Comparison of the Volumetric Parameters of Platelets in Diabetic Children with and without Diabetic Ketoacidosis: A Case-Control Study in the North of Iran

Fatemeh  Mirdoosti; Hassan  Mahmoodi Nesheli; Hoda  Shirafkan; Sajedeh  Hajipour; Pouria  Alijanpour; Mohammad  Pournasrollah; Morteza  Alijanpour

doi:10.18502/ijpho.v14i4.16600

Fatemeh Mirdoosti Student Research Committee, Babol University of Medical Sciences, Babol
Hassan Mahmoodi Nesheli . Non-Communicable Pediatrics Diseases Research center, Health research Institute, Babol University of Medical Sciences, Babol, Iran
Hoda Shirafkan Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Sajedeh Hajipour Clinical Research Development Unit of Amirkola Children's Hospital, Babol University of Medical Sciences, Babol, IR Iran
Pouria Alijanpour Student of Research Committee, School of Health Management & Information Science, Shiraz University of Medical Sciences, Shiraz, Iran
Mohammad Pournasrollah Clinical Research Development Unit of Amirkola Children's Hospital, Babol University of Medical Sciences, Babol, IR Iran
Morteza Alijanpour Non-Communicable Pediatrics Diseases Research center, Health research Institute, Babol University of Medical Sciences, Babol, Iran

DOI: https://doi.org/10.18502/ijpho.v14i4.16600

Keywords: Diabetes mellitus type 1, Diabetic ketoacidosis, Mean platelet volume

Abstract

Background: This study aimed to determine the volumetric parameters of platelets including MPV (Mean Platelet Volume) and PDW (Platelet Distribution Width) in diabetic children with and without diabetic ketoacidosis (DKA) and to evaluate their relationship with the severity of DKA.

Materials and Methods: A case-control study was conducted on 112 children with type 1 diabetes mellitus (T1DM), with and without DKA, who referred to Amirkola Children's Hospital, Iran, in 2016-2021. Of them, 43 were boys, and 69 were girls. The diagnosis of diabetes was based on clinical symptoms and diagnostic criteria, and DKA was diagnosed through the analysis of arterial blood gas. The patients’ MPV and PDW were also evaluated, and the P values less than 0.05 were considered significant.

Results: Out of 112 children with diabetes (with the mean age of 8.71 ± 3.22 years), 56 persons had DKA. In terms of DKA severity, 17 patients (30.4%) had mild, 29 (51.8%) had moderate, and 10 (17.8%) had severe DKA. The children with DKA had the mean blood glucose of 490.98±46.11mg/dL, MPV of 10.02± 1.19fl), and PDW of 13.07± 1.18flwere significantly higher (P<0.001). It was found that, an increase in the severity of DKA would raise the mean MPV (P = 0.006) and PDW(P<0.001) significantly.

Conclusion: Based on the results of this study, as the severity of DKA increases in diabetic children, the mean levels of MPV and PDW increase significantly. Therefore, it is suggested that MPV and PDW be used to predict the severity of DKA in diabetic children.