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Diabetes-Related Hospitalizations From 2018-2023 for Children With Type 2 Diabetes.

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Hospitalizations for type 2 diabetes (T2D) in youth remain elevated post-COVID-19, with a higher percentage of cases involving diabetic ketoacidosis (DKA). This indicates increased hospital resource use for pediatric T2D.

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Area of Science:

  • Pediatric Endocrinology
  • Public Health Trends
  • Diabetes Management

Background:

  • Youth hospitalizations for type 2 diabetes (T2D) surged in 2020-2021.
  • The trend in pediatric T2D hospitalizations after this surge was previously unknown.

Purpose of the Study:

  • To analyze trends in T2D hospitalizations among youth from 2018 to 2023.
  • To determine the frequency of comorbidities associated with these hospitalizations.

Main Methods:

  • Utilized semiannual hospitalization data from 40 children's hospitals (2018-2023).
  • Analyzed T2D-related diagnoses in patients aged 1-20 years.
  • Stratified data by sociodemographics and comorbidities like hypertension and mental health diagnoses.

Main Results:

  • In 2023, T2D hospitalizations were 13.1% higher than in 2018 but decreased 43% from the 2021 peak.
  • Diabetic ketoacidosis (DKA) rose to 31.8% of hospitalizations in 2023.
  • Hospitalizations increased in younger children (under 9 years) and among Hispanic and non-Hispanic Black youth.

Conclusions:

  • T2D hospitalizations in youth remained above pre-COVID-19 levels in 2023.
  • Increased DKA prevalence signifies greater severity and hospital resource utilization for youth-onset T2D.