研究住院病人的毛细血管酮检测：适应症和结果。

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Internal Medicine Journal Pub Date : 2024-08-28 DOI:10.1111/imj.16490

Thomas Kent, Julie Loughran, Bella Halim, Spiros Fourlanos, Lachlan Hayes, Mervyn Kyi

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引用次数: 0

摘要

糖尿病患者血酮水平升高（酮病）可能预示着糖尿病酮症酸中毒（DKA）。不过，在某些情况下，非糖尿病患者也会出现酮症。目前还不清楚出现酮症酸中毒的住院患者中有多大比例处于 DKA 状态，也不清楚哪些患者患 DKA 的风险最高。本研究确定，许多酮体检测都是针对 DKA 低风险患者进行的，而 β-羟丁酸

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Examining capillary ketone testing in hospitalised patients: indications and outcomes

Elevated blood ketone levels (ketosis) in inpatients with diabetes can herald diabetic ketoacidosis (DKA). However, ketosis can also occur in individuals without diabetes in certain settings. It is unclear what proportion of inpatients with ketosis are in DKA and which patients are at the highest risk of DKA. This study determined that many ketone tests are performed in individuals at low risk of DKA, and a β-hydroxybutyrate <1.0 mmol/L had a low incidence of DKA and less need for escalation in their management.

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来源期刊

Internal Medicine Journal 医学-医学：内科

CiteScore

3.50

自引率

4.80%

发文量

600

审稿时长

3-6 weeks

期刊介绍： The Internal Medicine Journal is the official journal of the Adult Medicine Division of The Royal Australasian College of Physicians (RACP). Its purpose is to publish high-quality internationally competitive peer-reviewed original medical research, both laboratory and clinical, relating to the study and research of human disease. Papers will be considered from all areas of medical practice and science. The Journal also has a major role in continuing medical education and publishes review articles relevant to physician education.