Children With Diabetes Face Higher Risks Of Hospitalization Says New Study

Children suffering from type 1diabetes are nearly five times most likely to be hospitalized for any reason than other non-diabetic children, according to a study in Wales.

The results from the research suggest that preschoolers and young children with low socioeconomic status are most at high risk, and also identified connections between higher admittance levels and being cured at smaller centers.

Analysts broke down the reasons of inpatient admissions among 1,577 Welsh children (aged between 0 and 15 years) identified with type 1 diabetes somewhere around 1999 to 2009 in the Brecon territory.

Around 20 percent of the children had been diagnosed with type 1 diabetes before the age of five and 40 percent after the age of ten. Their hospital records up to May 2012 were compared with those of 7,800 children, who were randomly selected from the Patient Episode Database for Wales (PEDW) with matching birthday, gender and residential area.

Available online in the journal BMJ Open, the outcomes showed that children diagnosed with type 1 diabetes were almost five times as expected to be in an inpatient hospital setting for any cause as their peer groups. Preschoolers were at highest risk of admission. Over the age of five, the risk was cut down by more than 15 percent for every five year increase in age at diagnosis.

Consistent with the conclusions of a previous research in the US, children from poorer backgrounds were believed to be at higher danger of hospitalization, as much as kids receiving outpatient treatment for their sickness in a minor treatment facility. They noted that further research into understanding the reason for higher admission rates in smaller centers is clearly significant.

Diabetes mellitus type 1 is a form of diabetes that results from the autoimmune destruction of the insulin-producing beta cells in the pancreas. The subsequent lack of insulin leads to increased urine and blood glucose. The classical symptoms are increased thirst, frequent urination, weight loss, and increased hunger. Complications of poorly managed type 1 diabetes mellitus may include diabetic retinopathy, cardiovascular disease, and diabetic neuropathy, among others.

"It is unsurprising that complications of suboptimal management, such as hypoglycaemia [low blood sugar] and ketoacidosis [excess sugar and acid in the blood] will lead to hospitalization in children with type I diabetes," research leads Adrian Sayers from the University of Bristol and Professor John W. Gregory from Cardiff University, said. "This is an area of great clinical importance as patients admitted to hospital with diabetes aged under 30 years have a death rate nine times that of the general population."

Photo: John Barrie | Flickr

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