Final-year medical students' awareness and knowledge about DKA: A cross-sectional study from a Saudi University

Madkhly, Tasneem M; Mohammed, Fatimah A; Majrashi, Hanadi H; Kamili, Fatimah H; Tawhari, Rawabi A M; Hudisy, Arwa A.; AbuDyab, Ola A M; Mohajab, Ashwag H; Tumayhi, Gumriah M

doi:10.4103/jfmpc.jfmpc_905_19

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…A study conducted in Poland showed that the children were more prone to DKA and the frequency increased two-fold in children under the age of 3 compared to the general population. [ 7 8 ]…”

Section: Introductionmentioning

confidence: 99%

Level of awareness of diabetic ketoacidosis among diabetes mellitus patients in Riyadh

Farran¹,

Elaiwah²,

Aldarsouny³

et al. 2020

J Family Med Prim Care

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Background: Diabetic ketoacidosis (DKA) is considered to be a serious acute life-menacing complication of diabetes type (1) and type (2). The study aims to assess the level of awareness regarding DKA among diabetic patients in the Riyadh population. Methodology: The study is an institution-based cross-sectional study with a sample size of 150 participants. The participants are chosen through systemic random sampling, who have type (1) or type (2) diabetes mellitus patients and are 18–35 years of age. The medical personnel were excluded from the study. A self-administered, precoded, and pretested questionnaire was developed especially for this study after consulting literature and epidemiologists containing data about the risk factor, management, and complication. Data were analyzed using (SPSS). A P value of less than 0.05 was considered significant. Results: 38.67% (58) participants have poor awareness regarding complications, 67.34% (101) have poor knowledge regarding management, and 6% (9) participants have a good knowledge, 38% (57) participants have poor knowledge regarding risk factors and 30% (45) of the participants have good awareness. The relation between having a first degree relative with diabetes and awareness regarding management is significant with a P value of 0.022; 73% (110) of the participants had no relatives with diabetes mellitus and 71% (79) had a poor level of awareness regarding the management of DKA. However, 55% (22) of respondents who had relatives with diabetes mellitus also had a poor level of awareness regarding treatment. Conclusion: The majority of the participants had a poor level of awareness. There is a relationship between having a first-degree relative with diabetic mellitus and the level of awareness regarding DKA.

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“…A study conducted in Poland showed that the children were more prone to DKA and the frequency increased two-fold in children under the age of 3 compared to the general population. [ 7 8 ]…”

Section: Introductionmentioning

confidence: 99%

Level of awareness of diabetic ketoacidosis among diabetes mellitus patients in Riyadh

Farran¹,

Elaiwah²,

Aldarsouny³

et al. 2020

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…A study carried out by Madkhly et al shows lacunae in knowledge among final-year medical students regarding fluid replacement in DKA patients. 24 Similarly, a study conducted by Singh et al at Southern Indian University, shows medical students had inadequate knowledge about DKA and its management. 25 Currently, the administration of antithyroid drugs, including methimazole and propylthiouracil, is considered a standard approach for the treatment of thyroid storm induced by severe thyrotoxicosis.…”

Section: Discussionmentioning

confidence: 97%

Cross sectional observational study to assess the knowledge of drugs utilized in emergency medical conditions amongst medical interns and residents in tertiary care teaching hospital

Bhavsar

Halvadia²,

Suthar³

et al. 2022

Int J Basic Clin Pharmacol

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Background: Medical interns and residents are future medical professionals and as first-line responders, they may confront any type of emergency. Knowledge of pharmacotherapeutics (PTs) is the backbone of emergency care. Therefore, this study is designed to assess PTs’ knowledge and identify the lacunae in handling various medical emergencies among medical interns and residents.Methods: This was a cross-sectional, observational, questionnaire-based study. A self-structured questionnaire containing 30 close-ended questions, assessing the knowledge of drugs utilized in various medical emergency conditions was prepared and circulated in the form of a Google form. A credit score of “1” was given for each correct response. Grading of knowledge was done as “poor” (≤50%), “average” (>50-70%), and “adequate” (>70%-100%) The student’s unpaired t-test was used to analyse the data.Results: A total of 282 candidates responded, with 148 (52.48 %) interns and 134 (47.52%) residents. Participants had the least knowledge of PTs for anaphylactic shock. Participants’ knowledge of PTs was found to be adequate regarding the central nervous system and electrolyte disorders while average regarding toxicology, immunization, and endocrine system. Results suggested that residents (mean score: 21.42±5.06) were significantly (p=0.0165) more knowledgeable than interns (mean score: 19.96±5.08). Among respondents, 17.6% of interns and 13.4% of residents had poor performance while 45.9% of interns and 53.7% of residents had adequate performance.Conclusions: The current study provides valuable information regarding the state of PTs’ knowledge in medical emergencies among interns and residents, which can be used to improve undergraduate as well as postgraduate training.

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“…Medical graduates should have adequate knowledge of managing this emergency condition guided by the international guidelines [27], especially that emergency rooms in many health care settings in low-resource countries, are attended usually by general practitioners or trainee doctors. Weakness in the knowledge of certain aspects of DKA management and other aspects of diabetes, in general, was identified in many countries in the region such as Saudi Arabia [28,29]. Appropriate awareness of DKA diagnosis and management by physicians, would had significant impact on incidence of delayed diagnosis of DKA and better outcomes; mainly in countries with limited resources [30].…”

Section: Discussionmentioning

confidence: 99%

Adequacy of knowledge of new medical graduates about diagnosis and management of children and adolescents with type 1 diabetes in a developing country

et al. 2023

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Background Knowledge of diabetes by the graduate physicians had been reported to be deficient in many aspects of diagnosis and management of type 1 diabetes (T1D). This will reflect on patient care and quality of health services especially in limited-resources countries. Our aim was to assess knowledge of basic management of T1D in new medical graduates in Jordan. Methods A questionnaire was developed to collect information concerning demographics and knowledge and was distributed in paper form and online using google forms. The knowledge was assessed using 28 questions on different aspects of the disease. Results A total of 358 new medicine graduates responded to the survey and female respondents were significantly higher than male respondents. Average number of lectures concerning diabetes during the medical school years was 3.92 ± 1.37. High knowledge scores were on pathophysiology of T1D, hypoglycemia, and certain aspects of diabetic ketoacidosis. Female gender, higher number of persons with T1D the participant had encountered during medical school, and good or excellent expected degree of self-knowledge of diabetes were associated with high knowledge score, p values = 0.01, 0.009, and < 0.001, respectively. Female gender and good or excellent expected degree of knowledge of diabetes predicted high knowledge score, p value = 0.008, and < 0.001, respectively. Conclusion Gaps in knowledge of new medical graduates in certain T1D subjects exist. This can be corrected by many strategies including changes in curricula, elective courses, more clinical exposure, and interprofessional education. These measures must be evaluated for their short and long-term benefits.

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Final-year medical students' awareness and knowledge about DKA: A cross-sectional study from a Saudi University

Cited by 3 publications

References 19 publications

Level of awareness of diabetic ketoacidosis among diabetes mellitus patients in Riyadh

Level of awareness of diabetic ketoacidosis among diabetes mellitus patients in Riyadh

Cross sectional observational study to assess the knowledge of drugs utilized in emergency medical conditions amongst medical interns and residents in tertiary care teaching hospital

Adequacy of knowledge of new medical graduates about diagnosis and management of children and adolescents with type 1 diabetes in a developing country

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