Language

English

Publication Date

1-1-2022

Journal

Clinical Diabetes

DOI

10.2337/cd21-0070

PMID

35669298

PMCID

PMC9160557

PubMedCentral® Posted Date

4-15-2022

PubMedCentral® Full Text Version

Post-print

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.

Published Open-Access

yes

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