Risk factors for the readmission of patients with diabetic ketoacidosis: a systematic review and meta-analysis.
Purpose: This study aimed to identify risk factors associated with the readmission of patients with diabetic ketoacidosis (DKA) through a systematic review and meta-analysis. Methods: A systematic literature review was conducted in accordance with the PRISMA guidelines. Relevant studies were retriev...
| Publicado en: | Journal of Korean Academy of Nursing Vol. 55; no. 4; pp. 634 - 651 |
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| Autores principales: | , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Korean Society of Nursing Science
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189893228&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189893228 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20053673 ATS7 jtl: Journal of Korean Academy of Nursing issn: 20053673 maglogo: N pubinfo: dt: Nov2025 vid: 55 iid: 4 pid: 42744 pub: Korean Society of Nursing Science place: , <Blank> artinfo: ui: 189893228 189893228 189893228 10.4040/jkan.25072 189893228 ppf: 634 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Risk factors for the readmission of patients with diabetic ketoacidosis: a systematic review and meta-analysis. aug: au: Ji, Hyerim Hwang, Sun-Kyung affil: Emergency Medical Center, Pusan National University Hospital, Busan, Korea sug: subj: Diabetic Ketoacidosis Complications Diabetic Patients Readmission Risk Assessment Funding Source Human Systematic Review Meta Analysis PubMed Embase CINAHL Database Cochrane Library Psycinfo Scales Comorbidity Health Behavior Economics Mental Disorders Treatment Refusal Socioeconomic Factors ab: Purpose: This study aimed to identify risk factors associated with the readmission of patients with diabetic ketoacidosis (DKA) through a systematic review and meta-analysis. Methods: A systematic literature review was conducted in accordance with the PRISMA guidelines. Relevant studies were retrieved from international databases (PubMed, EMBASE, Cochrane Library, CINAHL, PsycINFO, and Web of Science) and Korean databases (RISS, KoreaMed, KMbase, KISS, and DBpia). Study quality was evaluated using the Newcastle-Ottawa Scale. Meta-analysis was performed using a random-effects model with the Hartung-Knapp-Sidik-Jonkman adjustment to account for the limited number of studies and heterogeneity. Results: Fifteen studies were included in the review, and eight were eligible for meta-analysis. From the systematic review, 21 risk factors for DKA readmission were identified and categorized into five domains: demographic, socioeconomic, diabetes-related, comorbidity, and health-behavioral factors. In the meta-analysis, significant risk factors included low income, psychiatric disorders, and discharge against medical advice. Conclusion: This study demonstrates that DKA readmissions result from the complex interplay of multiple clinical and social factors. By identifying these risk factors and suggesting risk-stratification criteria, the findings may support the development of tailored interventions, such as self-management education, integrated mental health care, structured discharge planning, and coordinated post-discharge follow-up. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: Korean refInfo: holdings: @attributes: islocal: N |
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