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

Olufisayo Gabriel Ayoade; Collins Amadi; Sunday Babatunde Adesina; Sarah Ifreke Essien; Enobong Nkereuwem Udoh; Ofonmbuk Okon Umoh

doi:doi:10.11648/j.ajp.20200603.36

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

Olufisayo Gabriel Ayoade, Collins Amadi, Sunday Babatunde Adesina, Sarah Ifreke Essien, Enobong Nkereuwem Udoh, Ofonmbuk Okon Umoh

Published in American Journal of Pediatrics (Volume 6, Issue 3)

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.

Published in	American Journal of Pediatrics (Volume 6, Issue 3)
DOI	10.11648/j.ajp.20200603.36
Page(s)	327-333
Creative Commons	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), 2020. Published by Science Publishing Group

Keywords

Diabetes, Pediatric Diabetes, Pediatric Type 1 Diabetes

References

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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://article.sciencepublishinggroup.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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Author Information

Olufisayo Gabriel Ayoade

Department of Chemical Pathology, University of Uyo Teaching Hospital, Uyo, Nigeria
Collins Amadi

Department of Chemical Pathology, University of Uyo Teaching Hospital, Uyo, Nigeria
Sunday Babatunde Adesina

Department of Pediatrics, University of Uyo Teaching Hospital, Uyo, Nigeria
Sarah Ifreke Essien

Department of Chemical Pathology, University of Uyo, Uyo, Nigeria
Enobong Nkereuwem Udoh

Department of Chemical Pathology, University of Uyo Teaching Hospital, Uyo, Nigeria
Ofonmbuk Okon Umoh

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

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APA Style

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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ACS 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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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

Copy | Download

@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://article.sciencepublishinggroup.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}
}

Copy | Download

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  -

Copy | Download