O-40: Epidemiological profile and hospital outcomes of admissions for diabetes mellitus in children and adolescents in Brazil, 2015–2025
P Fiacadori, H Hamad Timeny de Carvalho, J R Cavalcanti do Nascimento, V Í Medeiros Oliveira, M L Medeiros Gomes Miguel, M Arruda Braga Lira, B Vládima de Souza Pessoa, C Gouveia Buff Passone, J Cavalcanti de Oliveira, D Alencar de Menezes AthaydeAbstract
Introduction
Diabetes mellitus (DM) in children and adolescents is an increasing public health issue linked to hospitalization, and in Brazil, limited data highlights the need for epidemiological studies.
Objectives
To analyze the epidemiology profile and hospital outcomes of diabetes-related admissions in individuals aged 0–19 in Brazil from 2015 to 2025.
Methods
Ecological study using SIH/DATASUS (2015–2025) on DM hospitalizations (ICD-10 E10–E14) in individuals aged 0–19 in Brazil. Variables included admissions by sex and age group, deaths, mortality, length of stay, costs, and admission type. Temporal trends were analyzed using linear regression and Mann-Kendall tests, while regional differences were assessed with chi-square test and relative risk (α=5%).
Results
A total of 109,412 hospitalizations were recorded, increasing significantly over time (+373/year; p<0.001). Females predominated (57.1%). The 10–14-year age group accounted for the largest proportion of admissions (37.1%), with a significant upward trend (+218/year; p<0.001). Emergency admissions predominated (94.6%). Overall, 664 deaths occurred, with stable in-hospital mortality (0.61%) and no significant temporal trend (p=0.171; Mann-Kendall p=0.28). Deaths occurred mainly among those aged 15–19 years (55.9%), while infants <1 year had the highest case fatality (2.58%) indicating greater disease severity in this group. Despite representing only 4.7% of admissions, the North region had the highest mortality, over fourfold higher than the South (p<0.001). Mean length of stay was 5.8 days and decreased over time (-0.06 days/year; p=0.041). Mean hospitalization cost was approximately US$200 and increased annually (+US$10/year; p<0.001).
Conclusions
DM among children and adolescents is a growing challenge in Brazil, with rising hospitalizations, a predominance of emergency room visits, and regional disparities; this highlights weaknesses in care and the need to strengthen primary care.