Epidemiology
In the US from 2000-2009, the rate of hospitalizations for DKA decreased overall, from 21.9 to 19.5 in 1000 persons with diabetes, but then increased from 2009-2014 to 30.2 in 1000 persons with diabetes.[8]Benoit SR, Zhang Y, Geiss LS, et al. Trends in diabetic ketoacidosis hospitalizations and in-hospital mortality - United States, 2000-2014. MMWR Morb Mortal Wkly Rep. 2018 Mar 30;67(12):362-65.
https://www.cdc.gov/mmwr/volumes/67/wr/mm6712a3.htm?s_cid=mm6712a3_w
http://www.ncbi.nlm.nih.gov/pubmed/29596400?tool=bestpractice.com
In 2014, rates of hospitalization for DKA were highest among people aged <45 years (44.3 in 1000 persons with diabetes) and decreased with age (5.2 in 1000 persons with diabetes aged 45-64 years; 1.6 in 1000 65-74 years; and 1.4 in 1000 ≥75 years).[8]Benoit SR, Zhang Y, Geiss LS, et al. Trends in diabetic ketoacidosis hospitalizations and in-hospital mortality - United States, 2000-2014. MMWR Morb Mortal Wkly Rep. 2018 Mar 30;67(12):362-65.
https://www.cdc.gov/mmwr/volumes/67/wr/mm6712a3.htm?s_cid=mm6712a3_w
http://www.ncbi.nlm.nih.gov/pubmed/29596400?tool=bestpractice.com
From 2000-2014, in-hospital mortality rates among people with DKA consistently decreased, from 1.1% to 0.4%.[8]Benoit SR, Zhang Y, Geiss LS, et al. Trends in diabetic ketoacidosis hospitalizations and in-hospital mortality - United States, 2000-2014. MMWR Morb Mortal Wkly Rep. 2018 Mar 30;67(12):362-65.
https://www.cdc.gov/mmwr/volumes/67/wr/mm6712a3.htm?s_cid=mm6712a3_w
http://www.ncbi.nlm.nih.gov/pubmed/29596400?tool=bestpractice.com
In 2014 in the US, about 207,000 emergency department visits for people aged ≥18 years were for hyperglycemic crises (e.g., DKA, hyperglycemic hyperosmolar state).[9]Centers for Disease Control and Prevention. National diabetes statistics report, 2017. February 2018 [internet publication].
https://www.cdc.gov/diabetes/data/statistics/statistics-report.html