Type 1 diabetes

Reasons for hospitalisation in youth with type 1 diabetes, 2010–2019

Diabet MedPublished Population-based cohort study

Authors' conclusion

Youth with type 1 diabetes are susceptible to a wide range of complications. Clinicians should consider screening and prevention for conditions such as infections and mental health disorders. Targeted support and education around glycaemic management should be considered in those at high risk for ketoacidosis admission including those living in areas of high socio-economic disadvantage.

Study context

Population
Australians aged under 20 years with T1D on the National Diabetes Services Scheme, linked to hospital admission data 2010–2019
Participants
45,685 participants
Exposure
Youth with T1D vs general population
  • T1Dn = 21,898
Outcome
Incidence of hospitalisation for all diagnoses
Methodological detailsdata linkage, Poisson regression
  • Data linkage
  • Poisson regression

Main finding

As reported in the abstract

Hospitalisation by reason, T1D vs general population (2010-2017)
T1D vs General populationRelative risk (95% CI)
Anogenital herpesviral infections
54.83(33.21–90.53)
Personality disorders
9.70(8.02–11.72)

Observational data: associations, not effects.

Further findings

Hospitalisations among T1D directly related to diabetes

Hospitalisations directly related to diabetes
over 60%
Of these, for ketoacidosis
almost half

Ketoacidosis admissions and readmissions

Ketoacidosis admissions within 3 months of diabetes diagnosis
≈15%
Readmitted for ketoacidosis within 12 months
One quarter
Residence in areas of high socio-economic disadvantage was an independent risk factor for admission and readmission for ketoacidosis

Original publication

Reasons for hospitalisation in youth with type 1 diabetes, 2010–2019. Diabet Med. Published 11 September 2023. doi:10.1111/dme.15218

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