Choice of crystalloid fluid in the treatment of hyperglycemic emergencies: a systematic review protocol
Abstract Background Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are life-threatening complications of diabetes mellitus which require prompt treatment with large volume crystalloid fluid administration. A variety of crystalloid fluids is currently available for use and dif...
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doaj-50a4c8a99339443f92d688d2ddfcc2282020-11-25T03:25:55ZengBMCSystematic Reviews2046-40532019-09-01811710.1186/s13643-019-1130-5Choice of crystalloid fluid in the treatment of hyperglycemic emergencies: a systematic review protocolBenjamin Gershkovich0Shane W. English1Mary-Anne Doyle2Kusum Menon3Lauralyn McIntyre4Department of Medicine, University of OttawaDepartment of Medicine, University of OttawaDepartment of Medicine, University of OttawaCHEO Research InstituteDepartment of Medicine, University of OttawaAbstract Background Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are life-threatening complications of diabetes mellitus which require prompt treatment with large volume crystalloid fluid administration. A variety of crystalloid fluids is currently available for use and differs in their composition and ion concentrations. While there are potential pros and cons for different crystalloid fluids, it remains unknown if any particular fluid confers a clinical outcome benefit over others in the treatment of hyperglycemic emergencies. Methods A systematic search of MEDLINE, Embase, and the Cochrane Library of Systematic Reviews will be conducted to identify eligible studies, which will include observational and interventional studies involving adult and pediatric patients admitted to the hospital with either DKA or HHS. The interventions will include intravenous treatment with 0.9% saline versus other buffered (Ringer’s lactate, Hartmann’s, etc.), and non-buffered (0.45% saline) crystalloid fluids. The primary outcome is mortality at the latest follow-up time point. Secondary outcomes will include mortality at specific time points, length of hospital stay, development of acute kidney injury, requirement for renal replacement therapy, altered level of consciousness, and the time to normalization of several serum biochemical parameters. Where appropriate, meta-analyses will be performed for the outcomes and conducted separately for adult and pediatric patient populations. Discussion DKA and HHS are dangerous complications of diabetes mellitus and account for significant morbidity and mortality. Given the importance of crystalloid fluid administration in the management of these conditions, a systematic synthesis of the existing evidence base will identify potential evidence gaps and may help guide future clinical practice.http://link.springer.com/article/10.1186/s13643-019-1130-5Systematic reviewDKAHHSCrystalloid fluid0.9% salineNormal saline |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Benjamin Gershkovich Shane W. English Mary-Anne Doyle Kusum Menon Lauralyn McIntyre |
spellingShingle |
Benjamin Gershkovich Shane W. English Mary-Anne Doyle Kusum Menon Lauralyn McIntyre Choice of crystalloid fluid in the treatment of hyperglycemic emergencies: a systematic review protocol Systematic Reviews Systematic review DKA HHS Crystalloid fluid 0.9% saline Normal saline |
author_facet |
Benjamin Gershkovich Shane W. English Mary-Anne Doyle Kusum Menon Lauralyn McIntyre |
author_sort |
Benjamin Gershkovich |
title |
Choice of crystalloid fluid in the treatment of hyperglycemic emergencies: a systematic review protocol |
title_short |
Choice of crystalloid fluid in the treatment of hyperglycemic emergencies: a systematic review protocol |
title_full |
Choice of crystalloid fluid in the treatment of hyperglycemic emergencies: a systematic review protocol |
title_fullStr |
Choice of crystalloid fluid in the treatment of hyperglycemic emergencies: a systematic review protocol |
title_full_unstemmed |
Choice of crystalloid fluid in the treatment of hyperglycemic emergencies: a systematic review protocol |
title_sort |
choice of crystalloid fluid in the treatment of hyperglycemic emergencies: a systematic review protocol |
publisher |
BMC |
series |
Systematic Reviews |
issn |
2046-4053 |
publishDate |
2019-09-01 |
description |
Abstract Background Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are life-threatening complications of diabetes mellitus which require prompt treatment with large volume crystalloid fluid administration. A variety of crystalloid fluids is currently available for use and differs in their composition and ion concentrations. While there are potential pros and cons for different crystalloid fluids, it remains unknown if any particular fluid confers a clinical outcome benefit over others in the treatment of hyperglycemic emergencies. Methods A systematic search of MEDLINE, Embase, and the Cochrane Library of Systematic Reviews will be conducted to identify eligible studies, which will include observational and interventional studies involving adult and pediatric patients admitted to the hospital with either DKA or HHS. The interventions will include intravenous treatment with 0.9% saline versus other buffered (Ringer’s lactate, Hartmann’s, etc.), and non-buffered (0.45% saline) crystalloid fluids. The primary outcome is mortality at the latest follow-up time point. Secondary outcomes will include mortality at specific time points, length of hospital stay, development of acute kidney injury, requirement for renal replacement therapy, altered level of consciousness, and the time to normalization of several serum biochemical parameters. Where appropriate, meta-analyses will be performed for the outcomes and conducted separately for adult and pediatric patient populations. Discussion DKA and HHS are dangerous complications of diabetes mellitus and account for significant morbidity and mortality. Given the importance of crystalloid fluid administration in the management of these conditions, a systematic synthesis of the existing evidence base will identify potential evidence gaps and may help guide future clinical practice. |
topic |
Systematic review DKA HHS Crystalloid fluid 0.9% saline Normal saline |
url |
http://link.springer.com/article/10.1186/s13643-019-1130-5 |
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