Pediatric diabetes mellitus hospitalizations and COVID-19 pandemic response measures
Authors' conclusion
The incidence of T1DM hospitalizations did not increase during the pandemic; however, they tripled for T2DM patients. All new onset DM pediatric patients during the pandemic were more likely to present in DKA. Patients admitted with new onset T2DM were socioeconomically more vulnerable. For T1DM, the peak of local pediatric diabetes admissions in 2020 occurred slightly later coinciding with the reopening of primary care physicians (PCP) offices and schools.
Study context
- Population
- Pediatric T1D and T2D hospital admissions, patients <20 years, January 2019–December 2021, United States854 T1D and 135 T2D admissions
- Exposure
- 2019 vs 2020 vs 2021
- Outcome
- Hospital admission rates for pediatric T1D and T2D
- Follow-up
- 2019-2021
Methodological detailsretrospective chart review
- Retrospective chart review
Main finding
As reported in the abstract
2019 (Pre-pandemic)
18
events
2020 (Pandemic, Pre-vaccine)
55
events
2021 (Pandemic, Post-vaccine)
62
events
Observational data: associations, not effects.
Further findings
| Outcome | Difference (95 % CI) |
|---|---|
| DKA at presentation, new-onset T1D2020 (Pandemic, Pre-vaccine) vs 2019 (Pre-pandemic) · higher in 2020; 72/139 vs. 52/143 | 15.4 % (4 %-26.9 %) |
| DKA at presentation, T2D2020 (Pandemic, Pre-vaccine) vs 2019 (Pre-pandemic) · higher in 2020; 9/40 vs. 0/14 | 22.5 % (9.6 %-35.4 %) |
Correlates of increased new-onset T2D
- Younger age
- P = 0.046
- Higher area deprivation index (ADI) score
- P = 0.017
- Body mass index (BMI): no correlation
Original publication
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