Factors associated with the poor outcomes in diabetic patients with COVID-19.

COVID-19 Diabetes Mortality Risk factor

Journal

Journal of diabetes and metabolic disorders
ISSN: 2251-6581
Titre abrégé: J Diabetes Metab Disord
Pays: Switzerland
ID NLM: 101590741

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 18 08 2020
accepted: 23 09 2020
pubmed: 20 10 2020
medline: 20 10 2020
entrez: 19 10 2020
Statut: epublish

Résumé

Diabetic's patients are supposed to experience higher rates of COVID-19 related poor outcomes. We aimed to determine factors predicting poor outcomes in hospitalized diabetic patients with COVID-19 This retrospective cohort study included all adult diabetic patients with radiological or laboratory confirmed COVID-19 who hospitalized between 20 February 2020 and 27 April 2020 in Alborz province, Iran. Data on demographic, medical history, and laboratory test at presentation were obtained from electronic medical records. Diagnosis of diabetes mellitus was self-reported. Comorbidities including cancer, rheumatism, immunodeficiency, or chronic diseases of respiratory, liver, and blood were classified as "other comorbidities" due to low frequency. The assessed poor outcomes were in-hospital mortality, need to ICU care, and receiving invasive mechanical ventilation. Self-reported. Multivariate logistic regression models were fitted to quantify the predictors of in-hospital mortality from COVID-19 in patients with DM. Of 455 included patients, 98(21.5%) received ICU care, 65(14.3%) required invasive mechanical ventilation, and 79 (17.4%) dead. In the multivariate model, significant predictors of "death of COVID-19" were age 65 years or older (OR (95% CI): 2.0 (1.16-3.44), chronic kidney disease (CKD) (2.05 (1.16-3.62), presence of "other comorbidities" (2.20 (1.04-4.63)), neutrophil count ≥8.0 × 10 Diabetic patients with age 65 years or older, comorbidity CKD, "other comorbidities", as well as neutrophil count ≥8.0 × 10

Identifiants

pubmed: 33072634
doi: 10.1007/s40200-020-00646-6
pii: 646
pmc: PMC7546599
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1293-1302

Informations de copyright

© Springer Nature Switzerland AG 2020.

Déclaration de conflit d'intérêts

Conflict of interestNot applicable.

Auteurs

Hadith Rastad (H)

Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.

Hanieh-Sadat Ejtahed (HS)

Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Armita Mahdavi-Ghorabi (A)

Department of Basic and Clinical Research, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.

Masoud Arzaghi (M)

Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Anis Safari (A)

Dietary Supplements and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran.

Ehsan Shahrestanaki (E)

Dietary Supplements and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran.

Mohammad Rezaei (M)

Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.

Mohammad Mahdi Niksima (MM)

Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.

Akram Zakani (A)

Clinical Research Development Center of Rajaei, Alborz University of Medical Sciences, Karaj, Iran.

Seyede Hanieh Dehghan Manshadi (SH)

Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.

Fatemeh Ochi (F)

Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.

Shabnam Saedi (S)

Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.

Zeinab Khodaparast (Z)

Clinical Research Development Center of Kamali Hospital, Alborz University of Medical Sciences, Karaj, Iran.

Neda Shafiabadi Hassani (N)

Cardiovascular Research Center, Alborz University of Medical Sciences, Karaj, Iran.

Mehdi Azimzadeh (M)

Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.

Mostafa Qorbani (M)

Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Classifications MeSH