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Trends in hospitalizations among children with type 1 diabetes in Spain, 2001-2009
Ana López-de-Andrés1, Rodrigo Jiménez-García, Valentin Hernández-Barrera
1Unidad de Docencia e Investigacion en Medicina Preventiva y Salud Publica, Madrid, Espana. ana.lopez@urjc.es
Insights
Hospitalizations for type 1 diabetes in young children (0-4 years) in Spain increased from 2001-2009. However, overall discharge rates for children aged 0-14 years remained stable, suggesting effective outpatient management for older children.
Area of Science:
- Pediatrics
- Endocrinology
- Public Health
Background:
- Type 1 diabetes incidence is rising globally.
- Understanding hospitalization trends is crucial for resource allocation and public health strategies.
- Spain's national hospital discharge data provides a valuable resource for epidemiological studies.
Purpose of the Study:
- To analyze trends in hospital discharges for pediatric type 1 diabetes in Spain between 2001 and 2009.
- To identify specific age groups within the 0-14 years demographic experiencing changes in hospitalization rates.
- To correlate hospitalization trends with the overall incidence of type 1 diabetes in Spain.
Main Methods:
- Utilized national hospital discharge data from Spain.
- Identified all discharges with a type 1 diabetes diagnosis.
- Analyzed discharge incidence rates per 100,000 inhabitants for children aged 0-14 years.
Main Results:
- A total of 22,955 hospital discharges for type 1 diabetes were recorded.
- Overall discharge incidence per year slightly increased from 39.6 to 40.02 per 100,000 inhabitants.
- Hospital discharge rates for children aged 0-14 years showed no significant change, but a significant increase was observed in the 0-4 years group (IRR 1.031).
Conclusions:
- Hospitalization trends for type 1 diabetes in children aged 0-4 years in Spain have increased.
- This increase aligns with the rising incidence of type 1 diabetes in the Spanish pediatric population.
- Stable hospitalization rates in older children (10-14 years) may reflect successful outpatient management strategies.
Aim:
To examine the trends in the incidence of hospital discharges among children between 0 and 14 years with type 1 diabetes in Spain (2001-2009).
Methods:
We identified all hospital discharges with a diagnosis of type 1 diabetes, using national hospital discharge data.
Results:
A total of 22,955 type 1 diabetes discharges to Spanish hospitals were recorded. The discharge incidence per year increased from 39.6 in 2001 to 40.02 per 100,000 inhabitants in 2009. There was no significant change in hospital discharge rates for children 0-14 years old. In the 0-4 years group, the incidence increased significantly over the study period (incidence rate ratio, 1.031; 95% confidence interval, 1.017-1.045).
Conclusion:
Hospitalization trends in children 0-4 years old with type 1 diabetes has increased over the study period, consistent with an increase in the incidence of diabetes in Spain. The stable rate for those aged 10-14 years may indicate that the control of these patients in specialized outpatient settings is preventing the expected increase in hospitalizations.
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