Original Article

IJMDC. 2020; 4(1): 218-222

Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia

Authors: Amar Fathi Mohammed Khalifa, Omar Abdullah Al-Ahmari, Saud Fahad Abdul-Majeed, Mohammad Fahad Al-Zahrani, Mohammed Bader M. Al-Saleem, Abdul-Rahman Mohammed Al-Mojally.

ABSTRACT

Background: Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycemic State are the most commonly encountered diabetic decompensation emergencies. Thereby, this study was conducted to determine the presentation and management of diabetic coma cases attending the Emergency Rooms (ERs), also, to investigate their awareness about the difference between the outpatient clinic and ERs, and their evaluation of the provided services in the ERs of Riyadh city, central Saudi Arabia. Methodology: It was a cross-sectional study, carried out on 119 diabetic coma cases from all age groups, attending the ERs of Riyadh City, during the period from 1 April to 31 September 2019. Data were collected through a pre-designed online disseminated questionnaire including questions about the socio-demographic characteristics, history of transfer to the ERs, and their awareness about the difference between the outpatient clinics and ERs, along with their evaluation to the provided services in ERs. Results: There were 70.6% cases of females, about a third (31.9%) of them were aged > 40 years. Almost, 54.6% of cases were Type II Diabetes mellitus. The coma was hypoglycemic in the majority (69.7%) of cases. Approximately, 85.7% of cases knew the difference between the ER and the outpatient clinics. Improvement of diabetic coma in the ER was reported in 85.7% of the patients. Besides, 28.6% assessed that the provided service in the ERs were good. Conclusion: It was concluded that the majority of cases of diabetic coma attending the ERs reported that they improved in the ER.

Keywords:
Diabetic coma, hypoglycemic, hyperglycemia, emergency rooms, awareness


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Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia


Authors
Amar Fathi Mohammed Khalifa
Assistant Professor Community Medicine, WHO Consultant, College of Medicine, Almaarefa University, Riyadh, Saudi Arabia
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Omar Abdullah Al-Ahmari
Medical intern, College of Medicine, Almaarefa University, Riyadh, Saudi Arabia
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Saud Fahad Abdul-Majeed
General Practitioner, College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
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Mohammad Fahad Al-Zahrani
General Practitioner, College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
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Mohammed Bader M Al-Saleem
General Practitioner, College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
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Abdul-Rahman Mohammed Al-Mojally
Medical intern, College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
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Correspondence to:
. Saud Fahad Abdul-Majeed, General Practitioner, College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.; Dr.saud.1994@gmail.com

Publication history
Received 28 Nov 2019
Accepted 15 Dec 2019
Published online 06 Jan 2020
Published in print 13 Jan 2020

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Pubmed Style

Khalifa AFM, Al-Ahmari OA, Abdul-Majeed SF, Al-Zahrani MF, Al-Saleem MBM, Al-Mojally AM. Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia. IJMDC. 2020; 4(1): 218-222. doi:10.24911/IJMDC.51-1574939516


Web Style

Khalifa AFM, Al-Ahmari OA, Abdul-Majeed SF, Al-Zahrani MF, Al-Saleem MBM, Al-Mojally AM. Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia. http://www.ijmdc.com/?mno=75810 [Access: January 25, 2020]. doi:10.24911/IJMDC.51-1574939516


AMA (American Medical Association) Style

Khalifa AFM, Al-Ahmari OA, Abdul-Majeed SF, Al-Zahrani MF, Al-Saleem MBM, Al-Mojally AM. Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia. IJMDC. 2020; 4(1): 218-222. doi:10.24911/IJMDC.51-1574939516


Vancouver/ICMJE Style

Khalifa AFM, Al-Ahmari OA, Abdul-Majeed SF, Al-Zahrani MF, Al-Saleem MBM, Al-Mojally AM. Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia. IJMDC. (2020), [cited January 25, 2020]; 4(1): 218-222. doi:10.24911/IJMDC.51-1574939516


Harvard Style

Khalifa, A. F. M., Al-Ahmari, . O. A., Abdul-Majeed, . S. F., Al-Zahrani, . M. F., Al-Saleem, . M. B. M. & Al-Mojally, . A. M. (2020) Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia. IJMDC, 4 (1), 218-222. doi:10.24911/IJMDC.51-1574939516


Turabian Style

Khalifa, Amar Fathi Mohammed, Omar Abdullah Al-Ahmari, Saud Fahad Abdul-Majeed, Mohammad Fahad Al-Zahrani, Mohammed Bader M. Al-Saleem, and Abdul-Rahman Mohammed Al-Mojally. 2020. Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia. International Journal of Medicine in Developing Countries, 4 (1), 218-222. doi:10.24911/IJMDC.51-1574939516


Chicago Style

Khalifa, Amar Fathi Mohammed, Omar Abdullah Al-Ahmari, Saud Fahad Abdul-Majeed, Mohammad Fahad Al-Zahrani, Mohammed Bader M. Al-Saleem, and Abdul-Rahman Mohammed Al-Mojally. "Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia." International Journal of Medicine in Developing Countries 4 (2020), 218-222. doi:10.24911/IJMDC.51-1574939516


MLA (The Modern Language Association) Style

Khalifa, Amar Fathi Mohammed, Omar Abdullah Al-Ahmari, Saud Fahad Abdul-Majeed, Mohammad Fahad Al-Zahrani, Mohammed Bader M. Al-Saleem, and Abdul-Rahman Mohammed Al-Mojally. "Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia." International Journal of Medicine in Developing Countries 4.1 (2020), 218-222. Print. doi:10.24911/IJMDC.51-1574939516


APA (American Psychological Association) Style

Khalifa, A. F. M., Al-Ahmari, . O. A., Abdul-Majeed, . S. F., Al-Zahrani, . M. F., Al-Saleem, . M. B. M. & Al-Mojally, . A. M. (2020) Management of diabetic coma cases in emergency rooms in Riyadh, Saudi Arabia. International Journal of Medicine in Developing Countries, 4 (1), 218-222. doi:10.24911/IJMDC.51-1574939516


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