Youth with Avoidable DKA—Going from Bad to Worse without NICH

• DOI: 10.2337/db18-214-or
• Publication Date: 2018-06-22T18:57:33Z
• Authors: RAJKARAN SACHDEJ; NATALIE C. KOSKELA; DAVID V. WAGNER; SAMANTHA A. BARRY; CELESTE JENISCH; MICHAEL A. HARRIS
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

Objective: Novel Interventions in Children’s Healthcare (NICH) was developed for youth with T1D who experience avoidable DKAs. Previous findings suggest that NICH participation is associated fewer PICU visits, hospital admissions, and DKA events, but interpretation limited due to possibility of regression the mean. This study examines whether acute events during wait period following referral NICH. Methods: Retrospective chart reviews were conducted (n=63) participated services. Youth mean age 14.8 years; 57% female; 86% Caucasian. Mean days prior referral, on list, 365, 129, 353, respectively. Results normalized across time points reflect rate likely event occurrence 1 year period. Results: significantly more a stay (p=.03) while waiting compared baseline less (p=.02) or (p=.01) involvement Conclusions: Instead spontaneously improving after (i.e., mean), referred an increase complications services, then improvement involvement. Perhaps referring providers are identifying factors further deterioration health without intensive Disclosure R. Sachdej: None. N.C. Koskela: D.V. Wagner: S.A. Barry: C. Jenisch: M.A. Harris: Consultant; Self; Eli Lilly Company.