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Trends in hospital admissions among children aged 0-19 years with type I diabetes in The Netherlands

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Author: Hirasing, R.A. · Reeser, H.M. · Groot, R.R.M. de · Ruwaard, D. · Buuren, S. van · Verloove-Vanhorick, S.P.
Institution: TNO Preventie en Gezondheid
Source:Diabetes Care, 5, 19, 431-434
Identifier: 233312
Keywords: 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


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.