Young patients with T1D are more likely to be hospitalised for almost all conditions than the general population, although the majority of their admissions are for diabetes-related reasons, Australian data show.
Underscoring the importance of patient and carer education, around 30% of all hospitalisations in those with T1D were for ketoacidosis, most of which occurred more than three months after diabetes diagnosis, researchers say.
The figures were drawn from hospital records in Victoria and Queensland from 2010 to 2017, linked with patients aged under 20 with T1D on the National Diabetes Services Scheme.
All up, youth with T1D in the two states had 21,898 hospitalisations over the period examined, over 60% of which were directly related to diabetes, the study found.
In addition, they were greater than four times more likely to be hospitalised with infectious diseases diagnoses and three times more likely to be hospitalised for mental health and skin conditions than the general population.
Interestingly, patients with T1D were much more likely to be hospitalised with anogenital herpes viral infections and acute pancreatitis, although overall numbers were small in both cases, the researchers noted.
In the latter case, this mostly occurred in older teenagers (median age 17.1 years), suggesting the risk may be related to gallstone disease, they wrote in Diabetic Medicine (link here).
“Some of the increased risks of hospitalisation among youth with T1D may in part be explained by the fact that clinicians may have a lower threshold to admit those with T1D compared to those without diabetes for similar medical conditions of similar severity,” the researchers added.