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- Title
Association of Diabetic Ketoacidosis in Childhood New-Onset Type 1 Diabetes With Day of Presentation in Germany.
- Authors
Kamrath, Clemens; Sindichakis, Marina; Auzanneau, Marie; Schmid, Silke; Segerer, Hugo; Lahn, Valentina; Golembowsky, Sven; Roessner-Cold, Dorothee; Rauh, Kristina; Manuwald, Ulf; Holl, Reinhard W.
- Abstract
OBJECTIVE: Whether the day of the week on which the child presents affects timely diagnosis and risk of diabetic ketoacidosis (DKA) in children with new-onset type 1 diabetes (T1D) is not known. RESEARCH DESIGN AND METHODS: We used data of 30,717 children with new-onset T1D during the last 10 years from the German Prospective Diabetes Registry. We determined the odds ratios of T1D diagnosis and DKA on a weekday, public holiday, and school vacation. RESULTS: Compared with workdays, the odds ratios of being diagnosed with T1D were lower on weekends (0.39 [95% CI, 0.38–0.41]), public holidays (0.57 [0.53–0.63]), and school vacations (0.83 [0.80–0.85]). The odds of DKA diagnosis were also reduced on weekends (0.55 [0.52–0.59]), public holidays (0.73 [0.63–0.84]), and school vacations (0.85 [0.80–0.90]). Results did not change during the coronavirus 2019 pandemic. CONCLUSIONS: New-onset T1D and DKA in children are more often diagnosed during weekdays than weekends and holidays.
- Subjects
GERMANY; TYPE 1 diabetes; DIABETIC acidosis; SCHOOL vacations; ODDS ratio; COVID-19 pandemic
- Publication
Diabetes Care, 2024, Vol 47, Issue 4, p649
- ISSN
0149-5992
- Publication type
Article
- DOI
10.2337/dc23-1643