in time, modification of the approach by emphasizing the above predictors is mandatory with the recommendation of multicenter study in this regard.

Keywords

Diabetic keto; Mortality rate

Introduction