A multi-intervention campaign lowers pediatric and young adult diabetic ketoacidosis hospitalizations in a Canadian province

Abstract Objectives The Newfoundland and Labrador Diabetic Ketoacidosis Project (NLdkaP) is a multi-intervention, province-wide project aimed at lowering rates of diabetic ketoacidosis (DKA) within the pediatric and young adult populations. Methods The NLdkaP interventions were first selected, developed, and implemented. We then conducted a retrospective study of hospitalization data over three two–year periods: pre-NLdkaP, during, and post-NLdkaP. Data included demographic factors, DKA hospitalizations, and length of stay. Results There were 412 DKA hospitalizations over the study period. Prior to the NLdkaP, the provincial hospitalization rate of DKA for patients under 25 years of age was 55.61 per 100 000. During the NLdkaP, the rate dropped to 38.48 per 100 000, p Conclusions The NLdkaP was associated with a decrease in rates of DKA hospitalizations, but rates remained relatively stable in both the pre and post intervention periods. While the approach and resources developed in the NLdkaP appear effective, continuous preventative efforts are needed to sustain reductions in DKA hospitalizations.