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Endocrinology · Emergency Medicine

Diabetic Ketoacidosis Mortality Prediction Model calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Allowed range: 6.5–7.8

Quick picks

Below 7.0 adds 4 points. Exactly 7.0 does not.

IU

Allowed range: 0–500 IU

Quick picks

More than 50 units adds 4 points. Exactly 50 does not.

mg/dL

Allowed range: 18.02–1441.44 mg/dL

Quick picks

Above 16.7 mmol/L adds 4 points. Exactly 16.7 does not.

Result

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Clinical inputs

  • Severe coexisting disease at presentation
  • Arterial pH at presentationAccepted range: 6.5 to 7.8
  • Regular insulin in the first 12 hours (IU)Accepted range: 0 to 500
  • Serum glucose after 12 hours (mmol/L)Accepted range: 1 to 80
  • Depressed mental state after 24 hours
  • Fever after 24 hours

Primary source

Efstathiou SP et al. A mortality prediction model in diabetic ketoacidosis. Clin Endocrinol (Oxf). DOI: 10.1046/j.1365-2265.2002.01636.x. PMID: 12390332. Points are 6 for severe coexisting disease at presentation, 4 for pH below 7.0 at presentation, 4 for more than 50 units of regular insulin in the first 12 hours, 4 for serum glucose above 16.7 mmol/L after 12 hours, 4 for a depressed mental state after 24 hours, and 3 for fever after 24 hours. Patients with 0–14 points had a 0.86% risk of death, and patients with 19–25 points had a 93.3% risk. (2002)

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