Bohn, Barbara ORCID: 0000-0001-8363-943X, Schwandt, Anke, Ihle, Peter, Icks, Andrea, Rosenbauer, Joachim ORCID: 0000-0002-6086-2230, Karges, Beate and Holl, Reinhard W. (2018). Hospital admission in children and adolescents with or without type 1 diabetes from Germany: An analysis of statutory health insurance data on 12 million subjects. Pediatr. Diabetes, 19 (4). S. 721 - 727. HOBOKEN: WILEY. ISSN 1399-5448

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Abstract

Objective: To compare the chance of hospital admissions in children and adolescents with type 1 diabetes (T1D) to that without T1D from Germany. Methods: Data were provided by the German information system for health care data which contains information on all patients with a statutory health insurance. The years 2009 and 2011 were considered. Children and adolescents (0 to 19 years of age; n = 12030242) were included. Unadjusted odds ratios (ORs) with 95% confidence interval (95% CI) were used to compare the hospitalization rate for patients with (n = 26 444) or without T1D (12003798). T1D was identified by documented insulin treatment and by ICD-code E10/14. Results were stratified by age-group (0-5; >5-10; >10-15, >15-19 years) and gender. Results:In all age-groups, the hospitalization chance in patients with T1D was higher compared to that of their peers (database 2011). The highest OR was observed in >5 to 10-year-old patients (OR 8.1; 95% CI: 7.7-8.5), followed by patients >10 to 15 years (OR 7.4; 95% CI: 7.1-7.7) and patients 5years (OR 5.3; 95% CI: 4.8-5.7). The lowest OR was present in patients >15 to 19 years (OR 4.0; 95% CI: 3.9-4.2). Overall, OR for hospital admission were higher in girls with T1D compared to boys. The most frequent reasons for hospitalization in T1D were T1D without complications (68.4%) and T1D with ketoacidosis (18.6%). Conclusions: Children and adolescents with T1D in Germany had a 4 to 8 times higher hospitalization chance compared to children without T1D. The OR in T1D patients compared to peers were higher in girls than in boys. High rates of elective hospital admission in Germany may contribute to these results.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Bohn, BarbaraUNSPECIFIEDorcid.org/0000-0001-8363-943XUNSPECIFIED
Schwandt, AnkeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ihle, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Icks, AndreaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rosenbauer, JoachimUNSPECIFIEDorcid.org/0000-0002-6086-2230UNSPECIFIED
Karges, BeateUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Holl, Reinhard W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-185713
DOI: 10.1111/pedi.12621
Journal or Publication Title: Pediatr. Diabetes
Volume: 19
Number: 4
Page Range: S. 721 - 727
Date: 2018
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1399-5448
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SEVERE HYPOGLYCEMIA; PEDIATRIC-PATIENTS; YOUNG-PATIENTS; RECENT TRENDS; CARE; PREDICTORS; COSTS; KETOACIDOSIS; POPULATION; OUTPATIENTMultiple languages
Endocrinology & Metabolism; PediatricsMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/18571

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