Endocrine Abstracts

JOINT1800

Introduction: Brazil occupies the third position both in the ranking of countries with the highest healthcare expenses related to Diabetes Mellitus (DM) and in an estimated number of prevalent cases of DM1, totaling 92, 300 diabetics aged 0 to 19 years. This scenario results in numerous annual hospitalizations due to complications such as diabetic ketoacidosis. This study aimed to determine the temporal trend of hospitalizations due to DM in Brazilians aged less than 10 years from 2013 to 2023.

Methods: This is an epidemiological, descriptive, and retrospective study with a quantitative approach to reported cases of hospitalizations for Diabetes Mellitus in children aged 0 to 9 years in Brazil. Data was obtained from the SUS Hospital Admissions System (SIH/SUS) and accessed electronically on the portal of the Department of Information of the Unified Health System (DATASUS) of the Ministry of Health. Hospitalization rates were calculated as expressed per 100, 000 inhabitants. For the temporal trend, raw hospitalization and population data per year were imported into the Joinpoint regression program version 5. 1. 0. 0., calculating the annual percentage change (APC) and the confidence interval (95% CI).

Results: In the analyzed period, 32, 184 hospitalizations due to DM were reported in children aged 0 to 9 years, with an annual average of 2, 925. 82. The trend of hospitalizations proved to be increasing, with an APC of 3. 38 (95%CI: 2. 30;4. 39; P < 0. 001). From 2013 to 2019, there was a stationary trend, with APC=1. 3% (95%CI: -2, 89;2. 78; P = 0. 41), and from 2019 to 2023, an increasing trend was observed, with APC=6. 58% (95%CI: 4. 08;12. 18; P < 0. 001). The highest number of hospitalizations occurred in mixed-race female children aged 5 to 9 years in the Southeast region. The highest hospitalization rates were seen in the Central-West, South, and Southeast regions, respectively.

Conclusion: We observed high rates of hospitalization in the period analyzed for DM in children under 10 years of age, with an increasing temporal trend after 2019. This epidemiological profile agrees with the international literature that shows a significant increase in DM diagnoses after the COVID-19 pandemic. 19. Hospitalizations of northern, indigenous, and elective children were the minority. There is limited data regarding children with Diabetes in Brazil, highlighting the importance of more epidemiological studies to direct care and resources to groups at higher risk of hospitalization.