AIMS: To assess the management of @entity6 in young @entity1 , which differs in the UK between paediatric and adult services, and to evaluate outcomes and extent to which national guidelines are used. METHODS: A standardized questionnaire was sent to all paediatric and adult @entity6 services in England, requesting details of all @entity6 admissions in young @entity1 aged > 14 years in paediatric services ('paediatric' @entity1 ), and in young adults up to the age of 22 years in adult services ('adult' @entity1 ). RESULTS: A total of 64 adult @entity1 aged  <=22 years (mean age 19.2 years) were reported, of whom seven were aged between 10 and 16 years. A total of 71 'paediatric' @entity1 were reported [mean (range) age 14.9 (11-18) years]. We found that 85% of paediatric and 69% of adult @entity1 were treated according to national guidelines, 99% of paediatric and 89% of adult @entity1 were treated with 0.9% saline and fixed-rate insulin infusions and 16% of adult @entity1 received an insulin bolus. Insulin treatment was initiated later in paediatric @entity1 than in adult @entity1 (100 vs 39 min; P<0.001). In 23% of adult @entity1 and 8.8% of paediatric @entity1 , @entity972 levels were < 3.5 mmol/l (P< 0.005). The lowest mean @entity972 levels were 3.8 mmol/l in paediatric and 3.5 mmol/l in adult @entity1 (P<0.005). Hypoglycaemia occurred in 42.3% of paediatric and 36% of adult @entity1 . Time to resolution was similar in paediatric and adult @entity1 (16.0 vs 18.2 h), as was duration of hospital stay (2.35 vs 2.53 days). CONCLUSIONS: Young @entity1 were treated according to national guidelines, but the quality of monitoring was variable in both paediatric and adult settings. The incidence of hypoglycaemia and hypokalaemia was unacceptably high. This article is protected by copyright. All rights reserved.

XXXX in an adolescent and young adult population in the UK in 2014: a national survey comparison of management in paediatric and adult settings.

@entity1 :: ('9606', 'Species') :: ['patients', 'people'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic ketoacidosis', 'diabetes'] @entity972 :: ('MESH:D011188', 'Chemical') :: ['potassium']
@entity6 :: (MESH:D003920,Disease) :: ['Diabetic ketoacidosis']
