Insulin pump failures in Italian children with Type 1 diabetes: retrospective 1‐year cohort study
Year: 2016
Type: article
Study design: Observational Study
Abstract: Aims Insulin pump failure and/or malfunction requiring replacement have not been thoroughly investigated. This study evaluated pump replacement in children and adolescents with Type 1 diabetes using insulin pump therapy. Methods Data were collected for all participants younger than 19 years, starting insulin pump therapy before 31 December 2013. For each child, age, disease duration, date of insulin pump therapy initiation, insulin pump model, failure/malfunction/replacement yes/no and reason were considered for the year 2013. Results Data were returned by 40 of 43 paediatric centres belonging to the Diabetes Study Group of the Italian Society of Paediatric Endocrinology and Diabetology. In total, 1574 of 11 311 (13.9%) children and adolescents with Type 1 diabetes were using an insulin pump: 29.2% Animas VIBE™, 9.4% Medtronic MiniMed 715/515™, 34.3% Medtronic MiniMed VEO™, 24.3% Accu‐Check Spirit Combo™ and 2.8% other models. In 2013, 0.165 insulin pump replacements per patient‐year (11.8% due to pump failure/malfunction and 4.7% due to accidental damage) were recorded. Animas VIBE™ (22.1%) and Medtronic MiniMed VEO™ (17.7%) were the most replaced. Conclusions In a large cohort of Italian children and adolescents with Type 1 diabetes, insulin pump failure/malfunction and consequent replacement are aligned with rates previously reported and higher in more sophisticated pump models.
Source: Diabetic Medicine
DOI: 10.1111/dme.13294
Authors: I. Rabbone, N. Minuto, R. Bonfanti, M. Marigliano, F. Cerutti, V. Cherubini, G. d'Annunzio, A. P. Frongia, D. Iafusco, G. Ignaccolo, F. Lombardo, R. Schiaffini, S. Toni, S. Tumini, S. Zucchini, A. Pistorio, A. E. Scaramuzza, the Italian Paediatric Pump Failure Study Group
Institutions: University of Turin, Istituto Giannina Gaslini, Vita-Salute San Raffaele University, University of Verona, Azienda Ospedaliero-Universitaria delle Marche, Fondazione Ospedale Salesi, Azienda Ospedaliera G. Brotzu, University of Campania "Luigi Vanvitelli", University of Messina, Bambino Gesù Children's Hospital, Meyer Children's Hospital, University of Chieti-Pescara, IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola, University of Milan
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2555616219