دورية أكاديمية

Incidence of Type 1 Diabetes Mellitus and Characteristics of Diabetic Ketoacidosis in Children and Adolescents during the First Two Years of the COVID-19 Pandemic in Vojvodina.

التفاصيل البيبلوغرافية
العنوان: Incidence of Type 1 Diabetes Mellitus and Characteristics of Diabetic Ketoacidosis in Children and Adolescents during the First Two Years of the COVID-19 Pandemic in Vojvodina.
المؤلفون: Vorgučin, Ivana, Savin, Marijana, Stanković, Đurđina, Miljković, Dejan, Ilić, Tatjana, Simić, Danijela, Vrebalov, Mirjana, Milanović, Borko, Barišić, Nenad, Stojanović, Vesna, Vijatov-Đurić, Gordana, Koprivšek, Katarina, Vilotijević-Dautović, Gordana, Antić, Jelena
المصدر: Medicina (1010660X); Aug2022, Vol. 58 Issue 8, p1013-1013, 9p
مصطلحات موضوعية: TYPE 1 diabetes, DIABETIC acidosis, COVID-19 pandemic, COVID-19, TEENAGERS
مستخلص: Background and Objectives: The COVID-19 pandemic has led to significant changes globally, which has also affected patients with type 1 diabetes mellitus (T1DM). This study aimed to determine the incidence of T1DM and the characteristics of diabetic ketoacidosis (DKA) during the pandemic comparing it to pre-pandemic period. Materials and Methods: Data from patients <19 years with newly diagnosed T1DM between 1st January 2017 and 31st December 2021 from four regional centers in Vojvodina were retrospectively collected and analyzed. Results: In 2021, the highest incidence of T1DM in the last five years was recorded, 17.3/100,000. During the pandemic period (2020–2021), there were 99 new-onset T1DM, of which 42.4% presented in DKA, which is significantly higher than in the pre-pandemic period (34.1%). During the pandemic, symptom duration of T1DM lasted significantly longer than before the COVID-19 period. At the age of 10–14 years, the highest incidence of T1DM and COVID-19, the highest frequency rate of DKA, and severe DKA were observed. Conclusions: The pandemic is associated with a high incidence rate of T1DM, longer duration of symptoms of T1DM, a high frequency of DKA, and a severe DKA at diagnosis. Patients aged 10–14 years are a risk group for the occurrence of T1DM with severe clinical presentation. Additional studies are needed with a longer study period and in a wider geographical area, with data on exposure to COVID-19 infection, the permanence of new-onset T1DM, and the psychosocial impact of the pandemic. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:1010660X
DOI:10.3390/medicina58081013