Childhood onset type 1 diabetes at a tertiary hospital in south-western Iran during 2000-2015: Rapid increase in admissions and high prevalence of DKA at diagnosis
| Autor: | Majid Aminzadeh, Najmeh Navidi, Seyyed Mohammad Hassan Aletayeb, Ehsan Valavi |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Time Factors Diabetic ketoacidosis Adolescent Endocrinology Diabetes and Metabolism Prevalence Developing country 030209 endocrinology & metabolism Iran Diabetic Ketoacidosis Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Patient Admission Diabetes mellitus Internal Medicine medicine Humans 030212 general & internal medicine Age of Onset Child Retrospective Studies Type 1 diabetes Nutrition and Dietetics High prevalence business.industry Incidence (epidemiology) Mortality rate Incidence medicine.disease Hospitals Pediatric Diabetes Mellitus Type 1 Child Preschool Female Family Practice business |
| Zdroj: | Primary care diabetes. 13(1) |
| ISSN: | 1878-0210 |
| Popis: | Incidence of type 1 diabetes mellitus (T1DM) is increasing worldwide. We aimed to study trends in presentation and incidence of childhood diabetes in the last 15years in south-western Iran.During a detailed review of compiled records of the main tertiary children's hospital of southwest of Iran, from January 2000 to December 2009, the following clinical information relevant to diabetes were analysed: admissions, demographic data, clinical and laboratory findings, hospital course, and mortality. Study continued 5years more to find out the real rate of increase. Significant findings with respect to the incidence of DKA, gender and age of subjects were summarized from among these cases. A total of 297 (known and new) cases were enrolled in the 1st (10year) stage of study and 691 new subjects in the 2nd (5year) period to check the trend in the whole 15year study period.In the 1st period; excluding 129 repeated admissions, 297 cases were enrolled for analysis: 223 new and 74 known cases. Among the new cases, 67.3% presented with DKA, without any gender bias. Mortality rate in DKA subjects was 4% with higher risk in the2year group and in girls (boy: girl=1:7; p=0.039). Adding the 2nd study period (total 15years) disclosed a rapid rise of incidence (new cases/5year) as 89, 134 and 691 new diabetes cases for the 1st, 2nd and 3rd 5year period of study respectively. The final annual incidence for15year age group in 2015 was 13.35/100000.The most new cases of T1DM presented with DKA, which is similar to the other developing countries. Such an increasing incidence of DM proposes more attention for periodic retraining of families and health staff to earlier diagnosis and management of new subjects, and to reduce morbidity and mortality rates. |
| Databáze: | OpenAIRE |
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