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AuthorAuzanneau, Mariedc.contributor.author
AuthorRosenbauer, Joachimdc.contributor.author
AuthorIcks, Andreadc.contributor.author
AuthorKarges, Beate Mariadc.contributor.author
AuthorNeu, Andreasdc.contributor.author
AuthorZiegler, Ralphdc.contributor.author
AuthorMarg, Wolfgangdc.contributor.author
AuthorKapellen, Thomas Michaeldc.contributor.author
AuthorHolterhus, Paul-Martindc.contributor.author
AuthorHoll, Reinharddc.contributor.author
Date of accession2020-10-21T14:35:04Zdc.date.accessioned
Available in OPARU since2020-10-21T14:35:04Zdc.date.available
Date of first publication2019-08-19dc.date.issued
AbstractIntroduction Regarding pediatric diabetes, hospital admission for acute complications of type 1 diabetes (T1D) has often been investigated, but little is known about other causes of hospitalization. This study aimed to explore the total burden of hospitalization in individuals with diabetes <20 years of age in Germany. Methods Using the German Diagnosis-Related Groups data for 2015, we examined the frequencies of hospitalization with diabetes (20,251 inpatient cases), stratified by diabetes type [T1D, type 2 diabetes (T2D), other specified diabetes types (T3D), and unclear diabetes], and without diabetes (1,269,631 inpatient cases). Using estimates of the population at risk with T1D, T2D, and without diabetes, we evaluated hospitalization rates (per patient-year) by Poisson regression. For T1D, T2D, and T3D, we investigated the most frequent diagnoses and the median length of stay. Most analyses were stratified by sex, age-group and east/west residence. Results Children and adolescents with diabetes had a 6 to 9 times higher hospitalization risk than peers without diabetes (hospitalization rate 0.09). The hospitalization rate was higher for T2D compared with T1D (0.84 vs. 0.53, P<0.001). In T2D, two-third of inpatient cases were not directly related to diabetes, and stay was shorter compared with T1D and T3D (3 vs. 4 and 5 days, respectively). In T1D, hospitalization was more frequent among girls than boys (0.58 vs. 0.49, P<0.001), and mostly due to “diabetes without complications” (65.7%). Hospitalization tended to be more frequent and longer in the youngest patients, and in those with east residence. Conclusion Hospitalization rate in pediatric diabetes in Germany remained high, especially for T2D patients, girls with T1D, and young children.dc.description.abstract
Languageendc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseStandarddc.rights
Link to license texthttps://oparu.uni-ulm.de/xmlui/license_v3dc.rights.uri
KeywordInpatient caredc.subject
KeywordHospitalizationdc.subject
KeywordPediatric diabetesdc.subject
KeywordGerman DRGdc.subject
KeywordGerman diagnosis related groupsdc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHChild, Hospitalizeddc.subject.mesh
MeSHDiabetes mellitusdc.subject.mesh
MeSHPediatricsdc.subject.mesh
TitleHospitalization in pediatric diabetes : a nationwide analysis of all admission causes for Germany in 2015dc.title
Resource typeWissenschaftlicher Artikeldc.type
VersionacceptedVersiondc.description.version
DOIhttp://dx.doi.org/10.18725/OPARU-33421dc.identifier.doi
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-oparu-33483-7dc.identifier.urn
GNDStationäre Behandlungdc.subject.gnd
GNDDiabetesdc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
InstitutionInstitut für Epidemiologie und Medizinische Biometrieuulm.affiliationSpecific
Peer reviewjauulm.peerReview
DCMI TypeTextuulm.typeDCMI
CategoryPublikationenuulm.category
In cooperation withHeinrich Heine Universität Düsseldorfuulm.cooperation
In cooperation withRWTH Universität Aachenuulm.cooperation
In cooperation withUniversität Tübingenuulm.cooperation
In cooperation withUniversität Leipziguulm.cooperation
In cooperation withChristian-Albrechts Universität Kieluulm.cooperation
In cooperation withDeutsches Zentrum für Diabetesforschung (DZD)uulm.cooperation
In cooperation withDeutsches Diabetes-Zentrum - Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf (DDZ)uulm.cooperation
In cooperation withKlinikum Bremen-Mitteuulm.cooperation
Is Supplemented Byhttps://www.thieme-connect.de/media/eced/202009/supmat/10-1055-a-0972-1060-05-2019-0205-dia-0001.pdfuulm.relation.isSupplementedBy
DOI of original publicationhttps://doi.org/10.1055/a-0972-1060dc.relation1.doi
Source - Title of sourceExperimental and Clinical Endocrinology and Diabetessource.title
Source - Place of publicationThieme Gruppesource.publisher
Source - Volume128source.volume
Source - Issue9source.issue
Source - Year2020source.year
Source - From page615source.fromPage
Source - To page623source.toPage
Source - ISSN0947-7349source.identifier.issn
Source - eISSN1439-3646source.identifier.eissn
EU projectINNODIA / Translational approaches to disease modifying therapy of type 1 diabetes: an innovative approach towards understanding and arresting type 1 diabetes - Sofia ref.: 115797 / EC / H2020 / 115797uulm.projectEU
FundingDeutsches Zentrum für Diabetesforschung (DZD)uulm.funding
FundingDeutsche Diabetes Gesellschaft (DDG)uulm.funding
FundingBund diabetischer Kinder und Jugendlicher e.V. (BdKJ)uulm.funding
FundingRobert Koch Institut (RKI)uulm.funding
WoS000565900200007uulm.identifier.wos
University Bibliographyjauulm.unibibliographie


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