Diabetes Mellitus en el servicio de urgencias: manejo de las complicaciones agudas en adultos.
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| Title: | Diabetes Mellitus en el servicio de urgencias: manejo de las complicaciones agudas en adultos. |
|---|---|
| Alternate Title: | Diabetes Mellitus in the emergency room: Handling acute complications in adults. |
| Authors: | Hernández-Ruiz, Eder A.1 ederhernandez@hotmail.com, Castrillón-Estrada, Jaime A.2 jaimeandres727@hotmail.com, Acosta-Vélez, Juan C.3 juanacosta2@hotmail.com, Castrillón-Estrada, David F.4 davidfelipe1007@yahoo.com |
| Source: | Salud Uninorte. dic2008, Vol. 24 Issue 2, p273-293. 21p. 4 Charts. |
| Subjects: | THERAPEUTICS, DIABETES complications, KETOACIDOSIS, HYPERGLYCEMIA treatment, HYPOGLYCEMIA treatment, METABOLIC disorder treatment, PEOPLE with diabetes, THERAPEUTIC complications, HEALTH promotion, DIAGNOSIS, MEDICAL care |
| Geographic Terms: | COLOMBIA |
| Abstract (English): | Diabetes Mellitus (DM) is a high prevalence disease, recognized as a public health problem because of its high morbidity and mortality rates. Some studies have expose that the lack of adherence to treatment is one of the main triggers for acute complications in diabetic patients. Those complications are the acute hyperglycemic crises, which are two clinical entities: Diabetic Ketoacidosis (DKA) and the Hyperglycemic Hyperosmolar State (HHS), which are potentially fatal metabolic complications in the short term and which can be found overlapping. They have established some specific diagnostic criteria in order to perform a correct differential diagnosis, which allows proper treatment, however, morbidity and mortality remain significantly high. Hypoglycemia is also a medical emergency, which if not treated on time, can cause permanent neurological damage and even death. That's why it is important to create clear guidelines to treat these complications, in all services, in order to provide emergency medical care. New researchs have been developed to find new diagnostic and therapeutic's strategies would allow a more integrated management of the DM and its complications,for the sake of improving patients' life quality. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | La Diabetes Mellitus (DM) es una enfermedad de alta prevalencia, reconocida como un problema de salud púlica, debido a sus altas tasas de morbilidad y mortalidad asociadas. Diferentes estudios han documentado que la falta de adherencia al tratamiento, constituye uno de los principales factores desencadenantes para las descompensaciones agudas en el paciente diabético. Dentro del espectro de dichas alteraciones se encuentran las crisis hiperglicémicas agudas, las cuales se han dicotomizado en dos entidades clínicas: la Cetoacidosis Diabética (CAD) y el Estado Hiperglicémico Hiperosmolar (EHH), que constituyen complicaciones metabólicas potencialmente fatales en el corto plazo y de las cuales pueden encontrarse cuadros superpuestos. Se han establecido criterios diagnósticos específicos buscando realizar un diagnóstico diferencial acertado, que permita un tratamiento idóneo; sin embargo, las tasas de morbilidad y mortalidad siguen siendo considerables. Por su parte, la Hipoglicemia también constituye una emergencia médica que, de no ser tratada oportunamente, puede ocasionar daño neurológico permanente e incluso la muerte. De lo anterior se deduce la importancia de que existan guías claras de manejo de estas alteraciones en todos los centros y servicios donde se preste atención médica de urgencias. Se siguen realizando investigaciones en busca de nuevas estrategias diagnósticas y terapéuticas que permitan un manejo más integral de la DM y sus complicaciones, en aras de mejorar la calidad de vida de los pacientes. [ABSTRACT FROM AUTHOR] |
| Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 45690155 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Diabetes Mellitus en el servicio de urgencias: manejo de las complicaciones agudas en adultos. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Diabetes Mellitus in the emergency room: Handling acute complications in adults. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Hernández-Ruiz%2C+Eder+A%2E%22">Hernández-Ruiz, Eder A.</searchLink><relatesTo>1</relatesTo><i> ederhernandez@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Castrillón-Estrada%2C+Jaime+A%2E%22">Castrillón-Estrada, Jaime A.</searchLink><relatesTo>2</relatesTo><i> jaimeandres727@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Acosta-Vélez%2C+Juan+C%2E%22">Acosta-Vélez, Juan C.</searchLink><relatesTo>3</relatesTo><i> juanacosta2@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Castrillón-Estrada%2C+David+F%2E%22">Castrillón-Estrada, David F.</searchLink><relatesTo>4</relatesTo><i> davidfelipe1007@yahoo.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Salud+Uninorte%22">Salud Uninorte</searchLink>. dic2008, Vol. 24 Issue 2, p273-293. 21p. 4 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22THERAPEUTICS%22">THERAPEUTICS</searchLink><br /><searchLink fieldCode="DE" term="%22DIABETES+complications%22">DIABETES complications</searchLink><br /><searchLink fieldCode="DE" term="%22KETOACIDOSIS%22">KETOACIDOSIS</searchLink><br /><searchLink fieldCode="DE" term="%22HYPERGLYCEMIA+treatment%22">HYPERGLYCEMIA treatment</searchLink><br /><searchLink fieldCode="DE" term="%22HYPOGLYCEMIA+treatment%22">HYPOGLYCEMIA treatment</searchLink><br /><searchLink fieldCode="DE" term="%22METABOLIC+disorder+treatment%22">METABOLIC disorder treatment</searchLink><br /><searchLink fieldCode="DE" term="%22PEOPLE+with+diabetes%22">PEOPLE with diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22THERAPEUTIC+complications%22">THERAPEUTIC complications</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+promotion%22">HEALTH promotion</searchLink><br /><searchLink fieldCode="DE" term="%22DIAGNOSIS%22">DIAGNOSIS</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care%22">MEDICAL care</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22COLOMBIA%22">COLOMBIA</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Diabetes Mellitus (DM) is a high prevalence disease, recognized as a public health problem because of its high morbidity and mortality rates. Some studies have expose that the lack of adherence to treatment is one of the main triggers for acute complications in diabetic patients. Those complications are the acute hyperglycemic crises, which are two clinical entities: Diabetic Ketoacidosis (DKA) and the Hyperglycemic Hyperosmolar State (HHS), which are potentially fatal metabolic complications in the short term and which can be found overlapping. They have established some specific diagnostic criteria in order to perform a correct differential diagnosis, which allows proper treatment, however, morbidity and mortality remain significantly high. Hypoglycemia is also a medical emergency, which if not treated on time, can cause permanent neurological damage and even death. That's why it is important to create clear guidelines to treat these complications, in all services, in order to provide emergency medical care. New researchs have been developed to find new diagnostic and therapeutic's strategies would allow a more integrated management of the DM and its complications,for the sake of improving patients' life quality. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: La Diabetes Mellitus (DM) es una enfermedad de alta prevalencia, reconocida como un problema de salud púlica, debido a sus altas tasas de morbilidad y mortalidad asociadas. Diferentes estudios han documentado que la falta de adherencia al tratamiento, constituye uno de los principales factores desencadenantes para las descompensaciones agudas en el paciente diabético. Dentro del espectro de dichas alteraciones se encuentran las crisis hiperglicémicas agudas, las cuales se han dicotomizado en dos entidades clínicas: la Cetoacidosis Diabética (CAD) y el Estado Hiperglicémico Hiperosmolar (EHH), que constituyen complicaciones metabólicas potencialmente fatales en el corto plazo y de las cuales pueden encontrarse cuadros superpuestos. Se han establecido criterios diagnósticos específicos buscando realizar un diagnóstico diferencial acertado, que permita un tratamiento idóneo; sin embargo, las tasas de morbilidad y mortalidad siguen siendo considerables. Por su parte, la Hipoglicemia también constituye una emergencia médica que, de no ser tratada oportunamente, puede ocasionar daño neurológico permanente e incluso la muerte. De lo anterior se deduce la importancia de que existan guías claras de manejo de estas alteraciones en todos los centros y servicios donde se preste atención médica de urgencias. Se siguen realizando investigaciones en busca de nuevas estrategias diagnósticas y terapéuticas que permitan un manejo más integral de la DM y sus complicaciones, en aras de mejorar la calidad de vida de los pacientes. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 21 StartPage: 273 Subjects: – SubjectFull: THERAPEUTICS Type: general – SubjectFull: DIABETES complications Type: general – SubjectFull: KETOACIDOSIS Type: general – SubjectFull: HYPERGLYCEMIA treatment Type: general – SubjectFull: HYPOGLYCEMIA treatment Type: general – SubjectFull: METABOLIC disorder treatment Type: general – SubjectFull: PEOPLE with diabetes Type: general – SubjectFull: THERAPEUTIC complications Type: general – SubjectFull: HEALTH promotion Type: general – SubjectFull: DIAGNOSIS Type: general – SubjectFull: MEDICAL care Type: general – SubjectFull: COLOMBIA Type: general Titles: – TitleFull: Diabetes Mellitus en el servicio de urgencias: manejo de las complicaciones agudas en adultos. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Hernández-Ruiz, Eder A. – PersonEntity: Name: NameFull: Castrillón-Estrada, Jaime A. – PersonEntity: Name: NameFull: Acosta-Vélez, Juan C. – PersonEntity: Name: NameFull: Castrillón-Estrada, David F. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: dic2008 Type: published Y: 2008 Identifiers: – Type: issn-print Value: 01205552 Numbering: – Type: volume Value: 24 – Type: issue Value: 2 Titles: – TitleFull: Salud Uninorte Type: main |
| ResultId | 1 |
