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The Impact of COVID-19 Pandemic on Prevalence of Diabetic Ketoacidosis at Diagnosis of Type 1 Diabetes: A Single-Centre Study in Central Pennsylvania.
- Source :
-
Endocrinology, diabetes & metabolism [Endocrinol Diabetes Metab] 2021 Feb 17; Vol. 4 (3), pp. e00235. Date of Electronic Publication: 2021 Feb 17 (Print Publication: 2021). - Publication Year :
- 2021
-
Abstract
- Objective: We conducted this study to investigate whether the COVID-19 pandemic impacted the rate of DKA and previously identified risk factors in children presenting with T1D.<br />Methods: We performed an extension of a retrospective analysis of all paediatric patients (age ≤ 18) newly diagnosed with T1D within a tertiary care referral centre between 01/01/2017 and 09/14/2020. Demographics, insurance coverage and clinical documents 30 days before their T1D diagnosis were abstracted to assess for symptoms at diagnosis, laboratory values (blood glucose, HbA <subscript>1c</subscript> , venous pH and bicarbonate) and any healthcare encounters within 30 days of their diagnosis of T1D.<br />Results: 412 patients with T1D [171 F:241 M; 370 pre-COVID era:42 post-COVID era] were included. The percentages of DKA diagnoses at admission were very similar between the pre-COVID and post-COVID groups (47% vs. 48%), as were the severity (13% vs. 14% mild DKA; 33% vs. 31% moderate or severe DKA).<br />Conclusion: There were no fluctuations in the rate of DKA among paediatric patients newly diagnosed with T1D throughout the coronavirus pandemic in central Pennsylvania.<br />Competing Interests: No authors report a conflict of interest.<br /> (© 2021 The Authors. Endocrinology, Diabetes & Metabolism published by John Wiley & Sons Ltd.)
Details
- Language :
- English
- ISSN :
- 2398-9238
- Volume :
- 4
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Endocrinology, diabetes & metabolism
- Publication Type :
- Academic Journal
- Accession number :
- 34268453
- Full Text :
- https://doi.org/10.1002/edm2.235