Evidence map›Paper›PMID 38989212›Full record

ArticleAnnals of medicine and surgery (2012)2024

Association of the systemic immune-inflammation index (SII) and severity of diabetic ketoacidosis in patients with type 1 diabetes mellitus: a retrospective cohort study.

Mohamed Aon, Ahmed H Aoun, Ahmad Alshami, Abdulrahman Alharbi, Fahed Alshammari, Mohamad Alnajjar, Ahmad Almutawtah, Bader Bin Naji, Abdullateef Alsaeed, Omar A Abdelwahab

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Article in Annals of medicine and surgery (2012), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Mohamed AonDepartments ofInternal Medicine.
Ahmed H AounPediatrics, Faculty of Medicine, Cairo University, Giza.
Ahmad AlshamiDepartment of Internal Medicine, Jahra Hospital, Jahra, Kuwait.
Abdulrahman AlharbiDepartment of Internal Medicine, Jahra Hospital, Jahra, Kuwait.
Fahed AlshammariDepartment of Internal Medicine, Jahra Hospital, Jahra, Kuwait.
Mohamad AlnajjarDepartment of Internal Medicine, Jahra Hospital, Jahra, Kuwait.
Ahmad AlmutawtahDepartment of Internal Medicine, Jahra Hospital, Jahra, Kuwait.
Bader Bin NajiDepartment of Internal Medicine, Jahra Hospital, Jahra, Kuwait.
Abdullateef AlsaeedDepartment of Internal Medicine, Jahra Hospital, Jahra, Kuwait.
Omar A AbdelwahabFaculty of Medicine, Al-Azhar University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetic ketoacidosis (DKA) is the most serious metabolic complication of type 1 diabetes mellitus (T1DM). Insulin deficiency and inflammation play a role in the pathogenesis of DKA. The authors aimed to assess the systemic immune-inflammation index (SII) as a marker of severity among T1DM patients with DKA and without infection. Methods: The authors included T1DM patients older than or equal to 12 years hospitalized because of DKA. The authors excluded patients with infection or any condition that can change SII parameters or cause metabolic acidosis. The authors compared SII, neutrophil-lymphocyte ratio (NLR), and platelet-lymphocyte ratio (PLR) between severe and non-severe DKA groups. The authors also assessed the need for an ICU, length of stay, and 90-day readmission rate between the groups. Results: The study included 241 patients with a median age of 17 (14, 24) years, and 44.8% were males. More patients with severe DKA (45%) required ICU admission ( Conclusion: Elevated SII is a risk factor for DKA severity in T1DM. It is better than NLR and PLR in prognosticating DKA patients. These findings highlight the role of inflammation in DKA. SII can help as a valuable and simple tool to assess DKA severity.

Indexed as

complete blood countdiabetes mellitusdiabetic ketoacidosisneutrophil-lymphocyte ratioplatelet-lymphocyte ratiosystemic immune-inflammation index

Identifiers

PMID38989212
PMCPMC11230746

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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.