Incidence of Severe Diabetic Ketoacidosis among Children with Type 1 Diabetes Mellitus Prior to and During COVID-Pandemic: A Meta-analysis
Diabetes
; 71, 2022.
Article
in English
| ProQuest Central | ID: covidwho-1933503
ABSTRACT
Aim:
The COVID-pandemic has affected access to healthcare services worldwide, including the pediatric population. This systematic review and meta-analysis aimed to estimate the risk of severe diabetic ketoacidosis (DKA) among children with type 1 diabetes (T1DM) during the COVID-pandemic compared pre-pandemic era.Methods:
PubMed, EMBASE, and the Elsevier Coronavirus Research Repository Hub were searched for relevant observational studies. Studies published as an or in non-English language were excluded. The primary outcome is the risk of severe DKA among children with T1DM during the COVID-pandemic compared to the prior-to-COVID-group. The second outcome is the risk of severe DKA among children with newly diagnosed T1DM. A random meta-analysis model was performed using R version 4.0.4 to estimate the relative risk of severe DKA.Results:
A total of 18 studies were included in this metanalysis. Severe DKA risk was 76% (RR 1.76, 95%CI 1.33-2.33, I2=44%) higher during the COVID-pandemic than the pre-COVID-period. Among patients with newly diagnosed T1DM, the risk of severe DKA was 44% higher for the during-COVID-group (RR 1.44, 95%CI 1.26-1.65;I2=64%) . The bias assessment of the included studies using the Newcastle-Ottawa Scale (NOS) showed that all studies had quality indicators (>7 points) . In addition, the results of Eager's test did not show potential for publication bias.Conclusions:
This study showed that severe DKA risk had increased significantly during the COVID-pandemic compared to the pre-pandemic period.
Full text:
Available
Collection:
Databases of international organizations
Database:
ProQuest Central
Type of study:
Observational study
/
Reviews
Language:
English
Journal:
Diabetes
Year:
2022
Document Type:
Article
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