Evaluation of the Effects of Diabetes on Children Admitted to the Pediatric intensive Care Unit (PICU); A Review Study
Authors/Creators
- 1. Master of Nursing,Pediatrics Department,Shahid Hasheminejad Medical Research Center,Mashhad University of Medical Sciences,Iran
- 2. Instructor of Operating Room,School of Allied Medical Sciences,Alborz University of Medical Sciences,Iran
- 3. Pediatrics Endocrinologist,Assistant Professor, Mashhad University of Medical Sciences,Iran
- 4. Master of Nursing,Neonatal Critical Care Department, Mashhad University of Medical Sciences,Iran
- 5. Pediatrics Anesthesiologist Fellowship,Herzzentrum Leipzig,Germany
- 6. Department of Nursing,Mashhad Branch,Islamic Azad University,Mashhad,Iran
Description
The most prevalent endocrine illness in children admitted to the PICU is type 1 diabetes, which is a common chronic disease in adolescence. Despite therapy, diabetic ketoacidosis and diabetes have several complications. Difficulties such as brain injury, electrolyte imbalance, renal disorders, and cardiac complications are among them.
Introduction:The purpose of this study was to assess the impact of diabetic complications on children hospitalized to the pediatric critical care unit (PICU).
Methodology: This study is a conceptual review. The steps carried out include:
1- Formulation of a research question.
2- Searching and extracting research-related studies.
3- Selecting related studies.
4- Tabulating and summarizing information and data.
5- Reporting results.
Results: The results of studies showed that diabetes management in adolescents and young people with type 1 diabetes is insufficient. Mortality in diabetic ketoacidosis (DKA) among children in developed countries is reported to be 3.3 to 3%. In developing countries, the mortality rate is reported to be 13.4%. Complications include cerebral edema (as the most common and dangerous complication), shock, renal failure, sepsis, hypokalemia, hyponatremia, acute renal damage, severe hypoglycemia, neuropathy, and infection.