Unplanned Visits Often Precede DKA in Children with Type 1 Diabetes

Emergency room and nonpreventive primary care office visits for children with type 1 diabetes occurred more frequently within 14 days of hospitalization for diabetic ketoacidosis.

Detecting early risk factors to avoid hospitalizations for diabetic ketoacidosis (DKA) could reduce morbidity in children with type 1 diabetes, as well as reduce healthcare costs. To determine patterns of outpatient care associated with hospitalization for DKA, investigators retrospectively reviewed California Medicaid (Medi-Cal) claims data for children with type 1 diabetes over a 3-year period.

Of 5263 children with type 1 diabetes, 879 (17%) were hospitalized for DKA during the study period. DKA hospitalization was more common in children who were >12 years of age, girls, or insured with Medi-Cal managed care, and in those who had a mental health comorbidity. Patients hospitalized for DKA were more likely to have emergency department visi…

Reviewing Author

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

Unplanned Visits Often Precede DKA in Children with Type 1 Diabetes

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Reviewing Author