Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.
Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.
Pediatr Diabetes. 2022 Sep;23(6):660-667. doi: 10.1111/pedi.13369. Epub 2022 Jun 18.
To describe hospitalization rates and reasons for hospitalization in children with type 2 diabetes (T2D) and to compare these rates to a matched cohort without diabetes and to children with type 1 diabetes (T1D).
Population-based cohorts of 528 children (7-18 years of age) with prevalent T2D, 1519 matched control children without diabetes and 778 children with T1D were identified from a clinical registry and linked to health care records to assess hospitalizations and reasons for hospitalizations using ICD-9CM and ICD-10CA codes.
Children with T2D are more likely than their matched controls and children with T1D to be admitted to hospital in the year prior to diagnosis {RR 2.83 (1.77, 4.53) p < 0.0001 and 8.05 (4.05, 16.00) p < 0.0001, respectively}, in the first year post diagnosis {RR 3.19 (2.08, 4.89) p < 0.0001 and 3.04 (1.86, 4.98) p < 0.0001, respectively} and in the 5 year post diagnosis period {RR 1.99 (1.56, 2.53) p < 0.0001 and 1.91 (1.48, 2.46) p < 0.0001, respectively}. Mental illness was the most common cause for hospital admission in both children with T2D and their matched controls.
This differs from children with T1D where endocrine causes constitute the most common reason for hospital admission. This analysis provides novel data on hospitalization rates and diagnoses in the increasing population of children with T2D. This information is important to inform health care programming and health policy planning to best meet the needs of this population.
描述 2 型糖尿病（T2D）患儿的住院率和住院原因，并将这些数据与无糖尿病的匹配队列和 1 型糖尿病（T1D）患儿进行比较。
从临床登记处确定了一个基于人群的队列，其中包括 528 名年龄在 7-18 岁之间的 T2D 患儿、1519 名无糖尿病的匹配对照患儿和 778 名 T1D 患儿，然后将其与医疗记录相关联，以使用 ICD-9CM 和 ICD-10CA 代码评估住院和住院原因。
与匹配对照组和 T1D 患儿相比，T2D 患儿在诊断前一年（RR 2.83[1.77, 4.53]p<0.0001 和 8.05[4.05, 16.00]p<0.0001）、诊断后第一年（RR 3.19[2.08, 4.89]p<0.0001 和 3.04[1.86, 4.98]p<0.0001）和诊断后 5 年期间（RR 1.99[1.56, 2.53]p<0.0001 和 1.91[1.48, 2.46]p<0.0001）更有可能住院。精神疾病是 T2D 患儿及其匹配对照组住院的最常见原因。
这与 T1D 患儿不同，内分泌原因是 T1D 患儿住院的最常见原因。本分析提供了 T2D 患儿不断增加的人群中住院率和诊断的新数据。这些信息对于制定医疗保健计划和卫生政策规划以满足这一人群的需求非常重要。
