Evidence map›Paper›PMID 34679258›Full record

ArticleDiabetes/metabolism research and reviews2022

Higher rates of diabetic ketoacidosis and admission to the paediatric intensive care unit among newly diagnosed children with type 1 diabetes in Kuwait during the COVID-19 pandemic.

Dalia Al-Abdulrazzaq, Abdullah Alkandari, Fatemah Alhusaini, Naser Alenazi, Unjali P Gujral, K M Venkat Narayan, Hessa Al-Kandari, CODeR group

Open access · hybridAbstract read
In one paragraph

Article in Diabetes/metabolism research and reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  6. Article
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  8. Early Onset of Type 1 Diabetes in Kuwait: Distinct Clinical, Metabolic, and Immunological Characteristics.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2024
    Article
  9. Review
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  11. Endocrine manifestations of COVID-19 in children: A scoping review.Best practice & research. Clinical endocrinology & metabolism · 2023
    Article
  12. Review
  13. Observational
  14. Article
  15. COVID-19 induced Diabetes: A novel presentation.Diabetes research and clinical practice · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Dalia Al-AbdulrazzaqDepartment of Pediatrics, Faculty of Medicine, Kuwait University, Safat, Kuwait.ORCID 0000-0002-4613-865X
Abdullah AlkandariDepartment of Population Health, Dasman Diabetes Institute, Kuwait City, Kuwait.
Fatemah AlhusainiDepartment of Pediatrics, Adan Hospital, Ministry of Health, Hadiya, Kuwait.
Naser AlenaziDepartment of Pediatrics, New-Ahmadi Hospital, Al Ahmadi, Kuwait.
Unjali P GujralHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
K M Venkat NarayanDepartment of Medicine and Nutrition and Health Sciences Program, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.ORCID 0000-0001-8621-5405
Hessa Al-KandariDepartment of Population Health, Dasman Diabetes Institute, Kuwait City, Kuwait.
CODeR group
Emory University · USAdan Hospital · KWAmiri Hospital · KWDasman Diabetes Institute · KWFarwaniya Hospital · KWKuwait University · KW

Funding

Dasman Diabetes Institute RA 2011-006
6 · The paper itself

Abstract

introductionThe COVID-19 pandemic might have a multifaceted effect on children with type 1 diabetes (T1D), either directly through infection itself or indirectly due to measures implemented by health authorities to control the pandemic.

objectiveTo compare data on children newly diagnosed with T1D in Kuwait during the COVID-19 pandemic to the pre-pandemic period. RESEARCH DESIGN AND

methodsWe analysed data on children aged 12 years or less registered in the Childhood-Onset Diabetes electronic Registry (CODeR) in Kuwait. Data were incidence rate (IR), diabetic ketoacidosis (DKA), and its severity and admission to the paediatric intensive care unit (PICU).

resultsThe IR of T1D was 40.2 per 100,000 (95% CI; 36.0-44.8) during the COVID-19 pandemic period and was not statistically different from pre-pandemic. A higher proportion of incident T1D cases presented with DKA and were admitted to the PICU during the pandemic (52.2% vs. 37.8%: p ˂ 0.001, 19.8% vs. 10.9%; p = 0.002, respectively). The COVID-19 pandemic was positively associated with presentation of DKA and admission to PICU (AOR = 1.73; 95% CI, 1.13-2.65; p = 0.012, AOR = 2.04; 95% CI, 1.13-3.67; p = 0.018, respectively). Children of families with a positive history for diabetes were less likely to present with DKA and get admitted to the PICU during the COVID-19 pandemic (AOR = 0.38; 95% CI, 0.20-0.74; p = 0.004, AOR = 0.22; 95% CI, 0.08-0.61; p = 0.004, respectively).

conclusionHigh rates of DKA at presentation and admission to PICU in incident T1D cases during the COVID-19 pandemic warrant further studies and effective mitigation efforts through increasing awareness, early detection, and timely intervention.

Indexed as

COVID-19Diabetes Mellitus, Type 1Diabetic KetoacidosisChildHumansIntensive Care Units, PediatricKuwaitPandemicsSARS-CoV-2childrenCOVID-19diabetic ketoacidosisKuwaittype 1 diabetes

Identifiers

PMID34679258
PMCPMC8646429
OpenAlexW3206155769

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.