التفاصيل البيبلوغرافية
| العنوان: |
Has COVID-19 Delayed the Diagnosis and Worsened the Presentation of Type 1 Diabetes in Children? |
| المؤلفون: |
Rabbone, Ivana, Schiaffini, Riccardo, Cherubini, Valentino, Maffeis, Claudio, Scaramuzza, Andrea, Bertelli, Enrica, Ferlito, Lucia, Bobbio, Adriana, Schieven, Eleonardo, Delvecchio, Maurizio, Maltoni, Giulio, Reinstadler, Petra, Felappi, Barbara, Gallo, Francesco, Ripoli, Carlo, Pascarella, Filomena, Stamati, Filomena A., Lo Presti, Donatella, Citriniti, Felice, Tumini, Stefano |
| المصدر: |
Diabetes Care; Nov2020, Vol. 43 Issue 11, p2870-2872, 3p |
| مصطلحات موضوعية: |
TYPE 1 diabetes, DIABETES in children, COVID-19, COVID-19 pandemic, DIABETES complications, VIRAL pneumonia, DELAYED diagnosis, CLINICAL pathology, HOSPITAL emergency services, CROSS-sectional method, EPIDEMICS, DIABETIC acidosis |
| مصطلحات جغرافية: |
ITALY |
| مستخلص: |
Objective: To evaluate whether the diagnosis of pediatric type 1 diabetes or its acute complications changed during the early phase of the coronavirus disease 2019 (COVID-19) pandemic in Italy.Research Design and Methods: This was a cross-sectional, web-based survey of all Italian pediatric diabetes centers to collect diabetes, diabetic ketoacidosis (DKA), and COVID-19 data in patients presenting with new-onset or established type 1 diabetes between 20 February and 14 April in 2019 and 2020.Results: Fifty-three of 68 centers (77.9%) responded. There was a 23% reduction in new diabetes cases in 2020 compared with 2019. Among those newly diagnosed patients who presented in a state of DKA, the proportion with severe DKA was 44.3% in 2020 vs. 36.1% in 2019 (P = 0.03). There were no differences in acute complications. Eight patients with asymptomatic or mild COVID-19 had laboratory-confirmed severe acute respiratory syndrome coronavirus 2.Conclusions: The COVID-19 pandemic might have altered diabetes presentation and DKA severity. Preparing for any "second wave" requires strategies to educate and reassure parents about timely emergency department attendance for non-COVID-19 symptoms. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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