Socioeconomic Deprivation, Household Education, and Employment are Associated With Increased Hospital Admissions and Poor Glycemic Control in Children With Type 1 Diabetes Mellitus

Apperley, Louise; Ng, Sze May

doi:10.1900/rds.2017.14.295

Cited by 16 publications

(17 citation statements)

References 19 publications

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“…Another explanation could be the higher proportion of families with low socioeconomic status in the eastern part of the country [30]; a recent study showed that children and adolescents from families with low soci-oeconomic status in Germany are hospitalized more frequently and longer than other children [31]. Moreover, there is some evidence that a higher regional deprivation in the eastern part of Germany leads to worse diabetes outcomes, and also to increased hospital admissions [10,32].…”

Section: Discussionmentioning

confidence: 99%

Hospitalization in Pediatric Diabetes: A Nationwide Analysis of all Admission Causes for Germany in 2015

Auzanneau

Rosenbauer

Icks

et al. 2019

Exp Clin Endocrinol Diabetes

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Introduction Regarding pediatric diabetes, hospital admission for acute complications of type 1 diabetes (T1D) has often been investigated, but little is known about other causes of hospitalization. This study aimed to explore the total burden of hospitalization in individuals with diabetes<20 years of age in Germany. Methods Using the German Diagnosis-Related Groups data for 2015, we examined the frequencies of hospitalization with diabetes (20 251 inpatient cases), stratified by diabetes type [T1D, type 2 diabetes (T2D), other specified diabetes types (T3D), and unclear diabetes], and without diabetes (1 269 631 inpatient cases). Using estimates of the population at risk with T1D, T2D, and without diabetes, we evaluated hospitalization rates (per patient-year) by Poisson regression. For T1D, T2D, and T3D, we investigated the most frequent diagnoses and the median length of stay. Most analyses were stratified by sex, age-group and east/west residence. Results Children and adolescents with diabetes had a 6 to 9 times higher hospitalization risk than peers without diabetes (hospitalization rate 0.09). The hospitalization rate was higher for T2D compared with T1D (0.84 vs. 0.53, P<0.001). In T2D, two-third of inpatient cases were not directly related to diabetes, and stay was shorter compared with T1D and T3D (3 vs. 4 and 5 days, respectively). In T1D, hospitalization was more frequent among girls than boys (0.58 vs. 0.49, P<0.001), and mostly due to “diabetes without complications” (65.7%). Hospitalization tended to be more frequent and longer in the youngest patients, and in those with east residence. Conclusion Hospitalization rate in pediatric diabetes in Germany remained high, especially for T2D patients, girls with T1D, and young children.

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Section: Discussionmentioning

confidence: 99%

Hospitalization in Pediatric Diabetes: A Nationwide Analysis of all Admission Causes for Germany in 2015

Auzanneau

Rosenbauer

Icks

et al. 2019

Exp Clin Endocrinol Diabetes

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“…8 Social deprivation is a significant factor that affects glycaemic control, with poorer HbA 1c levels seen in those from more deprived areas. 9 Our results showed that children who were less likely to download their data were from more deprived areas with poorer income. This has implications for the resources, education and support that healthcare professionals should provide for the management of type 1 diabetes and the use of technology required for routine downloading of blood glucose data.…”

Section: T a B L E 1 Difference In Variables Between Routine And Non-mentioning

confidence: 60%

“…Social deprivation is a significant factor that affects glycaemic control, with poorer HbA 1c levels seen in those from more deprived areas 9 . Our results showed that children who were less likely to download their data were from more deprived areas with poorer income.…”

Section: Variable Routine Downloader (N = 33) Non Downloader (N = 65)mentioning

confidence: 67%

Social deprivation affects the practice of routinely downloading blood glucose data at home for families and children with type 1 diabetes

et al. 2020

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“…All paediatric inpatient and outpatient work is mainly based at Ormskirk District General Hospital. In terms of population health, Southport and Ormskirk, like many other parts of the UK, has seen a steady rise in younger children diagnosed with type 1 diabetes …”

Section: Southport and Ormskirk Hospital Nhs Trustmentioning

confidence: 99%

Technology, telemedicine and social media are tools to improve health outcomes, education and patient engagement in a paediatric diabetes service

2018

Practical Diabetes

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Few centres in the UK within adult and paediatric diabetes units adopt digital technology, telemedicine or social media within their services. Perhaps this is due to both lack of investments and to some extent clinical leadership to champion and drive change. The 2018 Mary MacKinnon Diabetes UK lecture is aimed at showing how health outcomes, education and patient engagement can be significantly improved using novel digital and technology strategies as effective means of driving change and delivering good quality of care within a paediatric diabetes service. Copyright © 2018 John Wiley & Sons.

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Socioeconomic Deprivation, Household Education, and Employment are Associated With Increased Hospital Admissions and Poor Glycemic Control in Children With Type 1 Diabetes Mellitus

Abstract: Early intervention and education from primary care and specialist diabetes teams within the community in deprived areas may be effective in reducing hospital admissions for diabetes-related problems and improving glycemic control.

Cited by 16 publications

References 19 publications

Hospitalization in Pediatric Diabetes: A Nationwide Analysis of all Admission Causes for Germany in 2015

Hospitalization in Pediatric Diabetes: A Nationwide Analysis of all Admission Causes for Germany in 2015

Social deprivation affects the practice of routinely downloading blood glucose data at home for families and children with type 1 diabetes

Technology, telemedicine and social media are tools to improve health outcomes, education and patient engagement in a paediatric diabetes service

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