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Point-of-care beta-hydroxybutyrate testing for assessing diabetic ketoacidosis severity prior to treatment in the emergency department.

Abstract
We prospectively evaluated the correlation between point-of-care β-OHB values and DKA severity at time of initial diagnosis in 54 patients. The correlation coefficients between β-OHB and pH, bicarbonate and anion gap were 0.33, 0.25 and 0.16, respectively. We conclude that point-of-care β-OHB absolute values cannot reliably assess DKA severity.
AuthorsSanjay Arora, Marc A Probst, Chad Agy, Michael Menchine
JournalDiabetes research and clinical practice (Diabetes Res Clin Pract) Vol. 94 Issue 3 Pg. e86-8 (Dec 2011) ISSN: 1872-8227 [Electronic] Ireland
PMID21955959 (Publication Type: Journal Article)
CopyrightCopyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Chemical References
  • Blood Glucose
  • 3-Hydroxybutyric Acid
Topics
  • 3-Hydroxybutyric Acid (blood)
  • Adult
  • Blood Glucose (analysis)
  • Diabetes Complications (blood, etiology)
  • Diabetes Mellitus (physiopathology)
  • Diabetic Ketoacidosis (blood, diagnosis, etiology)
  • Emergency Service, Hospital
  • Female
  • Humans
  • Male
  • Middle Aged
  • Point-of-Care Systems
  • Prospective Studies
  • Treatment Outcome

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