Demir K.Büyükinan M.Dizdarer C.Şimşek D.G.Özen S.Asar G.Can Ş.Altincik A.Özhan B.Ersoy B.Böber E.Darcan Ş.2024-07-222024-07-22201013049054http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/18398Introduction: In this study, it was aimed to assess the frequency and associated factors of diabetic ketoacidosis (DKA) at diagnosis in patients with newly diagnosed type 1 diabetes who were admitted to pediatric endocrinology clinics in tertiary referral hospitals in Izmir and Manisa provinces. Materials and Method: The files of the patients were evaluated retrospectively. Data regarding sex, date of birth, family history for diabetes, and health insurances of the patients were recorded and compared with respect to the form of clinical presentation. Results: It was noted that 139 patients (M/F:74/65, mean age 8.7±3.9 years) were diagnosed in 2008. At the time of diagnosis, the clinical picture of the majority of the patients were ketosis (n=58, 41.7%) or DKA (n=57, 41%). Mortality or severe morbidity developed in none of the patients. It was detected that lack of family history for type 1 diabetes and being less than 5 years of age were associated with DKA at the time of diagnosis. When logistic regression analysis was used to perform risk analysis, only being less than 5 years of age was found to be a risk factor for DKA (p=0.008, Odds Ratio 3.3, 95% confidential interval 1.4-8.1). Conclusion: These results led us consider that large-scale campaigns/studies are needed to be performed to reduce the ratio of DKA at the time of diagnosis by making the society conscious of diabetes in childhood. © The Journal of Current Pediatrics, published by Galenos Publishing.Englishagearticlebirthchildchildhood diseaseclinical featurediabetic ketoacidosisdisease associationdisease severityfamily historyfemalefrequency analysisgenderhealth insurancehumaninsulin dependent diabetes mellitusmajor clinical studymalemedical record reviewmorbiditymortalitypreschool childrisk assessmentrisk factorschool childTurkey (republic)Article