2008年至2018年,澳大利亚维多利亚州的急诊室对儿科糖尿病相关的介绍
Kung-Ting Kao1,2,3, Shaoke Lei4, John A Cheek2,3,5
1Department of Endocrinology and Diabetes, The Royal Children's Hospital, Melbourne, Victoria, Australia.
Emergency medicine Australasia : EMA
|October 2, 2023
概括
潜在可预防的 (PP) 糖尿病并发症,如糖尿病酸性脂肪酸症 (DKA),仍然导致年轻人前往急诊室 (ED). 虽然整体ED呈现率下降,但农村青年和年幼儿童的发病率更高,需要进一步研究.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尽管治疗进展,急诊室 (ED) 对潜在可预防的 (PP) 儿科糖尿病并发症,包括糖尿病酸性糖尿病 (DKA) 的陈述仍然存在.
- 了解这些演示的趋势对于改善患有糖尿病的年轻人的护理至关重要.
研究的目的:
- 分析2008年至2018年间0-19岁年轻人糖尿病相关的ED表现和住院病例的特征,率和趋势.
- 确定与这些演示相关的人口和地理因素.
主要方法:
- 利用了维多利亚州紧急情况最低数据集和国家糖尿病登记册的数据.
- 使用ICD-10-AM代码定义了与糖尿病相关的ED表现,将新诊断的糖尿病归类为不可预防的,而其他糖尿病则归类为PP.
- 使用波桑回归来评估发病率和流行率的趋势.
主要成果:
- 与糖尿病相关的ED呈现率从每年患有糖尿病的100名年轻人中从38.4降至27.5 (2008-2018).
- 潜在可预防 (PP) 病例占所有病例的59%,其中DKA为57%,82%需要住院治疗.
- 女性,幼儿 (0-4岁) 和农村青年的ED发病率较高. 农村地区的DKA呈现率比大都市地区高68%.
结论:
- 尽管糖尿病相关的急救诊所总数下降,但PP病例和住院病例仍然是一个重大问题.
- 农村年轻人中较高的DKA率需要进一步的患者层面调查,以了解潜在的原因.
- 可能需要有针对性的干预措施来解决儿童糖尿病护理方面的差异,特别是在农村和年轻人群中.
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