Influence of Telemedicine on the Number of Visits and HbA1c Determinations in Latin American Children with Type 1 Diabetes

被引：3

作者：

Hirschler, Valeria ^{[1
]}

Molinari, Claudia ^{[1
]}

Figueroa Sobrero, Angela ^{[2
]}

Pelicand, Julie ^{[3
]}

Pinto Ibarcena, Paula ^{[4
]}

Del Aguila Villar, Carlos M. ^{[5
]}

Scaiola, Edit ^{[6
]}

Bocco, Patricia ^{[7
]}

Gonzalez, Diana S. ^{[8
]}

Mac, Ailin ^{[8
]}

Ramirez Trillo, Carolina ^{[2
]}

Brito, Edgar Mora ^{[9
]}

Acosta, Johanna ^{[10
]}

Lapertosa, Silvia ^{[1
]}

Gonzalez, Claudio D. ^{[1
]}

机构：

[1] Univ Buenos Aires, Nutr & Diabet, Maipu 812 5 M, RA-1006 Buenos Aires, DF, Argentina

[2] Hosp San Roque, Parana, Argentina

[3] Univ Valparaiso, San Camilo Hosp, Med Sch, San Felipe, Chile

[4] Natl Inst Child Hlth, Endocrinol & Metab Serv, Lima, Peru

[5] Natl Univ Federico Villarreal, Fac Med, Lima, Peru

[6] Ushuaia Reg Hosp, Ushuaia, Argentina

[7] Hosp Reg Ushuaia, Ushuaia, Argentina

[8] Neuquen Reg Hosp, Neuquen, Argentina

[9] Gen Hosp Puyo, Puyo, Ecuador

[10] Omni Hosp, Private Clin, Guayaquil, Ecuador

来源：

DIABETES TECHNOLOGY & THERAPEUTICS | 2021年 / 23卷 / 11期

关键词：

Type; 1; diabetes; Children; Telemedicine;

D O I：

10.1089/dia.2021.0189

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To measure the changes in the number of medical visits and the number of hemoglobin A1c (HbA1c) determinations according to telemedicine access in children with type 1 diabetes (T1DM) during the pandemic 2020 compared with 2019 and 2018.Methods: This is a multinational study of children with T1DM from four Latin American countries. The number of medical visits, the number of HbA1c determinations, and access to telemedicine during 2020 were extracted from their records.Results: Two hundred twenty-seven children (59% females) aged 12.7 +/- 3.2 years with a duration of 5.4 +/- 2.7 years of T1DM in 2018 were evaluated. There was a higher prevalence of children with telemedicine access in the pandemic 2020 versus those without [145 (63.9%) vs. 82 (36.1%); P < 0.01]. There was a higher number of medical visits during 2020 in children with telemedicine access versus those without (6.9 vs. 2.6; P < 0.01). Children with telemedicine access had a higher number of visits in 2020 versus 2018 (6.87 vs. 5.04, P < 0.01), but similar to 2019. Children without access had a lower number of visits in 2020 versus 2019 (2.6 vs. 5.5; P < 0.01) and versus 2018 (2.6 vs. 5.1; P < 0.01). In 2020, the number of HbA1c determinations in children with telemedicine access was higher versus those without (1.8 vs. 0.9; P < 0.01). Children with telemedicine access had a lower number of HbA1c determinations in 2020 versus 2019 (1.8 vs. 2.4; P < 0.01), but similar to 2018. Furthermore, children without access had a lower number of HbA1c determinations in 2020 versus 2019 (0.9 vs. 1.9; P < 0.01) and versus 2018 (0.9 vs. 2.0; P < 0.01).Conclusions: We found that children with T1DM with telemedicine access had a significantly higher number of medical visits and HbA1c determinations during lockdown than those without access in different Latin American centers.

引用

页码：731 / 736

页数：6

共 20 条

[11] Clinical Improvements by Telemedicine Interventions Managing Type 1 and Type 2 Diabetes: Systematic Meta-review [J].