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10.23750/abm.v91i4.10943 http://scihub22266oqcxt.onion/10.23750/abm.v91i4.10943 33525255!7927550!33525255     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Acta+Biomed 2020 ; 91 (4): e2020193 Nephropedia Template TP {{tp|p=33525255|t=2020. Diabetic ketoacidosis at type 1 diabetes onset: indirect impact of COVID-19 pandemic |pdf=|usr=}}{{33525255}} gab.com Text Diabetic ketoacidosis at type 1 diabetes onset: indirect impact of COVID-19 pandemic JO: Acta Biomed http://www.kidney.de/pget.php?&tw=1&pmid=33525255 #FOAvip Reorganization of healthcare resources due to COVID-19 pandemic has led to an unintentional neglect of essential care, especially for paediatric emergencies. This phenomenon has been observed also for type 1 diabetes patients at onset, and surveys from different countries have shown an increased number of diabetic ketoacidosis during lock-down period. We report the case of two patients admitted late at our emergency care service for type-1 diabetes at onset with ketoacidosis, for reasons related to COVID-19 pandemic outbreak. Case report 1: A 5 years old boy, presented with a severe diabetic ketoacidosis, requiring admission in Intensive Care Unit, prolonged intravenous insulin infusion and enteral nutrion via nasogastric tube. Case report 2: A 10 years old girl presented in the emergency department with a history respiratory distress, due to Kussmaul's breathing, and severe dehydration. Laboratory findings were consistent with a diagnosis of moderate diabetic ketoacidosis. We have further analyzed the experience of our Centre regarding new onset type 1 diabetes patients during lock-down period: we observed a reduction of admissions for type 1 diabetes onset during lock-down period compared to same period of 2019, with a higher prevalence of moderate and severe diabetic ketoacidosis. We conclude highlighting the upcoming necessity, due to the emerging of a 'second wave' of the pandemic, that public opinion and healthcare practitioners provide correct information regarding access to paediatric services, in particular for children with newly onset symptoms, in order to avoid late access to emergency department in critical situations and to prevent avoidable morbidity and mortality. Twit Text FOAVip Diabetic ketoacidosis at type 1 diabetes onset: indirect impact of COVID-19 pandemic ????Acta Biomed http://www.kidney.de/pget.php?&tw=1&pmid=33525255 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33525255 #FOAvip English Wikipedia <ref>{{Cite pmid|33525255}}</ref> Diabetic ketoacidosis at type 1 diabetes onset: indirect impact of COVID-19 pandemic #MMPMID33525255 Lazzeroni P; Bernardi L; Pecora F; Motta M; Bianchi L; Ruozi MB; Giacometti A; Venezia S; Dodi I; Iovane B Acta Biomed 2020[Nov]; 91 (4): e2020193 PMID33525255show ga Reorganization of healthcare resources due to COVID-19 pandemic has led to an unintentional neglect of essential care, especially for paediatric emergencies. This phenomenon has been observed also for type 1 diabetes patients at onset, and surveys from different countries have shown an increased number of diabetic ketoacidosis during lock-down period. We report the case of two patients admitted late at our emergency care service for type-1 diabetes at onset with ketoacidosis, for reasons related to COVID-19 pandemic outbreak. Case report 1: A 5 years old boy, presented with a severe diabetic ketoacidosis, requiring admission in Intensive Care Unit, prolonged intravenous insulin infusion and enteral nutrion via nasogastric tube. Case report 2: A 10 years old girl presented in the emergency department with a history respiratory distress, due to Kussmaul's breathing, and severe dehydration. Laboratory findings were consistent with a diagnosis of moderate diabetic ketoacidosis. We have further analyzed the experience of our Centre regarding new onset type 1 diabetes patients during lock-down period: we observed a reduction of admissions for type 1 diabetes onset during lock-down period compared to same period of 2019, with a higher prevalence of moderate and severe diabetic ketoacidosis. We conclude highlighting the upcoming necessity, due to the emerging of a 'second wave' of the pandemic, that public opinion and healthcare practitioners provide correct information regarding access to paediatric services, in particular for children with newly onset symptoms, in order to avoid late access to emergency department in critical situations and to prevent avoidable morbidity and mortality. |*Communicable Disease Control[MESH] |COVID-19/*epidemiology/*prevention & control/transmission[MESH] |Child[MESH] |Child, Preschool[MESH] |Diabetes Mellitus, Type 1/*complications/diagnosis/*therapy[MESH] |Diabetic Ketoacidosis/diagnosis/etiology/*therapy[MESH] |Female[MESH] |Humans[MESH]Diabetic ketoacidosis at type 1 diabetes onset: indirect impact of COV(epmc).pdf DeepDyve Pubget Overpricing