Association of Diabetic Ketoacidosis in Childhood New-Onset Type 1 Diabetes With Day of Presentation in Germany
Authors' conclusion
New-onset T1D and DKA in children are more often diagnosed during weekdays than weekends and holidays.
Study context
- Population
- Children with new-onset T1D, German Prospective Diabetes Registry, last 10 years
- Participants
- 30,717 children
- Exposure
- Weekends, public holidays and school vacations vs workdays
- Outcome
- Odds of T1D diagnosis and of diabetic ketoacidosis (DKA) by day of presentation
Methodological detailsGerman Prospective Diabetes Registry, 10 years
- German Prospective Diabetes Registry
- 10 years
Main finding
As reported in the abstract
T1D diagnosis
Each group vs workdaysOdds ratio (95% CI)
Weekends
0.39(0.38–0.41)
Public holidays
0.57(0.53–0.63)
School vacations
0.83(0.80–0.85)
Observational data: associations, not effects.
Further findings
| Outcome | OR (CI) | |
|---|---|---|
| Odds of DKA diagnosisWeekendsvs Workdays | 0.55 (0.52–0.59) | |
| Odds of DKA diagnosisPublic holidaysvs Workdays | 0.73 (0.63–0.84) | |
| Odds of DKA diagnosisSchool vacationsvs Workdays | 0.85 (0.80–0.90) | |
| 0.512Odds ratio (log scale) |
Results during the coronavirus pandemic
- Results did not change during the coronavirus pandemic
Original publication
Association of Diabetic Ketoacidosis in Childhood New-Onset Type 1 Diabetes With Day of Presentation in Germany. Diabetes Care. Published 21 December 2023. doi:10.
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