Evidence map›Paper›PMID 38341216›Full record

SynthesisBMJ open2024

Burden of diabetic ketoacidosis among patients with diabetes mellitus in Ethiopia: a systematic review and meta-analysis.

Eyob Girma Abera, Dawit Hailemariam Yesho, Fraol Tesfaye Erega, Zeleke Alemu Adulo, Mahlet Zerabiruk Gebreselasse, Ermias Habte Gebremichael

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Mapping the storm: a scoping review of diabetic emergencies in Africa.Frontiers in clinical diabetes and healthcare · 2026
    Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Eyob Girma AberaPublic Health, Jimma University College of Public Health and Medical Sciences, Jimma, Oromia, Ethiopia eyob.girma@ju.edu.et.ORCID 0000-0002-9030-4328
Dawit Hailemariam YeshoSchool of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Fraol Tesfaye EregaSchool of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Zeleke Alemu AduloJimma University Clinical Trial Unit, Jimma, Oromia, Ethiopia.
Mahlet Zerabiruk GebreselasseSchool of Medicine, Jimma University, Jimma, Oromia, Ethiopia.
Ermias Habte GebremichaelDepartment of Internal Medicine, Jimma University, Jimma, Oromia, Ethiopia.
Jimma University · ETIndiana University School of Medicine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review and meta-analysis aimed to assess the magnitude and determinants of diabetic ketoacidosis (DKA) among patients with diabetes mellitus (DM) in Ethiopia.

designSystematic review and meta-analysis.

participantsAge 15 and above all patients with diabetes with the diagnosis of DKA in Ethiopia DATA SOURCE: PubMed/MEDLINE, Cochrane Library, Science Direct, HINARI, Google Scholar and grey literatures were accessed to find relevant articles. Studies that have been conducted and reported in English language, articles with an available full-text, and observational studies were included. The task of searching sources was carried out from all stated electronic databases performed during 15 April-29 April 2023. PRIMARY AND SECONDARY OUTCOME MEASURES: Eligible studies were critically appraised by three independent reviewers for methodological quality in the review using standardised critical appraisal instruments from Joanna Briggs Institute (JBI) for observational studies. After the finally extracted studies were exported, systematic review and meta-analysis were conducted using Unified Management, Assessment and Review of Information (JBI SUMARI) (JBI, Adelaide, Australia) and STATA V.17 software. Sensitivity tests were done, and funnel plot inspections with Egger's test were used to check for publication bias.

resultFrom a total of 19 studies with 6498 study participants, the pooled prevalence of DKA among patients with DM in Ethiopia was 30.92% (95% CI 29.96 to 31.89) with a significant statistical heterogeneity (I

conclusionThis systematic review and meta-analysis revealed that the prevalence of DKA among patients with DM in Ethiopia was 30.92%. Besides, different behavioural and clinical determinants of DKA among patients with DM were identified. However, further studies should be conducted, particularly on the possible determinants of DKA, and different stakeholders should be engaged to minimise its burden.

Indexed as

Diabetic KetoacidosisCost of IllnessDiabetes MellitusEthiopiaHumansPrevalenceRisk FactorsACCIDENT & EMERGENCY MEDICINEDIABETES & ENDOCRINOLOGYEPIDEMIOLOGIC STUDIESEPIDEMIOLOGYGeneral diabetesSystematic Review

Identifiers

PMID38341216
PMCPMC10862299
OpenAlexW4392731062

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.