Early mortality in childhood diabetes in Austria - a population based cohort study

All Austrian patients with insulin dependent diabetes diagnosed between 1979 and 1990 and age at onset below 15 years were followed from manifestation until death or until 31 December 1990 by cross linking the diabetes registry data with the National Mortality database (death certificates). Out of t...

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Bibliographic Details
Published in:European journal of pediatrics 1997, Vol.156 (1), p.15-17
Main Authors: SCHOBER, E, SCHNEIDER, U, FRIEDL, H.-P, UNSINN, K
Format: Article
Language:English
Subjects:
Adolescent
Age of Onset
Austria - epidemiology
Biological and medical sciences
Child
Child, Preschool
Cohort Studies
Diabetes Mellitus, Type 1 - mortality
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Humans
Male
Medical sciences
Poisson Distribution
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Summary:All Austrian patients with insulin dependent diabetes diagnosed between 1979 and 1990 and age at onset below 15 years were followed from manifestation until death or until 31 December 1990 by cross linking the diabetes registry data with the National Mortality database (death certificates). Out of the cohort consisting of 1185 cases, 6 had died during the study period, resulting in a standardized mortality ratio of 1.53 for the total cohort. Of the patients 50% died due to acute diabetic complications including 2 children at onset of the disease. The risk for premature death in this cohort of very young insulin dependent diabetes mellitus patients was only slightly increased. In comparison to previous studies it is rather low, but comparable to recent investigations in northern Europe. Although the mortality of diabetic children and adolescents in Austria is only marginally higher than in nondiabetics, there are still deaths which should be preventable in this age group.
ISSN:0340-6199
1432-1076