American Journal of Pediatrics

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Retrospective Survey of Pediatric Diabetics at a Tertiary Healthcare Center in Uyo, South-South Nigeria

Received: 10 July 2020    Accepted: 29 July 2020    Published: 18 August 2020
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Abstract

Purpose: Despite the high prevalence of diabetes mellitus (DM) reported among adult Uyo inhabitants in south-south Nigeria, no data exist on pediatric DM (PDM) to date. Hence, the current study aimed to evaluate pediatric subjects diagnosed with DM in Uyo, South-south Nigeria. Methods: This was a retrospective survey of incident/newly diagnosed PDM subjects diagnosed/managed over 15 years (2003-2018) at the University of Uyo Teaching Hospital (UUTH), South-south Nigeria. Patients’ demographic, clinical, and laboratory variables at PDM diagnosis were retrieved from medical records and analyzed using descriptive statistics. Results: 45,551 pediatric cases were managed during the studied period among them 9 PDM cases, all of type 1 DM, giving PDM prevalence of 0.20/1000. Age at diagnosis was 7.00±4.82 years (range 2-16) with a predominance of ≤5-year-olds (44.4%) and females (66.6%). Most (77.8%) presented via the pediatric outpatient clinic, during the rainy season (55.6%), were urban-dwellers (55.6%), of Ibibio ethnicity (55.6%), and lower socioeconomic status (44.4%). Three (33.3%) had DM family history, mostly in first-degree (n=2) relatives. Predominant symptoms were polyuria (100%), polydipsia (100%), weight loss (88.9%), and weakness (77.8%); polyuria being the most prolonged symptom. Three (33.3%) were underweight/stunted, and 2 (22.2%) were overweight. DKA complicated with AKI and dehydration-induced AKI was recorded in 2 respective cases. The default rate to follow-up was discouragingly high following diagnosis. Conclusion: The prevalence rate of PDM was relatively low, occurred mostly among the ≤5-year-olds, with a high rate of default to follow-up. These findings could serve as health policy targets by various stakeholders within the studied region.

DOI 10.11648/j.ajp.20200603.36
Published in American Journal of Pediatrics (Volume 6, Issue 3, September 2020)
Page(s) 327-333
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Diabetes, Pediatric Diabetes, Pediatric Type 1 Diabetes

References
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Author Information
  • Department of Chemical Pathology, University of Uyo Teaching Hospital, Uyo, Nigeria

  • Department of Chemical Pathology, University of Uyo Teaching Hospital, Uyo, Nigeria

  • Department of Pediatrics, University of Uyo Teaching Hospital, Uyo, Nigeria

  • Department of Chemical Pathology, University of Uyo, Uyo, Nigeria

  • Department of Chemical Pathology, University of Uyo Teaching Hospital, Uyo, Nigeria

  • Department of Chemical Pathology, University of Uyo Teaching Hospital, Uyo, Nigeria

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    Olufisayo Gabriel Ayoade, Collins Amadi, Sunday Babatunde Adesina, Sarah Ifreke Essien, Enobong Nkereuwem Udoh, et al. (2020). Retrospective Survey of Pediatric Diabetics at a Tertiary Healthcare Center in Uyo, South-South Nigeria. American Journal of Pediatrics, 6(3), 327-333. https://doi.org/10.11648/j.ajp.20200603.36

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    Olufisayo Gabriel Ayoade; Collins Amadi; Sunday Babatunde Adesina; Sarah Ifreke Essien; Enobong Nkereuwem Udoh, et al. Retrospective Survey of Pediatric Diabetics at a Tertiary Healthcare Center in Uyo, South-South Nigeria. Am. J. Pediatr. 2020, 6(3), 327-333. doi: 10.11648/j.ajp.20200603.36

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    AMA Style

    Olufisayo Gabriel Ayoade, Collins Amadi, Sunday Babatunde Adesina, Sarah Ifreke Essien, Enobong Nkereuwem Udoh, et al. Retrospective Survey of Pediatric Diabetics at a Tertiary Healthcare Center in Uyo, South-South Nigeria. Am J Pediatr. 2020;6(3):327-333. doi: 10.11648/j.ajp.20200603.36

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  • @article{10.11648/j.ajp.20200603.36,
      author = {Olufisayo Gabriel Ayoade and Collins Amadi and Sunday Babatunde Adesina and Sarah Ifreke Essien and Enobong Nkereuwem Udoh and Ofonmbuk Okon Umoh},
      title = {Retrospective Survey of Pediatric Diabetics at a Tertiary Healthcare Center in Uyo, South-South Nigeria},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {3},
      pages = {327-333},
      doi = {10.11648/j.ajp.20200603.36},
      url = {https://doi.org/10.11648/j.ajp.20200603.36},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajp.20200603.36},
      abstract = {Purpose: Despite the high prevalence of diabetes mellitus (DM) reported among adult Uyo inhabitants in south-south Nigeria, no data exist on pediatric DM (PDM) to date. Hence, the current study aimed to evaluate pediatric subjects diagnosed with DM in Uyo, South-south Nigeria. Methods: This was a retrospective survey of incident/newly diagnosed PDM subjects diagnosed/managed over 15 years (2003-2018) at the University of Uyo Teaching Hospital (UUTH), South-south Nigeria. Patients’ demographic, clinical, and laboratory variables at PDM diagnosis were retrieved from medical records and analyzed using descriptive statistics. Results: 45,551 pediatric cases were managed during the studied period among them 9 PDM cases, all of type 1 DM, giving PDM prevalence of 0.20/1000. Age at diagnosis was 7.00±4.82 years (range 2-16) with a predominance of ≤5-year-olds (44.4%) and females (66.6%). Most (77.8%) presented via the pediatric outpatient clinic, during the rainy season (55.6%), were urban-dwellers (55.6%), of Ibibio ethnicity (55.6%), and lower socioeconomic status (44.4%). Three (33.3%) had DM family history, mostly in first-degree (n=2) relatives. Predominant symptoms were polyuria (100%), polydipsia (100%), weight loss (88.9%), and weakness (77.8%); polyuria being the most prolonged symptom. Three (33.3%) were underweight/stunted, and 2 (22.2%) were overweight. DKA complicated with AKI and dehydration-induced AKI was recorded in 2 respective cases. The default rate to follow-up was discouragingly high following diagnosis. Conclusion: The prevalence rate of PDM was relatively low, occurred mostly among the ≤5-year-olds, with a high rate of default to follow-up. These findings could serve as health policy targets by various stakeholders within the studied region.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Retrospective Survey of Pediatric Diabetics at a Tertiary Healthcare Center in Uyo, South-South Nigeria
    AU  - Olufisayo Gabriel Ayoade
    AU  - Collins Amadi
    AU  - Sunday Babatunde Adesina
    AU  - Sarah Ifreke Essien
    AU  - Enobong Nkereuwem Udoh
    AU  - Ofonmbuk Okon Umoh
    Y1  - 2020/08/18
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajp.20200603.36
    DO  - 10.11648/j.ajp.20200603.36
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 327
    EP  - 333
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20200603.36
    AB  - Purpose: Despite the high prevalence of diabetes mellitus (DM) reported among adult Uyo inhabitants in south-south Nigeria, no data exist on pediatric DM (PDM) to date. Hence, the current study aimed to evaluate pediatric subjects diagnosed with DM in Uyo, South-south Nigeria. Methods: This was a retrospective survey of incident/newly diagnosed PDM subjects diagnosed/managed over 15 years (2003-2018) at the University of Uyo Teaching Hospital (UUTH), South-south Nigeria. Patients’ demographic, clinical, and laboratory variables at PDM diagnosis were retrieved from medical records and analyzed using descriptive statistics. Results: 45,551 pediatric cases were managed during the studied period among them 9 PDM cases, all of type 1 DM, giving PDM prevalence of 0.20/1000. Age at diagnosis was 7.00±4.82 years (range 2-16) with a predominance of ≤5-year-olds (44.4%) and females (66.6%). Most (77.8%) presented via the pediatric outpatient clinic, during the rainy season (55.6%), were urban-dwellers (55.6%), of Ibibio ethnicity (55.6%), and lower socioeconomic status (44.4%). Three (33.3%) had DM family history, mostly in first-degree (n=2) relatives. Predominant symptoms were polyuria (100%), polydipsia (100%), weight loss (88.9%), and weakness (77.8%); polyuria being the most prolonged symptom. Three (33.3%) were underweight/stunted, and 2 (22.2%) were overweight. DKA complicated with AKI and dehydration-induced AKI was recorded in 2 respective cases. The default rate to follow-up was discouragingly high following diagnosis. Conclusion: The prevalence rate of PDM was relatively low, occurred mostly among the ≤5-year-olds, with a high rate of default to follow-up. These findings could serve as health policy targets by various stakeholders within the studied region.
    VL  - 6
    IS  - 3
    ER  - 

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