Auzanneau Marie, Bohn Barbara, Schiel Ralf, Stachow Rainer, Koch Sibylle, Hermann Thomas, Holl Reinhard W
Institute of Epidemiology and Medical Biometry, ZIBMT, University of Ulm, Ulm, Germany.
German Center for Diabetes Research (DZD), Neuherberg, Germany.
Exp Clin Endocrinol Diabetes. 2020 May;128(5):325-331. doi: 10.1055/a-0741-6801. Epub 2018 Oct 2.
In Germany, inpatient rehabilitation is a well-established additive option in the therapeutic concept for children and adolescents with diabetes. However, its contribution in pediatric diabetes care is not known exactly. Our objective was to analyze inpatient rehabilitation in pediatric diabetes over eight years in Germany.
We requested secondary data from the German Statutory Pension Insurance Scheme to evaluate all completed inpatient rehabilitations for children and adolescents with diabetes (ICD-code E10-14) reimbursed by this institution between 2006 and 2013. For each type of diabetes, we analyzed the distribution of admissions by year, age-group, sex, nationality, and other documented diagnoses. All analyses were conducted via remote computing with IBM SPSS Version 24.
Between 2006 and 2013, 5,403 admissions to inpatient rehabilitation for 4,746 children and adolescents with diabetes were documented. For type 1 diabetes (T1D; 88.5% of admissions), the number of yearly admissions increased from 458 in 2006 to 688 in 2013 (p=0.013), especially for age-group>5-10. The increase for type 2 diabetes (T2D) was not significant. Admissions were more frequent for girls (53.6%, p≤0.001), age>10-15 years (42.8%, p=0.001), and German nationality (98.5%). Obesity (T1D: 11.1%; T2D: 87.9%) and mental disorders (T1D: 11.6%; T2D: 27.4%) were the most frequent documented diagnoses in addition to diabetes.
This study provides a comprehensive overview of inpatient rehabilitation for children and adolescents with diabetes over many years in Germany. Until 2013, inpatient rehabilitation remained important in pediatric diabetes care, especially for children with mental disorders or obesity.
在德国，住院康复是糖尿病儿童和青少年治疗方案中一项成熟的补充选择。然而，其在儿科糖尿病护理中的作用尚不完全清楚。我们的目的是分析德国八年来儿科糖尿病患者的住院康复情况。
我们向德国法定养老保险计划索要了二级数据，以评估该机构在2006年至2013年期间报销的所有糖尿病儿童和青少年（国际疾病分类代码E10 - 14）的完整住院康复情况。对于每种糖尿病类型，我们分析了按年份、年龄组、性别、国籍和其他记录的诊断分类的住院分布情况。所有分析均通过使用IBM SPSS 24版远程计算进行。
2006年至2013年期间，记录了4746名糖尿病儿童和青少年的5403次住院康复情况。对于1型糖尿病（T1D；占住院次数的88.5%），每年的住院次数从2006年的458次增加到2013年的688次（p = 0.013），特别是对于年龄大于5 - 10岁的儿童。2型糖尿病（T2D）的增加不显著。女孩（53.6%，p≤0.001）、年龄大于10 - 15岁（42.8%，p = 0.001）和德国国籍（98.5%）的住院频率更高。除糖尿病外，肥胖（T1D：11.1%；T2D：87.9%）和精神障碍（T1D：11.6%；T2D：27.4%）是最常见的记录诊断。
本研究全面概述了德国多年来糖尿病儿童和青少年的住院康复情况。直到2013年，住院康复在儿科糖尿病护理中仍然很重要，特别是对于患有精神障碍或肥胖的儿童。
