2022
DOI: 10.3390/healthcare10020348
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Has the COVID-19 Pandemic Affected the Prevalence of Diabetic Ketoacidosis in Polish Children with Newly Diagnosed Type 1 Diabetes? An Example of the Largest Polish Pediatric Diabetes Center (Upper Silesia—Katowice, Poland)

Abstract: Purpose: The aim of this study was to analyze the prevalence of diabetic ketoacidosis (DKA) in children with newly disclosed type 1 diabetes (T1D) during the COVID-19 pandemic in 2020 compared to 2019. Methods: A retrospective analysis of the history database of all hospitalized children in our department. The International Society for Pediatric and Adolescent Diabetes (ISPAD) guidelines were used for the diagnosis of DKA. Results: The database of children with newly disclosed T1D included 196 patients (89 gir… Show more

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Cited by 8 publications
(5 citation statements)
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“…Multiple studies have reported a significant increase in the number and severity of T1DM new cases after the beginning of the COVID-19 pandemic [5,6,[14][15][16][17][18]. In our center, the total number of new T1DM cases increased by 30.08% between February 2020 and March 2021, compared to the previous year [19].…”
Section: Introductionmentioning
confidence: 54%
See 1 more Smart Citation
“…Multiple studies have reported a significant increase in the number and severity of T1DM new cases after the beginning of the COVID-19 pandemic [5,6,[14][15][16][17][18]. In our center, the total number of new T1DM cases increased by 30.08% between February 2020 and March 2021, compared to the previous year [19].…”
Section: Introductionmentioning
confidence: 54%
“…There was no significant difference in DKA presence and severity between the groups of patients with positive and negative SARS-CoV-2 serology. Considering the fact that several studies, including one conducted in our clinic, reported an increase in DKA incidence and severity after the beginning of the pandemic, a higher percentage of this complication could have been expected in children with positive SARS-CoV-2 antibodies [5,6,[14][15][16][17][18]]. An explanation for this finding could reside from the fact that we cannot be absolutely certain that children with negative SARS-CoV-2 antibodies did not experience a SARS-CoV-2 infection at some point in their history without it leaving a persistent serological mark, but being able to determine alterations of the islet cells functioning or of the immune processes.…”
Section: Discussionmentioning
confidence: 94%
“…In Canada, a significant increase in the frequency of ketoacidosis among new patients was recorded in the pandemic compared to the pre-pandemic period (68.2% compared to 45.6% in the pre-pandemic period with p < 0.001) ( 13 ). The largest Polish National Diabetes Center did not record a statistically significant increase in 2020 compared to 2019, but a significant increase in diabetic ketoacidosis was recorded (35.2–47.53%, p < 0.05), which was accompanied by a significant increase in average HbA1c and pH values ( 26 ).…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, several articles published have established a significant increase in the incidence of DKA among newly diagnosed patients. A study conducted in Poland demonstrated a significant rise in the percentage of DKA among newly diagnosed patients [ 19 ]. Kamrath et al findings also exhibited a significant increment of around 20% in DKA presentations among newly diagnosed patients [ 20 ].…”
Section: Discussionmentioning
confidence: 99%