A CROSS-SECTIONAL STUDY OF 120 CHILDREN TO KNOW THE MORTALITY OF CHILDREN DUE TO DIABETES.

Authors

  • Dr. Sabah Ali Jaber Alhelu Ministry of Higher Education and Scientific Research, Jabir Ibn Hayyan Medical University, College of Medicine, AlNajaf, Iraq
  • Dr. Huda Mohammed Khalaf Iraqi Ministry of Health, Kirkuk Health Directorate, Azadi Teaching Hospital, Kirkuk, Iraq.
  • Dr. Ahmed Mahdi Hussein Ministry of Health, Kurdistan Region, Iraq, Sulaymaniyah Health Directorate, Dr. Jamal Ahmed Rashid Pediatric Teaching Hospital, Sulaymaniyah, Iraq.

Keywords:

HRQoL, Patients, Mortality, Quality

Abstract

This study aimed to assess the outcomes of children with diabetes according to morbidity and mortality in Iraq. Where data and demographic information were collected from several hospitals, and patients whose information was entered in the hospital were recruited for a full year from 2020 and 2021. The design of this research was based on the establishment of a crosssectional study of 80 people, and they were divided into two groups (45 children with diabetes and 35 children without diabetes). The quality of life and quality of life for patients was measured through the HRQoL dependence, in addition to analyzing the data statistics and calculating the statistical differences between the two groups to find out the type of relationship generated Results. The total number of diabetic patients reached 80 children aged between 8-16 years in the Republic of Iraq; patients were distributed according to gender in the patient group (30 children's boys, 15 children's girls) as for the control group (18 children's boys, 17 children's girls) The study revealed a significant prevalence of children with type 1 diabetes for 20 patients and 19 in the group of patients, as for the control group, 20 children with type 1 and 10 children with type 2. The study revealed a high mortality rate for the patient group for ten patients with 22.2%, and for the control group, the death rate for two children with 5.7%, and a negative relationship between HbA1c and the children's quality of life as both sexes

References

Krmpotic K, Lobos AT. Clinical profile of children requiring early unplanned admission to the PICU. Hosp Pediatr. 2013; 3:212–8. [PubMed] [Google Scholar]

Wu Y, Lai W, Pei J, Zhao Y, Wang Q, Xiang B. Hyperglycemia and its association with clinical outcomes in postsurgical neonates and small infants in the intensive care unit. J Pediatr Surg. 2016; 51:1142–5. [PubMed] [Google Scholar]

Kyle UG, Bu JA, Kennedy CE, Jefferson LS. Organ dysfunction is associated with hyperglycemia in critically ill children. Intensive Care Med. 2010; 36:312–20. [PubMed] [Google Scholar]

Umpierrez GE, Isaacs SD, Bazargan N, You X, Thaler LM, Kitabchi AE. Hyperglycemia: An independent marker of in-hospital mortality in patients with undiagnosed diabetes. J Clin Endocrinol Metab. 2002; 87:978–82. [PubMed] [Google Scholar]

Negi G, Kumar A, Joshi RP, Sharma SS. Oxidative stress and Nrf2 in the pathophysiology of diabetic neuropathy: Old perspective with a new angle. Biochem Biophys Res Commun. 2011; 408:1–5. [PubMed] [Google Scholar]

Jeschke MG, Gauglitz GG, Kulp GA, Finnerty CC, Williams FN, Kraft R, et al. Long-term persistance of the pathophysiologic response to severe burn injury. PLoS One. 2011;6: e21245. [PMC free article] [PubMed] [Google Scholar]

Andreelli F, Jacquier D, Troy S. Molecular aspects of insulin therapy in critically ill patients. Curr Opin Clin Nutr Metab Care. 2006; 9:124–30. [PubMed] [Google Scholar]

Patki VK, Chougule SB. Hyperglycemia in critically ill children. Indian J Crit Care Med. 2014; 18:8–13. [PMC free article] [PubMed] [Google Scholar]

Ballestero Y, López-Herce J, González R, Solana MJ, Del Castillo J, Urbano J, et al. Relationship between hyperglycemia, hormone disturbances, and clinical evolution in severely hyperglycemic post-surgery critically ill children: An observational study. BMC Endocr Disord. 2014; 14:25. [PMC free article] [PubMed] [Google Scholar]

Kerby JD, Griffin RL, MacLennan P, Rue LW., 3rd Stress-induced hyperglycemia, not diabetic hyperglycemia, is associated with higher mortality in trauma. Ann Surg. 2012; 256:446–52. [PubMed] [Google Scholar]

Karunakar MA, Staples KS. Does stress-induced hyperglycemia increase the risk of perioperative infectious complications in orthopaedic trauma patients? J Orthop Trauma. 2010; 24:752–6. [PubMed] [Google Scholar]

Yan LJ. Pathogenesis of chronic hyperglycemia: From reductive stress to oxidative stress. J Diabetes Res. 2014; 2014:137919. [PMC free article] [PubMed] [Google Scholar]

Wintergerst KA, Buckingham B, Gandrud L, Wong BJ, Kache S, Wilson DM. Association of hypoglycemia, hyperglycemia, and glucose variability with morbidity and death in the pediatric intensive care unit. Pediatrics. 2006; 118:173–9. [PubMed] [Google Scholar]

Kovacs M, Obrosky DS, Goldston D, Drash A. Major depressive disorder in youths with IDDM. A controlled prospective study of course and outcome. Diabetes Care 1997; 20:45.

Stewart SM, Rao U, Emslie GJ, et al. Depressive symptoms predict hospitalization for adolescents with type 1 diabetes mellitus. Pediatrics 2005; 115:1315.

Lawrence JM, Standiford DA, Loots B, et al. Prevalence and correlates of depressed mood among youth with diabetes: the SEARCH for Diabetes in Youth study. Pediatrics 2006; 117:1348.

Silverstein J, Cheng P, Ruedy KJ, et al. Depressive Symptoms in Youth With Type 1 or Type 2 Diabetes: Results of the Pediatric Diabetes Consortium Screening Assessment of Depression in Diabetes Study. Diabetes Care 2015; 38:2341.

Dybdal D, Tolstrup JS, Sildorf SM, et al. Increasing risk of psychiatric morbidity after childhood-onset type 1 diabetes: a population-based cohort study. Diabetologia 2018; 61:831.

Christiansen E, Stenager E. Risk for attempted suicide in children and youths after contact with somatic hospitals: a Danish register-based nested case-control study. J Epidemiol Community Health 2012; 66:247.

Calkins-Smith AK, Marker AM, Clements MA, Patton SR. Hope and mealtime insulin boluses are associated with depressive symptoms and glycemic control in youth with type 1 diabetes mellitus. Pediatr Diabetes 2018; 19:1309.

Svoren BM, Butler D, Levine BS, et al. Reducing acute adverse outcomes in youths with type 1 diabetes: a randomized, controlled trial. Pediatrics 2003; 112:914.

Ellis DA, Frey MA, Naar-King S, et al. Use of multisystemic therapy to improve regimen adherence among adolescents with type 1 diabetes in chronic poor metabolic control: a randomized controlled trial. Diabetes Care 2005; 28:1604.

Winkley K, Ismail K, Landau S, Eisler I. Psychological interventions to improve glycaemic control in patients with type 1 diabetes: systematic review and meta-analysis of randomised controlled trials. BMJ 2006; 333:65.

Delamater AM, de Wit M, McDarby V, et al. ISPAD Clinical Practice Consensus Guidelines 2018: Psychological care of children and adolescents with type 1 diabetes. Pediatr Diabetes 2018; 19 Suppl 27:237.

Meltzer LJ, Johnson SB, Prine JM, et al. Disordered eating, body mass, and glycemic control in adolescents with type 1 diabetes. Diabetes Care 2001; 24:678.

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Published

2022-11-08

How to Cite

Dr. Sabah Ali Jaber Alhelu, Dr. Huda Mohammed Khalaf, & Dr. Ahmed Mahdi Hussein. (2022). A CROSS-SECTIONAL STUDY OF 120 CHILDREN TO KNOW THE MORTALITY OF CHILDREN DUE TO DIABETES. World Bulletin of Public Health, 16, 75-80. Retrieved from https://scholarexpress.net/index.php/wbph/article/view/1648

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