COVID-19大流行对发展中国家新诊断1型糖尿病儿童的表现和转诊模式的影响

Abeer Alassaf, L. Gharaibeh, S. Ibrahim, Amirah Daher, Ayah Irsheid, J. Albaramki, R. Odeh
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引用次数: 6

摘要

摘要目的2019冠状病毒病(COVID-19)在全球范围内的传播对包括慢性疾病患者在内的全球患者产生了巨大影响。我们的目的是研究COVID-19大流行对约旦1型糖尿病(T1D)患者表现模式的影响,约旦是一个资源有限的发展中国家。方法回顾性分析约旦大学医院大流行第一年及前一年新发T1D患者的病历。分类数据比较采用皮尔逊卡方检验和Fisher精确检验。连续数据采用独立样本t检验进行比较。结果研究期间共有137名儿童确诊为T1D,其中60.6%的儿童在大流行前一年确诊,39.4%的儿童在大流行第一年确诊,p值=0.013。在大流行前一年确诊为DKA的患者中,首次出现T1D的比例为34.9%,而在大流行年为51.9%,p值=0.049。DKA患儿与非DKA患儿的家庭月收入(p值=0.006)和父亲受教育程度(p值=0.036)在大流行前一年存在显著差异,但在大流行年无显著差异。结论新型冠状病毒肺炎大流行影响了新诊断T1D患者的发病模式,表现为与前一年相比,确诊T1D患儿数量减少,首发DKA比例增加。卫生保健服务应为未来可能出现的浪潮和其他流行病做好最大准备。
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Effect of COVID-19 pandemic on presentation and referral patterns of newly diagnosed children with type 1 diabetes in a developing country
Abstract Objectives The global spread of coronavirus disease 2019 (COVID-19), had a great impact on patients worldwide, including those with chronic diseases. We aim to study the effect of COVID-19 pandemic on presentation patterns of patients with type 1 diabetes (T1D) in Jordan, as an example a developing country with limited resources. Methods Medical charts were reviewed for patients presented with new-onset T1D to Jordan University hospital during the first year of pandemic and the preceding year. Categorical data were compared using Pearson Chi-Square and Fisher’s exact test. Continuous data were compared using the Independent Sample t-Test. Results A total of 137 children were diagnosed with T1D during the study period, with 60.6% of those children were diagnosed in the pre-pandemic year compared to 39.4% during the first year of pandemic, p-value=0.013. Percentage of patients diagnosed with DKA as first presentation of T1D during the pre-pandemic year was 34.9% compared to 51.9% during the pandemic year, p-value=0.049. Significant differences in family monthly income (p-value=0.006) and paternal education level (p-value=0.036) were found between children with DKA and those without DKA in the pre-pandemic year, but they were not significant during the pandemic year. Conclusions The unprecedented COVID-19 pandemic had affected presentation pattern of newly diagnosed T1D patients, manifested by lower number of children diagnosed with T1D and higher percentage of DKA as first presentation compared to the preceding year. Health care services should be at utmost preparedness for possible future waves and other pandemics.
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