Hospital admission patterns subsequent to diagnosis of type 1 diabetes in children : a systematic review

Angus, Val; Waugh, Norman

doi:10.1186/1472-6963-7-199

Cited by 37 publications

(44 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although a higher hospital admission rate in pediatric subjects with T1D compared to that without T1D was also reported in other studies, the OR in our study population were considerably higher . A study from the German/Austrian DPV registry reported a 3‐fold higher admission rate ratio compared to the general pediatric population without T1D .…”

Section: Discussioncontrasting

confidence: 56%

Hospital admission in children and adolescents with or without type 1 diabetes from Germany: An analysis of statutory health insurance data on 12 million subjects

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 56%

Hospital admission in children and adolescents with or without type 1 diabetes from Germany: An analysis of statutory health insurance data on 12 million subjects

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The Hvidøre study found higher A1C in girls (7), but others studies did not (8,9). Adolescent girls have more ketoacidosis (10,11), but overall the sex difference is minimal. In 2006 more insulin was prescribed in proportion to children being heavier.…”

Section: Discussionmentioning

confidence: 98%

Glycemic Control in Children With Type 1 Diabetes in Wales

O'Hagan

Harvey

2010

Diabetes Care

View full text Add to dashboard Cite

OBJECTIVETo determine whether glycemic control is improving in diabetic children in Wales and to identify factors associated with improvement.RESEARCH DESIGN AND METHODSData were collected in 2001 and 2006.RESULTSOver time A1C was reduced from 9.08 ± 1.66 to 8.88 ± 1.63% (P = 0.012). There were differences among centers (P < 0.001) and differential changes over time (interaction P < 0.001). Since 2001 five centers had appointed a pediatric diabetes specialist nurse (PDSN). A1C improved in these centers from 9.59 ± 1.88 to 8.72 ± 1.61% (P < 0.001). Glycemic control was worse in children aged >10 years compared with younger patients (P < 0.001). Improvement occurred in those aged >10 years. Age (P = 0.003) and insulin dose (P < 0.001) were positively and independently associated with A1C. Thus, any influence of PDSNs was not achieved through increased insulin prescription.CONCLUSIONSImprovement in glycemic control has occurred. Worse control is associated with greater prescribed insulin dose in older children. Appointment of PDSNs was associated with improved glycemic control among adolescents.

show abstract

“…A systematic review of 32 publications on hospital admission patterns found that patients with type 1 diabetes are 3 times more likely to be hospitalized than nondiabetic populations 7. Although standards of diabetes care in youth have improved since the Diabetes Control and Complications Trial,4 rates of rehospitalization have not followed the same trend.…”

mentioning

confidence: 99%

Hospitalization Subsequent to Diagnosis in Young Patients With Diabetes in Chicago, Illinois

Estrada

Danielson²,

Drum

et al. 2009

Pediatrics

View full text Add to dashboard Cite

OBJECTIVES Rehospitalization after a diabetes diagnosis in youth signals the failure of outpatient management. We examined risk factors for rehospitalization among young patients with diabetes. PATIENTS AND METHODS We queried 535 participants diagnosed before 18 years of age from the Chicago Childhood Diabetes Registry. Demographic, social, and clinical data were used in logistic models of diabetes-related rehospitalization, as well as, among those rehospitalized, frequent (≥ once per 2 years’ duration) versus infrequent rehospitalization rates. RESULTS Mean (range) duration was 5.1 years (0.1–19.2 years). The sample was 55% non-Hispanic black, 11% non-Hispanic white, 26% Hispanic, and 7% other/mixed race; 86% had presumed type 1 diabetes; and 47% were underinsured. Overall, 46% reported rehospitalization for diabetes. In multivariable logistic regression, ever being rehospitalized was significantly associated with diabetes duration (per year, odds ratio [OR]: 1.26; P < .01), female gender (OR: 1.67; P = .01), underinsurance (versus private insurance; OR: 1.79; P < .01), presumed phenotype (non–type 1 diabetes versus type 1; OR: 0.32; P < .01), and diagnosis at a community hospital (versus tertiary care facility; OR: 1.96; P < .01) and tended to be higher for those of nonwhite race (OR: 1.94; P = .07). Among those rehospitalized, multivariable associations with frequent rehospitalization were presumed phenotype (non–type 1 diabetes versus type 1; OR: 2.74; P = .04), head of house hold not working (versus employed; OR: 1.88; P = .02), and younger age at questionnaire (per year; OR: 0.94; P = .01). CONCLUSIONS Rehospitalization is common in young patients with diabetes, especially for those with limited resources, indicating the need for improved outpatient services. Comprehensive initial education and support available to young patients with diabetes diagnosed at tertiary care facilities and their families may have lasting protective effects.

show abstract

Hospital admission patterns subsequent to diagnosis of type 1 diabetes in children : a systematic review

Cited by 37 publications

References 40 publications

Hospital admission in children and adolescents with or without type 1 diabetes from Germany: An analysis of statutory health insurance data on 12 million subjects

Hospital admission in children and adolescents with or without type 1 diabetes from Germany: An analysis of statutory health insurance data on 12 million subjects

Glycemic Control in Children With Type 1 Diabetes in Wales

Hospitalization Subsequent to Diagnosis in Young Patients With Diabetes in Chicago, Illinois

Contact Info

Product

Resources

About