COVID-19 outbreak and pediatric diabetes: perceptions of health care professionals worldwide
Entity
UAM. Departamento de Medicina Preventiva y Salud Pública y MicrobiologíaPublisher
WileyDate
2020-07-20Citation
10.1111/pedi.13084
Pediatric Diabetes 21.7 (2020): 1083-1092
ISSN
1399-543X (print); 1399-5448 (online)DOI
10.1111/pedi.13084Editor's Version
https://doi.org/10.1111/pedi.13084Subjects
children; COVID-19; diabetes; diabetic ketoacidosis; telemedicine; MedicinaNote
This is the peer reviewed version of the following article: "COVID-19 outbreak and pediatric diabetes: perceptions of health care professionals worldwide". Pediatric Diabetes (2020): 20 July, which has been published in final form at 10.1111/pedi.13084. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived VersionsRights
© 2020 John Wiley & Sons A/SAbstract
Coronavirus diasease (COVID-19) is an infectious disease that startedin Wuhan, China in late 2019 and later spread around the world. Diabetes has beenrecognized as a possible risk factor for COVID-19 complications.Objective: International Society for Pediatric and Adolescent Diabetes (ISPAD) investi-gated perceptions, challenges and experience of health care professionals (HCP) takingcare of children and young people with diabetes worldwide during COVID-19 pandemic.Methods: From 21st April to 17th May 2020, during COVID-19 pandemic, a web-based survey was sent to ISPAD members and former participants of ISPAD confer-ences by email.Results: Responders from 215 diabetes centers from 75 countries completed the sur-vey. Majority were from UK (35; 16.3%), USA (20; 9.3%), and India (15; 7%). HCPwere mostly pediatric endocrinologists (64%). During COVID-19 pandemic, 16.5% ofresponders continued face-to-face consultation while most changed to telephone(32%) or video (18%) consultations. 19% reported a shortage of medical supplies.22% reported a delay in diagnosis of patients with new-onset diabetes, while 15%reported a higher incidence of DKA. 12% reported having one or more patients withCOVID-19. Most of the 86 children and adolescents with diabetes and COVID-19had only mild/moderate symptoms, while 5 required admission to an intensive careunit. No deaths were reported.Conclusions: This large global survey during COVID-19 pandemic showed that manyHCP adapted to the pandemic by resorting to telemedicine. One fourth of HCPreported delays in diagnosis and an increased rate of DKA. The emergence ofCOVID-19 pandemic had an important impact on family's behavior that might haveled to increase in diabetic ketoacidosis presentation
Files in this item
Google Scholar:Elbarbary, Nancy Samir
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dos Santos, Tiago Jeronimo
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Beaufort, Carine de
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Chizo Agwu, Juliana
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Calliari, Luis Eduardo
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Scaramuza, Andrea Enzo
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