| Autor: |
Prathivadi Bhayankaram, N, Nayak, UA, Varughese, G, Raffeeq, P |
| Zdroj: |
Archives of Disease in Childhood; 2018, Vol. 103 Issue: Supplement 1 pA94-A94, 1p |
| Abstrakt: |
AimsTo explore any glycaemia changes from paediatric to young adult transition; non-attendances to young adult clinics and impact on diabetes related admissions.MethodsData on adolescents with diabetes who went into young adult service from January to December 2016 was reviewed. HbA1cat the last paediatric clinic (PC), transition clinic (TC) and first young adult clinic (YAC) appointments were collected. Comparison between group means was done by ANOVA and paired t-test; the differences between frequencies/proportions by chi-square test and for statistical significance P value of<0.05 was used.ResultsDemographics of the cohort (n=23): males 43%; Caucasian 100%. Age when diabetes diagnosed 8.0±4.5 years (mean ±sd). Age at last PC and the first YAC: 17±0.3 and 18.1±0.4 years respectively. HbA1cat PC correlated significantly with the HbA1cin the YAC (r=0.78, r2=0.61; p=0.001). HbA1cwas higher at YAC compared to that at the last PC visit (88.4 vs. 79.4 mmol/mol; p=0.001) but not significantly different to that in TC.Non-attendance rate in YAC was 56.5% and diabetes related admission (DKA, Hypoglycaemia) occurred in 30.4%. HbA1cat YAC was significantly higher in those hospitalised (113 vs. 76 mmol/mol; p=0.007). Comparing those with non-attendances vs. those who attended the YAC their HbA1c 99.8 vs. 78.4 mmol/mol (p=0.13). There were no differences in the age, age diagnosed diabetes and BMI in those with or without admissions for diabetes and those with DNA compared to non-attendances. Non-attendances to the YAC had higher rates of admission (38.5% vs. 28.6%).DiscussionNon-attendance to young adult clinics is associated with higher rates of hospitalisations for diabetes related complications and possibly associated poor glycaemia. In the transition from paediatrics to young adult diabetes services and change in responsibility from parents to child, patients may struggle to deal with compliance and service attendance. |
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