fa بررسی نیاز و نتایج به مدیریت دیابتیک کتواسیدوزیس در بخش مراقبت های ویژه: مطالعه مروری تخصصي Special پژوهشي Research <div style="text-align: justify;"><span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">سابقه</span></span></span></span></b><b> </b><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">و هدف: </span></span></span></span></b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">کتواسیدوز دیابتی (</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Diabetic ketoacidosis</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">) یکی از مشکلات شایع بیماران دیابتی تیپ 1 و 2 است که می تواند با عوارض مختلف و مرگ و میر همراه باشد. در این مطالعه ی مروری بر آن شدیم تا به بررسی مطالعات اخیر در مورد نیاز و نتایج به بستری بیماران </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">DKA</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"> در </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">ICU</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"> بپردازیم.</span></span></span><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"><span style="color:#000099"></span></span></span></span></b></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">مواد و روش&shy; ها: </span></span></span></span></b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">این مطالعه ی مروری روایتی با هدف بررسی نتایج و نیاز به بستری بیماران </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">DKA</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"> در</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">ICU</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">&nbsp; انجام شد. کلید واژه های &ldquo;</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">diabetic ketoacidosis</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">&rdquo;&nbsp; و &ldquo;</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">intensive care unit</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">&quot; در پایگاه های </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">PUBMED</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">ELSEVIER</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"> و </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">CENTRAL</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">، در سال های 2020 تا 2024 مورد جستجو قرار گرفت. مطالعاتی که شامل این کلید واژه ها بودند، بررسی شدند.</span></span></span><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"><span style="color:#000099"></span></span></span></span></b></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">یافته‌ها:</span></span></span></span></b> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">بر اساس یافته های ما، شش مطالعه با عنوان مورد بررسی ما تطابق داشتند. بر اساس مطالعات مذکور، نتایج بستری بیماران </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">DKA</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"> در </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">ICU</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"> تفاوت معنی داری با بستری در سایر بخش ها ندارد و تنها مدیریت و نظارت دقیق تیم مراقبت در دستیابی به هدف درمانی این بیماران که خروج از </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">DKA</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"> است، اهمیت دارد.<b><span style="color:#000099"></span></b></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">نتیجه‌گیری:</span></span></span></span></b> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">به نظر می رسد که با تشخیص و درمان سریع و نظارت دقیق بر بیماران </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">DKA</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"> می توان آنها را در اورژانس و یا بخش های بستری درمان نمود و با عدم بستری این بیماران در </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">ICU</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:">، هم سبب کاهش فشار کاری </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">ICU</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"> و قرار گرفتن </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">ICU</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"> در اختیار سایر بیماران بدحال شد و هم هزینه های بیماران و سیستم درمانی را کاهش داد.</span></span></span><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span 2="" mitra="" style="font-family:"><span style="color:#000099"></span></span></span></span></b></span></span></span></span></span><br> &nbsp;</div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:14.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:#000099">Background and Objective:</span></span></b> <span new="" roman="" style="font-family:" times="">Diabetic ketoacidosis (DKA) is a common complication of type 1 and type 2 diabetes that can be associated with various complications and mortality rates. The aim of this study was to review recent studies on the necessity and outcomes of admission of DKA patients to the intensive care unit (ICU).<span style="color:#000099"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:14.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:#000099">Methods:</span></span></b> <span new="" roman="" style="font-family:" times="">The aim of this study was to review recent studies on the necessity and outcomes of admission of DKA patients to the ICU. The keywords &ldquo;diabetic ketoacidosis&rdquo; and &ldquo;intensive care unit&rdquo; were searched in PUBMED and ELSEVIER and CENTRAL databases from 2020 to 2024. Studies containing these keywords were reviewed.<span style="color:#000099"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:14.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:#000099">Findings:</span></span></b> <span new="" roman="" style="font-family:" times="">Based on the results, six studies matched our topic. According to the above studies, the outcomes of DKA patients hospitalized in the ICU are not significantly different from those hospitalized in other units, and only careful management and monitoring by the care team are important to achieve the therapeutic goal of these patients, namely, recovery from DKA.<span style="color:#000099"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:14.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:#000099">Conclusion:</span></span></b> <span new="" roman="" style="font-family:" times="">It seems that with timely diagnosis and treatment and careful monitoring of DKA, patients can be treated in the emergency department or on the wards. By not admitting these patients to the ICU, it not only reduces the ICU workload and allows other patients access to the ICU, but also reduces costs for patients and the healthcare system.<span style="color:#000099"></span></span></span></span></span><br> &nbsp;</div> دیابت, کتواسیدوز دیابتی, بخش مراقبت های ویژه Diabetes, Diabetic Ketoacidosis, Intensive Care Unit 0 0 http://cjhaa.mubabol.ac.ir/browse.php?a_code=A-10-244-1&slc_lang=fa&sid=1 Mohammadreza Hajiesmaeili محمدرضا حاجی اسماعیلی mrhagiesmaeili@sbmu.ac.ir 10031947532846003101 10031947532846003101 No Shahid Beheshti University of Medical Sciences دانشگاه علوم پزشکی شهید بهشتی reza Goharani رضا گوهرانی r.goharani@sbmu.ac.ir 10031947532846003102 10031947532846003102 No Shahid Beheshti University of Medical Sciences دانشگاه علوم پزشکی شهید بهشتی Mahdi Amirdosara مهدی امیردوسرا dr.amirdosara@gmail.com 10031947532846003103 10031947532846003103 No Shahid Beheshti University of Medical Sciences دانشگاه علوم پزشکی شهید بهشتی masood zangi مسعود زنگی masood_zangi@sbmu.ac.ir 10031947532846003104 10031947532846003104 Yes Shahid Beheshti University of Medical Sciences دانشگاه علوم پزشکی شهید بهشتی Ilad Alavi Darazam ایلاد علوی درزم 10031947532846003105 10031947532846003105 No