Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Fritsch, M; Schober, E; Rami-Merhar, B; Hofer, S; Fröhlich-Reiterer, E; Waldhoer, T; Austrian Diabetes Incidence Study Group.
Diabetic ketoacidosis at diagnosis in Austrian children: a population-based analysis, 1989-2011.
J Pediatr. 2013; 163(5):1484-1488
Doi: 10.1016/j.jpeds.2013.06.033
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Fritsch Maria
- Co-Autor*innen der Med Uni Graz
- Fröhlich-Reiterer Elke
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- To analyze the effect of a community-based, poster-focused prevention program on the frequency of diabetic ketoacidosis (DKA) at diabetes onset in Austria. All newly diagnosed patients with diabetes ≤ 15 years of age were registered prospectively by the Austrian Diabetes Incidence Study Group. Registered data included initial blood glucose, pH, and ketonuria. DKA was defined as pH < 7.3 and severe DKA as pH < 7.1. Data between 1989 and 2011 were available. In autumn, 2009, a community-based prevention program similar to the Parma Campaign, in which posters were dispensed broadly, was initiated. The frequency of DKA at the onset of diabetes in the years 2005-2009 and 2010-2011 was compared. During the study period, 4038 children were registered. A total of 37.2% presented with DKA; 26% had a mild and 11.2% a severe form. The frequency of DKA was negatively associated with age at onset. In the years before the intervention program, 26% had mild DKA compared with 27% after the intervention (not significant). The prevalence of severe DKA in the years before the campaign was 12% compared with 9.5% thereafter (not significant). No significant change in the DKA rate at onset by the prevention program could be found when we compared age groups <5, 5 to <10, and 10 to <15 years, neither for mild nor for severe DKA. The frequency of DKA in children with newly diagnosed type 1 diabetes in Austria is high and did not change despite the efforts of a community-based information program. Copyright © 2013. Published by Mosby, Inc.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Age of Onset -
- Age of Onset - epidemiology
- Blood Glucose - analysis
- Child -
- Child, Preschool -
- Community Health Services -
- Diabetes Mellitus, Type 1 - blood
- Diabetes Mellitus, Type 1 - diagnosis
- Diabetic Ketoacidosis - diagnosis
- Diabetic Ketoacidosis - epidemiology
- Diabetic Ketoacidosis - prevention & control
- Female -
- Health Communication -
- Humans -
- Hydrogen-Ion Concentration -
- Incidence -
- Ketosis - diagnosis
- Male -
- Outcome Assessment (Health Care) -
- Preventive Medicine - methods
- Prospective Studies -
- Public Health -
- Registries -