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Table 4 Studies reporting the effects of interventions

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

Randomised trials

      

Laffel 1998 [33]

USA

Randomised Control Trial of IDDM cases assigned to standard care or ambulatory care intervention

171

10–15

0.09 Treated

0.24 Standard

Admissions codes for diabetes only

Laffel 2006 [34]

USA

6-month Randomised Control Trial of IDDM cases assigned to either a blood ketone or urine ketone monitoring group

123

3–22

0.38 Blood

0.75 Urine

Admissions codes for diabetes only Also includes emergency assessments

Non-randomised studies

      

Glasgow 1991 [31]

USA

Retrospective analysis of diabetes hospital admission records 1984 – 1988

267

0–20

0.14 – 0.26

Admissions codes for diabetes only

Levine 2002 [35]

USA

Prospective 1-year follow-up of T1DM cohort classified into one of 3 baseline HbA1c levels

300

7–16

0.13 Overall

0.11 <8.1%

0.04 8.1–9.0%

0.25 >9.0%

Admission rates three times rate in general population

Svoren 2003 [36]

USA

2-year prospective Randomised Control Trial of T1DM children assigned to 3 treatment groups

299

7–16

0.18 CA

0.09 CA+

0.13 SC

CA – Ambulatory diabetes care CA+ – CA plus psychoeducational modules SC – Standard care

Swift 1993 [32]

England

Retrospective T1DM cohort study 1978 – 1988 of hospital admissions post-diagnosis over 10 years, comparing home and hospital management at diagnosis

236

10–14

0.02 Home

0.04 Hospital

Home – Initial management without hospitalisation Hospital – Initial hospital management