Hospitalization and mortality by diabetes mellitus in children: analysis of temporal series.

Maria De Fátima Garcia Lopes Merino,Ieda Harumi Higarashi,Maria Dalva De Barros Carvalho,Rosana Rosseto De Oliveira,Sandra Marisa Pelloso,Paloma Luana De Azevedo Ramos Da Silva Silva

doi:10.1590/0034-7167-2018-0299

Maria De Fátima Garcia Lopes Merino, Ieda Harumi Higarashi + Show 4 more

Open Access

https://doi.org/10.1590/0034-7167-2018-0299

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Abstract

to analyze the trend of hospitalization rates and mortality due to Diabetes Mellitus in children and adolescents in Brazil. temporal series study, hospitalization rates and diabetes mortality in children and adolescents. Data were obtained from the Hospital Information System and Mortality Information System, from 2005-2015, with analysis performed by polynomial regression modeling. 87,100 hospitalizations and 1,120 deaths from diabetes were analyzed. Hospitalizations rates increased for both genders and all age groups, with an increase for adolescents aged 10-14 years. The mortality rate declined, except for the 15-19-year age group. In the overall mortality trend in Brazil, the South and Southeast showed a decrease, whereas for hospitalizations only the Center-West remained constant, while the others increased. however, there was a decrease in infant mortality and increase in hospitalizations.

Highlights

Design, place of study and periodDiabetes Mellitus (DM) is a chronic, non-transmissible, progressively progressive disease
Data from the International Diabetes Federation (IDF) confirm the growing proportion of people with DM in increasingly younger age groups, with most of them residing in developing countries where the epidemic is most intense
Mortality rates were higher in females, and the age group with the highest number of deaths was adolescents aged 15 to 19 years

Summary

INTRODUCTION

Diabetes Mellitus (DM) is a chronic, non-transmissible, progressively progressive disease. Data from the International Diabetes Federation (IDF) confirm the growing proportion of people with DM in increasingly younger age groups, with most of them residing in developing countries where the epidemic is most intense. DM1 is one of the most common endocrine and metabolic conditions in children and adolescents, with children under the age of five and especially those residing in developing countries[1,3,4,5]. Uncontrolled long-term glycemic levels may trigger chronic micro- and macrovascular complications, leading patients to develop neuropathies and amputations, retinopathies, nephropathies and cardiovascular diseases that may occur after puberty or after five to ten years of onset of disease[12,13]. It is justified to carry out the present study, considering the importance of knowing the occurrence of hospitalizations and mortality caused by the disease in this age group

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