Author/Editor     Schwingshandl, J; Pilhatsch, A; Borkenstein, M
Title     A year of experience with a customised electronic database for diabetic children
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 63, št. Suppl 1
Publication year     1994
Volume     str. I-21-I-23
Language     eng
Abstract     Background. A database for diabetic children which is a part of a database for pediatric endocrinology in general ('OZGROW' by Peter Greenacre, Ray Williams Institute of Pediatric Endocrinology, Diabetes and Metabolism, The children's Hospital, Sydney, 2050 NSW, Australia) is presented. Examples for data management are given and the use in the day to day routine is discussed. Methods. Data on 175 children and adolescents with type I diabetes (99 males, 76 females, mean age 15.4, SD 5.9, range 1.2 to 32.O years, and mean duration of diabetes 7.5, SD 5.3, range 0.04 to 26.2 years) were analyzed. Results. The mean HbA1c of the whole group was 8. 7 (SD 2. 0, range 4.8 to 17. 0) per cent, metabolic control being significantly poorer in girls (9.1, SD 2.1, vs. 8.4, SD 1.8, p=0.03). Mean height SDS was +0.1 (SD 1.1, range -3.3 to +2.6) for the whole group. Mean height SDS in the girls was significantly lower if compared with the boys (0.15, SD 1.3 vs. +0.27, SD 1.0; p=0.04). Mean weight SDS was + 0.3 (SD 0.9, range -2.6 to + 2.6). The mean age at diagnosis was 8.1 (SD 4.1, range 0.7 to 20.8) years, the mean interval between the observation of first specific symptoms of diabetes and the diagnosis was 35 (SD G2, range 0 to 365) days. The time between first symptoms and the diagnosis was correlated with the age at diagnosis (r=0.22, p=0.04). When data were analyzed separately according togender girls on basal-bolus had a significantly higher body weight if compared with girls on conventional insulin substituion (+0.5, SD 0.8 vs. +0.1, SD 0.9 SDS; p = 0.04). Boys on basal bolus were significantly taller companed to boys on conventional insulin substitution (+ 0.7, SD 1.0 vs. 0.1, SD 0.9 SDS; p=0.01). Conclusions. A customised electronic database for children and adolescents with type I diabetes gives easy access to patients data, which brings advantages for the day-to-day routine as well as for scientific analysis.
Descriptors     DIABETES MELLITUS, INSULIN-DEPENDENT
MEDICAL RECORDS SYSTEMS, COMPUTERIZED
CHILD DEVELOPMENT