Has COVID-19 Delayed the Diagnosis and Worsened the Presentation of Type 1 Diabetes in Children?
Adolescent
Betacoronavirus
COVID-19
COVID-19 Testing
Child
Child, Preschool
Clinical Laboratory Techniques
Coronavirus Infections
/ diagnosis
Cross-Sectional Studies
Delayed Diagnosis
/ statistics & numerical data
Diabetes Mellitus, Type 1
/ diagnosis
Diabetic Ketoacidosis
/ diagnosis
Emergency Service, Hospital
Female
Humans
Infant
Italy
/ epidemiology
Male
Pandemics
Pneumonia, Viral
/ diagnosis
SARS-CoV-2
Journal
Diabetes care
ISSN: 1935-5548
Titre abrégé: Diabetes Care
Pays: United States
ID NLM: 7805975
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
01
06
2020
accepted:
10
07
2020
pubmed:
12
8
2020
medline:
27
10
2020
entrez:
12
8
2020
Statut:
ppublish
Résumé
To evaluate whether the diagnosis of pediatric type 1 diabetes or its acute complications changed during the early phase of the coronavirus disease 2019 (COVID-19) pandemic in Italy. This was a cross-sectional, web-based survey of all Italian pediatric diabetes centers to collect diabetes, diabetic ketoacidosis (DKA), and COVID-19 data in patients presenting with new-onset or established type 1 diabetes between 20 February and 14 April in 2019 and 2020. Fifty-three of 68 centers (77.9%) responded. There was a 23% reduction in new diabetes cases in 2020 compared with 2019. Among those newly diagnosed patients who presented in a state of DKA, the proportion with severe DKA was 44.3% in 2020 vs. 36.1% in 2019 ( The COVID-19 pandemic might have altered diabetes presentation and DKA severity. Preparing for any "second wave" requires strategies to educate and reassure parents about timely emergency department attendance for non-COVID-19 symptoms.
Identifiants
pubmed: 32778554
pii: dc20-1321
doi: 10.2337/dc20-1321
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2870-2872Investigateurs
Enrica Bertelli
(E)
Lucia Ferlito
(L)
Adriana Bobbio
(A)
Eleonardo Schieven
(E)
Maurizio Delvecchio
(M)
Giulio Maltoni
(G)
Petra Reinstadler
(P)
Barbara Felappi
(B)
Francesco Gallo
(F)
Carlo Ripoli
(C)
Filomena Pascarella
(F)
Filomena A Stamati
(FA)
Donatella Lo Presti
(D)
Felice Citriniti
(F)
Stefano Tumini
(S)
Maria Zampolli
(M)
Rosaria De Marco
(R)
Claudio Cavalli
(C)
Valeria De Donno
(V)
Sonia Toni
(S)
Maria Susanna Coccioli
(MS)
Giuseppe d'Annunzio
(G)
Paola Sogno Valin
(PS)
Dante Cirillo
(D)
Silvia Sordelli
(S)
Fortunato Lombardo
(F)
Riccardo Bonfanti
(R)
Chiara Mameli
(C)
Barbara Predieri
(B)
Adriana Franzese
(A)
Dario Iafusco
(D)
Silvia Savastio
(S)
Gavina Piredda
(G)
Francesca Cardella
(F)
Valeria Calcaterra
(V)
Emioli Randazzo
(E)
Anna Favia
(A)
Tosca Suprani
(T)
Alessandra Lasagni
(A)
Novella Rapini
(N)
Irene Rutigliano
(I)
Alberto Gaiero
(A)
Luisa De Sanctis
(L)
Vittoria Cauvin
(V)
Marta Minute
(M)
Gianluca Tornese
(G)
Francesca Franco
(F)
Gianluca Musolino
(G)
Marco Marigliano
(M)
Silvia Innaturato
(S)
Claudia Arnaldi
(C)
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Type : CommentIn
Informations de copyright
© 2020 by the American Diabetes Association.