从2018年到2023年,对于患有2型糖尿病的儿童来说,糖尿病相关的住院治疗.
Candace D Gildner1, Matt Hall2, Nathaniel D Bayer1
1Division of Pediatric Hospital Medicine, Department of Pediatrics, University of Rochester and Golisano Children's Hospital, Rochester, New York.
Hospital pediatrics
|January 8, 2026
概括
在COVID-19后,青少年因2型糖尿病 (T2D) 住院的病例仍然很高,其中涉及糖尿病酸症 (DKA) 的病例比例更高. 这表明儿童T2D的医院资源使用增加.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生趋势 公共卫生趋势
- 糖尿病管理 糖尿病管理
背景情况:
- 在2020-2021年,因2型糖尿病 (T2D) 住院的青少年人数急剧增加.
- 在这种激增之后,儿童T2D住院的趋势以前是未知的.
研究的目的:
- 分析从2018年到2023年年轻人T2D住院的趋势.
- 确定与这些住院相关的并发症的频率.
主要方法:
- 利用来自40家儿童医院 (2018-2023) 的半年住院数据.
- 在1-20岁的患者中分析了T2D相关的诊断.
- 根据社会人口统计和相关疾病 (如高血压和精神健康诊断) 的分层数据.
主要成果:
- 在2023年,T2D住院病例比2018年高13.1%,但从2021年的峰值下降了43%.
- 糖尿病酸性脂肪酸症 (DKA) 在2023年增加到住院病例的31.8%.
- 在较小的儿童 (9岁以下) 和西班牙裔和非西班牙裔黑人青年中,住院病例增加.
结论:
- 在2023年,青少年的T2D住院病例仍然高于COVID-19前的水平.
- 增加DKA患病率意味着青少年发病的T2D的严重程度和医院资源利用率更高.
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