Cindy Chin

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Scholarly Contributions

Journals/Publications

• Elrokshsi, S., Bluez, G. P., Chin, C., Wheeler, M. D., Silva Torres, G. E., & Perfect, M. M. (2020). Differences in Sleep Architecture According to Body Mass Index in Children with Type 1 Diabetes. Diabetes.
• Munoz, F. A., Chin, C., Kops, S. A., Kowalek, K., Seckeler, M. D., Seckeler, M. D., Kowalek, K., Kops, S. A., Chin, C., & Munoz, F. A. (2020). Increased length of stay and hospital charges in adolescents with type 1 diabetes and psychiatric illness.. Journal of pediatric endocrinology & metabolism : JPEM, 34(2), 183-186. doi:10.1515/jpem-2020-0373
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  Type I diabetes mellitus (T1DM) is one of the most common chronic diseases of childhood. Diabetic ketoacidosis (DKA) in this population contributes to significant healthcare utilization, including emergency room visits, hospitalizations, and ICU care. Comorbid psychiatric illnesses (CPI) are additional risks for increased healthcare utilization. While CPI increased risk for DKA hospitalization and readmission, there are no data evaluating the relationship between CPI and hospital outcomes. We hypothesized that adolescents with T1DM and CPI admitted for DKA have increased length of stay (LOS) and higher charges compared to those without CPI..Retrospective review of 2000-2012 Healthcare Cost and Utilization Project's (HCUP) Kids' Inpatient Databases (KID). Patients 10-21 years old admitted with ICD-9 codes for DKA or severe diabetes (250.1-250.33) with and without ICD-9 codes for depression (296-296.99, 311) and anxiety (300-300.9). Comparisons of LOS, mortality, and charges between groups (No CPI, Depression and Anxiety) were made with one way ANOVA with Bonferroni correction, independent samples Kruskal-Wallis test with Bonferroni correction and χ2..There were 79,673 admissions during the study period: 68,573 (86%) No CPI, 8,590 (10.7%) Depression and 12,510 (15.7%) Anxiety. Female patients comprised 58.2% (n=46,343) of total admissions, 66% of the Depression group, and 71% of the Anxiety group. Patients with depression or anxiety were older and had longer LOS and higher mean charges (p
• Elrokhsi, S. H., Bluez, G. P., Chin, C. N., Wheeler, M. D., Silva, G. E., & Perfect, M. M. (2019). Differences in sleep architecture according to body mass index in children with type 1 diabetes. Pediatric diabetes.
  More info

  Slow wave sleep (SWS), or deep sleep, is thought to be the most restorative stage of sleep and may be of a particular interest in the pathophysiology of obesity. The aim of this study was to investigate differences in sleep architecture based on body mass index (BMI) among a pediatric population with type 1 diabetes mellitus (T1DM). We hypothesized that children with T1DM who are obese would have less SWS than those who are not obese. Of 105 children with T1DM (mean age 13.54 years, 49.5% females) in this study, 19% were obese, 22% were overweight, and 59% had a normal BMI (81% non-obese). The overall SWS% among the participants was 13.2%. In contrast to our hypothesis, there was no significant difference in SWS% between obese and non-obese participants. However, the percent of time spent in rapid eye movement (REM) sleep among obese participants was significantly lower than those who were not obese (P = .022), which remained after adjusting the result for multiple covariates. While we found no significant association between the SWS time and BMI, obese adolescents with T1DM spent less time in REM sleep than those who were not obese. This study adds to the growing body of evidence supporting the importance of addressing sleep in clinical care of youth with T1DM.

Poster Presentations

• Chin, C. N., Wheeler, M. D., Stout, J., Patel, P., Berg, M., & Typpo, K. V. (2018, May). Updated DKA Guideline Shortens Duration of Insulin Infusion and Hospital Length of Stay for Patients with Severe DKA. Pediatric Academic Societies Meeting. Toronto: Pediatric Academic Societies.