Comparing the clinical effects of balanced electrolyte solutions versus normal saline in managing diabetic ketoacidosis: A systematic review and meta-analyses
The first-line treatment of diabetes ketoacidosis (DKA) involves fluid resuscitation with normal saline infusion to correct hypovolemia. Hyperchloremic metabolic acidosis from aggressive normal saline administration was associated with worse clinical outcomes in managing DKA. Other choices for norma...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-07-01
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| Series: | Turkish Journal of Emergency Medicine |
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| Online Access: | https://journals.lww.com/10.4103/tjem.tjem_355_22 |
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| author | Rozinadya Tamzil Normalinda Yaacob Norhayati Mohd Noor Kamarul Aryffin Baharuddin |
| author_facet | Rozinadya Tamzil Normalinda Yaacob Norhayati Mohd Noor Kamarul Aryffin Baharuddin |
| author_sort | Rozinadya Tamzil |
| collection | DOAJ |
| description | The first-line treatment of diabetes ketoacidosis (DKA) involves fluid resuscitation with normal saline infusion to correct hypovolemia. Hyperchloremic metabolic acidosis from aggressive normal saline administration was associated with worse clinical outcomes in managing DKA. Other choices for normal saline include balanced electrolyte solutions (BESs). This study aimed to compare the clinical effects between BESs and normal saline in managing DKA. This study was a systematic review of probing articles published from inception to October 2021 in Cochrane Central Register of Controlled Trials, Medical Literature Analysis and Retrieval System Online, Google Scholar, and Scopus. Eight randomized controlled trials with a total of 595 individuals were included. The data were analyzed at 95% confidence level using random-effects models. For the primary outcomes, there was no difference in the duration of DKA resolution. (Mean difference [MD] −4.73, 95% confidence interval [CI] −2.72–4.92; I2 = 92%; P = 0.180). However, there was a significantly lower postresuscitation chloride concentration in the BES (MD 2.96 95% CI − 4.86 to − 1.06; I2 = 59%; P = 0.002). For the secondary outcomes, there was a significant reduction in duration for normalization of bicarbonate in the BES group (MD 3.11 95% CI − 3.98-2.23; I2 = 5%; P = 0.0004). There were no significant differences between groups in duration for recovery of pH, intensive unit admission, and adverse events (mortality and acute renal failure). Resuscitation with BES was associated with decreased chloride and increased bicarbonate values in DKA patients. It suggests that BES prevents DKA patients from hyperchloremic metabolic acidosis. |
| format | Article |
| id | doaj-art-a907886b44a5467bbe6d08bb22bf0eca |
| institution | Kabale University |
| issn | 2452-2473 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Turkish Journal of Emergency Medicine |
| spelling | doaj-art-a907886b44a5467bbe6d08bb22bf0eca2025-02-09T08:56:08ZengWolters Kluwer Medknow PublicationsTurkish Journal of Emergency Medicine2452-24732023-07-0123313113810.4103/tjem.tjem_355_22Comparing the clinical effects of balanced electrolyte solutions versus normal saline in managing diabetic ketoacidosis: A systematic review and meta-analysesRozinadya TamzilNormalinda YaacobNorhayati Mohd NoorKamarul Aryffin BaharuddinThe first-line treatment of diabetes ketoacidosis (DKA) involves fluid resuscitation with normal saline infusion to correct hypovolemia. Hyperchloremic metabolic acidosis from aggressive normal saline administration was associated with worse clinical outcomes in managing DKA. Other choices for normal saline include balanced electrolyte solutions (BESs). This study aimed to compare the clinical effects between BESs and normal saline in managing DKA. This study was a systematic review of probing articles published from inception to October 2021 in Cochrane Central Register of Controlled Trials, Medical Literature Analysis and Retrieval System Online, Google Scholar, and Scopus. Eight randomized controlled trials with a total of 595 individuals were included. The data were analyzed at 95% confidence level using random-effects models. For the primary outcomes, there was no difference in the duration of DKA resolution. (Mean difference [MD] −4.73, 95% confidence interval [CI] −2.72–4.92; I2 = 92%; P = 0.180). However, there was a significantly lower postresuscitation chloride concentration in the BES (MD 2.96 95% CI − 4.86 to − 1.06; I2 = 59%; P = 0.002). For the secondary outcomes, there was a significant reduction in duration for normalization of bicarbonate in the BES group (MD 3.11 95% CI − 3.98-2.23; I2 = 5%; P = 0.0004). There were no significant differences between groups in duration for recovery of pH, intensive unit admission, and adverse events (mortality and acute renal failure). Resuscitation with BES was associated with decreased chloride and increased bicarbonate values in DKA patients. It suggests that BES prevents DKA patients from hyperchloremic metabolic acidosis.https://journals.lww.com/10.4103/tjem.tjem_355_22balanced electrolyte solutionsdiabetes ketoacidosismeta-analysisnormal salinesystematic review |
| spellingShingle | Rozinadya Tamzil Normalinda Yaacob Norhayati Mohd Noor Kamarul Aryffin Baharuddin Comparing the clinical effects of balanced electrolyte solutions versus normal saline in managing diabetic ketoacidosis: A systematic review and meta-analyses Turkish Journal of Emergency Medicine balanced electrolyte solutions diabetes ketoacidosis meta-analysis normal saline systematic review |
| title | Comparing the clinical effects of balanced electrolyte solutions versus normal saline in managing diabetic ketoacidosis: A systematic review and meta-analyses |
| title_full | Comparing the clinical effects of balanced electrolyte solutions versus normal saline in managing diabetic ketoacidosis: A systematic review and meta-analyses |
| title_fullStr | Comparing the clinical effects of balanced electrolyte solutions versus normal saline in managing diabetic ketoacidosis: A systematic review and meta-analyses |
| title_full_unstemmed | Comparing the clinical effects of balanced electrolyte solutions versus normal saline in managing diabetic ketoacidosis: A systematic review and meta-analyses |
| title_short | Comparing the clinical effects of balanced electrolyte solutions versus normal saline in managing diabetic ketoacidosis: A systematic review and meta-analyses |
| title_sort | comparing the clinical effects of balanced electrolyte solutions versus normal saline in managing diabetic ketoacidosis a systematic review and meta analyses |
| topic | balanced electrolyte solutions diabetes ketoacidosis meta-analysis normal saline systematic review |
| url | https://journals.lww.com/10.4103/tjem.tjem_355_22 |
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