Missing during COVID‐19 lockdown: Children with onset of type 1 diabetes

Dayal, Devi; Gupta, Sachin; Raithatha, Dhvani; Jayashree, Muralidharan

doi:10.1111/apa.15443

Cited by 50 publications

(55 citation statements)

References 7 publications

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“…Furthermore, there is ample international evidence that point to adverse consequences due to care avoidance. For example, although Dayal et al reported a 75% reduction in the number of new diabetes cases during lockdown, the authors described three patients who have been diagnosed during lockdown and suffered from severe diabetic keto-acidosis, in which parents declared they delayed seeking care due to COVID-19 circumstances [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of lockdown on pediatric ED visits and hospital admissions during the COVID19 pandemic: a multicenter analysis and review of the literature

et al. 2021

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The coronavirus disease 2019 pandemic has enormous impact on society and healthcare. Countries imposed lockdowns, which were followed by a reduction in care utilization. The aims of this study were to quantify the effects of lockdown on pediatric care in the Netherlands, to elucidate the cause of the observed reduction in pediatric emergency department (ED) visits and hospital admissions, and to summarize the literature regarding the effects of lockdown on pediatric care worldwide. ED visits and hospital admission data of 8 general hospitals in the Netherlands between January 2016 and June 2020 were summarized per diagnosis group (communicable infections, noncommunicable infections, (probable) infection-related, and noninfectious). The effects of lockdown were quantified with a linear mixed effects model. A literature review regarding the effect of lockdowns on pediatric clinical care was performed. In total, 126,198 ED visits and 47,648 admissions were registered in the study period. The estimated reduction in general pediatric care was 59% and 56% for ED visits and admissions, respectively. The largest reduction was observed for communicable infections (ED visits: 76%; admissions: 77%), whereas the reduction in noninfectious diagnoses was smaller (ED visits 36%; admissions: 37%). Similar reductions were reported worldwide, with decreases of 30–89% for ED visits and 19–73% for admissions.Conclusion: Pediatric ED utilization and hospitalization during lockdown were decreased in the Netherlands and other countries, which can largely be attributed to a decrease in communicable infectious diseases. Care utilization for other conditions was decreased as well, which may indicate that care avoidance during a pandemic is significant. What is Known:• The COVID-19 pandemic had enormous impact on society.• Countries imposed lockdowns to curb transmission rates, which were followed by a reduction in care utilization worldwide. What is New:• The Dutch lockdown caused a significant decrease in pediatric ED utilization and hospitalization, especially in ED visits and hospital admissions because of infections that were not caused by SARS-CoV-2.• Care utilization for noninfectious diagnoses was decreased as well, which may indicate that pediatric care avoidance during a pandemic is significant.

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Section: Discussionmentioning

confidence: 99%

The impact of lockdown on pediatric ED visits and hospital admissions during the COVID19 pandemic: a multicenter analysis and review of the literature

et al. 2021

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“…Recent work has revealed that healthcare professionals have been observing an increased incidence of diabetic ketoacidosis in youth [1] , [2] , [3] , possibly attributed to parents avoiding hospital visits due to the concern of potential infection with COVID-19 [3] . Similarly, for individuals living with diabetes, the COVID-19 pandemic is correlated with increased variability in glycemic control and a reduction in physical activity [4] , which may be a result of stay-at-home recommendations.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of telephone and virtual visits for routine pediatric diabetes care during the COVID-19 pandemic

Fung¹,

Irvine²,

Ayub³

et al. 2020

Journal of Clinical & Translational Endocrinology

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Highlights: The COVID-19 pandemic abruptly changed the delivery of pediatric diabetes care. Our clinic has since provided all routine care by telephone and virtual technology. Telephone and virtual visits have impressive usability in this setting. Families want telephone and virtual care to play a significant role in their future.

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“…The Canadian Federation of Independent Business recently estimated that 12% of small and medium-sized BC businesses are at risk of closure (Gaudreault, 2020; McCusker and Tindale, 2020), but estimates of the effect of these possible closures on provincial GDP is not yet known. Second, with hospitals stretched to accommodate COVID-19 patients, and with fear of contracting COVID-19 limiting movement, treatment of non-COVID illnesses can be severely delayed (Dayal et al, 2020; Lazzerini et al, 2020). Thus there will be excess deaths from other causes, and costs associated with suffering due to untreated conditions (Dayal et al, 2020; Solis et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Second, with hospitals stretched to accommodate COVID-19 patients, and with fear of contracting COVID-19 limiting movement, treatment of non-COVID illnesses can be severely delayed (Dayal et al, 2020; Lazzerini et al, 2020). Thus there will be excess deaths from other causes, and costs associated with suffering due to untreated conditions (Dayal et al, 2020; Solis et al, 2020). Finally, mental health, in general, is known to suffer during community disasters (Lowe et al, 2019; North and Pfefferbaum, 2013), including pandemics.…”

Section: Discussionmentioning

confidence: 99%

Optimal shutdown strategies for COVID-19 with economic and mortality costs: BC as a case study

Barlow

Marshall

Tyson

2020

Preprint

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Decision makers with the responsibility of managing policy for the COVID-19 epidemic have faced difficult choices in balancing the competing claims of saving lives and the high economic cost of shutdowns. In this paper we formulate a model with both epidemiological and economic content to assist this decision making process. We consider two ways to handle the balance between economic costs and deaths. First, we use the statistical value of life, which in Canada is about C$7 million, to optimise over a single variable, which is the sum of the economic cost and the value of lives lost. Our second method is to calculate the Pareto optimal front when we look at the two variables – deaths and economic costs.In both cases we find that, for most parameter values, the optimal policy is to adopt an initial shutdown level which reduces the reproduction number of the epidemic to close to 1. This level is then reduced once a vaccination program is underway. Our model also indicates that an oscillating policy of strict and mild shutdowns is less effective than a policy which maintains a moderate shutdown level.

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Missing during COVID‐19 lockdown: Children with onset of type 1 diabetes

Cited by 50 publications

References 7 publications

The impact of lockdown on pediatric ED visits and hospital admissions during the COVID19 pandemic: a multicenter analysis and review of the literature

The impact of lockdown on pediatric ED visits and hospital admissions during the COVID19 pandemic: a multicenter analysis and review of the literature

Evaluation of telephone and virtual visits for routine pediatric diabetes care during the COVID-19 pandemic

Optimal shutdown strategies for COVID-19 with economic and mortality costs: BC as a case study

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