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International Journal of Pediatrics، جلد ۱۳، شماره ۷، صفحات ۱۹۵۶۱-۱۹۵۶۹
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عنوان انگلیسی Diabetic Ketoacidosis Before, During, and After The COVID-19 Pandemic
چکیده انگلیسی مقاله Background: Diabetic ketoacidosis (DKA) can be the initial sign of type 1 diabetes in children upon diagnosis. Some studies have examined the impact of the coronavirus disease 2019 (COVID-19) pandemic on the incidence and severity of DKA in children. The aim of this study was to investigate the status of diabetic ketoacidosis before and during COVID-19.Methods: This cross-sectional study was conducted at Akbar Pediatric Super-specialty Hospital in Mashhad and included one year before and one year after the start of the COVID-19 pandemic. All children under 18 years old admitted with a diagnosis of DKA based on the 2018 international society for pediatric and adolescent diabetes (ISPAD) protocol were included in the study. A checklist was completed for each patient, and the data was entered into SPSS software for analysis. A significance level of 0.05 was set for all inferential statistical tests.Results: A total of 310 patients were included in the study, of which 176 (56.8%) were male and the rest were female. In 2018, only 33% of new cases were diabetic, while in 2020, this rate had reached 57.2% (p=0.006). 18.4% of patients during the COVID-19 era had bicarbonate levels less than 5 upon admission, whereas during the pre-COVID era, only 5.3% of patients had bicarbonate levels less than 5. The rate of Intensive care unit (ICU) admission in 2020 was significantly higher than in 2018 (p=0.003), with 15.9% of patients being admitted to the ICU in 2020.Conclusion: Based on the results of our study, the rate of patients diagnosed with diabetes and diabetic ketoacidosis significantly increased during and after the COVID-19 pandemic.
کلیدواژه‌های انگلیسی مقاله Children, COVID-19, Diabetes, Diabetic Ketoacidosis
نویسندگان مقاله | Nosrat Ghaemi
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


| Kosar Alidadi
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


| Sepideh Bagheri
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


| Nafiseh Pourbadakhshan
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


| Majid Khadem-Rezaiyan
Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
نشانی اینترنتی https://jpp.mums.ac.ir/article_26463.html
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