Title
Trends in hospital admissions among children aged 0-19 years with type I diabetes in The Netherlands
Author
Hirasing, R.A.
Reeser, H.M.
de Groot, R.R.M.
Ruwaard, D.
van Buuren, S.
Verloove-Vanhorick, S.P.
TNO Preventie en Gezondheid
Publication year
1996
Abstract
OBJECTIVE - To determine the number and duration of hospital admissions due to diabetes in children aged 0-19 years between 1980 and 1991. RESEARCH DESIGN AND METHODS - Secondary analysis of data collected by the SIG Health Care Information was based on the 9th revision of the International Classification of Diseases. The subjects were all children in The Netherlands, aged 0-19 years. The main outcome measures were number and duration of hospital admissions due to type 1 diabetes (ICD 9 code 250.0-250.9). RESULTS - The hospital admission rate due to diabetes decreased >30%. This decrease was statistically significant in all age subgroups. The total number of days in hospital due to diabetes decreased dramatically: from 24,961 in 1980 to 11,305 in 1991. The average duration of hospital stay length due to diabetes decreased as well from 14.5 days in 1980 to 11.9 days in 1991. CONCLUSIONS - The hospital admission rate and the length of hospital stay for diabetes in children aged 0-19 years have decreased, in spite of an increasing incidence. The hospital admission rate may decrease still further if more children with newly diagnosed diabetes can be adequately managed by team management at home in the initial phase.
Subject
Health
Hospital admission
Hospital cost
hypoglycemic coma
Insulin dependent diabetes mellitus
Ketoacidosis
Length of stay
Major clinical study
Self care
Adolescent
Adult
Age Factors
Child
Child, Preschool
Diabetes Mellitus, Type 1
Diabetic Coma
Diabetic Ketoacidosis
Female
Hospitalization
Humans
Hypoglycemia
Infant
Insulin Coma
Length of Stay
Male
Netherlands
Sex Characteristics
To reference this document use:
http://resolver.tudelft.nl/uuid:fd2b463e-7ace-4907-a3bd-251cc1be6064
TNO identifier
233312
ISSN
0149-5992
Source
Diabetes Care, 19 (5), 431-434
Document type
article