An Automated Risk Index for Diabetic Ketoacidosis in Pediatric Patients With Type 1 Diabetes: The RI-DKA
Open Access
- 1 April 2022
- journal article
- Published by American Diabetes Association in Clinical Diabetes
- Vol. 40 (2), 204-210
- https://doi.org/10.2337/cd21-0070
Abstract
Identifying patients at high risk for diabetic ketoacidosis (DKA) is crucial for informing efforts at preventive intervention. This study sought to develop and validate an electronic medical record (EMR)-based tool for predicting DKA risk in pediatric patients with type 1 diabetes. Based on analysis of data from 1,864 patients with type 1 diabetes, three factors emerged as significant predictors of DKA: most recent A1C, type of health insurance (public vs. private), and prior DKA. A prediction model was developed based on these factors and tested to identify and categorize patients at low, moderate, and high risk for experiencing DKA within the next year. This work demonstrates that risk for DKA can be predicted using a simple model that can be automatically derived from variables in the EMR.Keywords
This publication has 30 references indexed in Scilit:
- Novel Interventions in Children’s Health Care (NICH): Innovative treatment for youth with complex medical conditions.Clinical Practice in Pediatric Psychology, 2013
- Severe hypoglycemia and diabetic ketoacidosis among youth with type 1 diabetes in the T1D Exchange clinic registryPediatric Diabetes, 2013
- Predictors of diabetic ketoacidosis in children and adolescents with type 1 diabetes. Experience from a large multicentre databasePediatric Diabetes, 2011
- Evaluation of the Patient Health Questionnaire-9 Item for Detecting Major Depression Among AdolescentsPEDIATRICS, 2010
- Diabetic ketoacidosis in children and adolescents with diabetesPediatric Diabetes, 2009
- Predicting risk of type 2 diabetes in England and Wales: prospective derivation and validation of QDScoreBMJ, 2009
- Translating the A1C Assay Into Estimated Average Glucose ValuesDiabetes Care, 2008
- General Cardiovascular Risk Profile for Use in Primary CareJournal of the American College of Cardiology, 2008
- Can we prevent diabetic ketoacidosis in children?Pediatric Diabetes, 2007
- Increased incidence and severity of diabetic ketoacidosis among uninsured children with newly diagnosed type 1 diabetes mellitusPediatric Diabetes, 2005