Effect of COVID-19 pandemic on presentation and referral patterns of newly diagnosed children with type 1 diabetes in a developing country
Author:
Alassaf Abeer1, Gharaibeh Lobna2, Ibrahim Sarah1, Daher Amirah1, Irsheid Ayah1, Albaramki Jumana1, Odeh Rasha1
Affiliation:
1. Department of Pediatrics , University of Jordan , Amman , Jordan 2. Pharmacological and Diagnostic Research Center, Faculty of Pharmacy , Al-Ahliyya, Amman University , Amman , Jordan
Abstract
Abstract
Objectives
The global spread of coronavirus disease 2019 (COVID-19), had a great impact on patients worldwide, including those with chronic diseases. We aim to study the effect of COVID-19 pandemic on presentation patterns of patients with type 1 diabetes (T1D) in Jordan, as an example a developing country with limited resources.
Methods
Medical charts were reviewed for patients presented with new-onset T1D to Jordan University hospital during the first year of pandemic and the preceding year. Categorical data were compared using Pearson Chi-Square and Fisher’s exact test. Continuous data were compared using the Independent Sample t-Test.
Results
A total of 137 children were diagnosed with T1D during the study period, with 60.6% of those children were diagnosed in the pre-pandemic year compared to 39.4% during the first year of pandemic, p-value=0.013. Percentage of patients diagnosed with DKA as first presentation of T1D during the pre-pandemic year was 34.9% compared to 51.9% during the pandemic year, p-value=0.049. Significant differences in family monthly income (p-value=0.006) and paternal education level (p-value=0.036) were found between children with DKA and those without DKA in the pre-pandemic year, but they were not significant during the pandemic year.
Conclusions
The unprecedented COVID-19 pandemic had affected presentation pattern of newly diagnosed T1D patients, manifested by lower number of children diagnosed with T1D and higher percentage of DKA as first presentation compared to the preceding year. Health care services should be at utmost preparedness for possible future waves and other pandemics.
Publisher
Walter de Gruyter GmbH
Subject
Endocrinology,Endocrinology, Diabetes and Metabolism,Pediatrics, Perinatology and Child Health
Reference40 articles.
1. Zhu, N, Zhang, D, Wang, W, Li, X, Yang, B, Song, J, et al.. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020;382:727–33. https://doi.org/10.1056/NEJMoa2001017. 2. Cucinotta, D, Vanelli, M. WHO declares COVID-19 a pandemic. Acta Biomed 2020;91:157–60. https://doi.org/10.23750/abm.v91i1.9397. 3. Yusef, D, Hayajneh, W, Awad, S, Momany, S, Khassawneh, B, Samrah, S, et al.. Large outbreak of coronavirus disease among wedding attendees, Jordan. Emerg Infect Dis 2020;6:e19332. https://doi.org/10.3201/eid2609.201469. 4. Alqutob, R, Al Nsour, M, Tarawneh, MR, Ajlouni, M, Khader, Y, Aqel, I, et al.. COVID-19 crisis in Jordan: response, scenarios, strategies, and recommendations. JMIR Public Health Surveill 2020;6:e19332. https://doi.org/10.2196/preprints.19332. 5. The Official Website of the Jordanian Ministry of Health. Available from: https://corona.moh.gov.jo/ar/MediaCenter [Accessed 10 Mar 2021].
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