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Table 3 Studies reporting admissions for DKA

From: Hospital admission patterns subsequent to diagnosis of type 1 diabetes in children : a systematic review

Author

Country

Study Design

Study Size

Age Group

Admission Rate/patient-year

Comments

Bui 2002 [21]

Australia

Retrospective analysis of DKA admissions 1985 – 1999

332

0–19

0.33

Diabetes-related hospitalisations DKA associated with adverse metabolic events, cerebral edema and death

Curtis 2002 [20]

Canada

Retrospective analysis of diabetes-related admissions 1991 – 2000

15872

0–18

52 – 70 per 100,000 population

Hospitalisation rates calculated for whole population. DKA rates stable

Dunger 2004 [25]

Europe and North America

Consensus statement on DKA in children and adolescents based on literature review

Many studies

0–19

0.01 – 0.10

DKA admission rates only

Jiang 2003 [29]

USA

Retrospective study of diabetes-related hospital admission records

4698

1–17

Not supplied

Multiple hospitalisation data not provided for estimating hospitalisation rates

Keenan 2002 [24]

USA

Retrospective analysis of T1DM cohort for diabetes-related admissions 1996 – 1997

8566

1–20

Not supplied

DKA and diabetic coma admissions only Focus on costs No admission rates presented

Kovacs 1994 [30]

USA

Longitudinal 14-year follow-up of recruited IDDM cases diagnosed 1978 – 1985

95

8–13

0.15

DKA admission rates only

Morris 1997 [27]

England

Retrospective cohort analysis of IDDM patients attending clinic 1993 – 1994

89

1–29

Not supplied

DKA admission rates and diabetic complications only Focus of correlation with HbA1C levels.

Rewers 2002 [23]

USA

Prospective follow-up of a T1DM cohort 1996 – 2000

1243

0–19

0.08

DKA admission rates only

Rosilio 1998 [22]

France

National survey of T1DM children using 206 clinic centres

2579

1–19

0.01

DKA admission rates and severe hypoglycaemia events

Smalldone 2005 [28]

USA

Retrospective analysis of hospital records for T1DM cohort 1998 – 2000

Not given

0–18

Not supplied

Focus on comparison between single and multiple DKA admission rates

Smith 1998 [26]

England

6 year retrospective case review 1990 – 1996

135

0–18

0.10

DKA admission rates only