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About:
The Risk of Diabetes on Clinical Outcomes in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study
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schema:ScholarlyArticle
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
The Risk of Diabetes on Clinical Outcomes in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study
Creator
Lee, Kwan
Shin, Kyeong-Cheol
Choi, Eun
Yoon, Ji
Hong, Kyung
Chung, Jin
Chung, Seung
Jin, Hyun
Moon, Jun
Ahn, June
Ha, Eunyeong
Hur, Jian
Jang, Jong
Lee, Hyoung
Lee, Yin
Won, Kyu
source
Medline; PMC
abstract
BACKGROUND: To determine the role of diabetes mellitus (DM) in the coronavirus disease 2019 (COVID-19), we explored the clinical characteristics of patients with DM and compared risk factors such as age, glycemic control, and medications to those without DM. METHODS: This was a retrospective cohort study of 117 confirmed patients with COVID-19 which conducted at a tertiary hospital in Daegu, South Korea. The primary outcome was defined as the severe and critical outcome (SCO), of which the composite outcomes of acute respiratory distress syndrome, septic shock, intensive care unit care, and 28-day mortality. We analyzed what clinical features and glycemic control-related factors affect the prognosis of COVID-19 in the DM group. RESULTS: After exclusion, 110 participants were finally included. DM patients (n=29) was older, and showed higher blood pressure compared to non-DM patients. DM group showed higher levels of inflammation-related biomarkers and severity score, and highly progressed to SCO. After adjustment with other risk factors, DM increased the risk of SCO (odds ratio [OR], 10.771; P<0.001). Among the DM patients, SCO was more prevalent in elderly patients of ≥70 years old and age was an independent risk factor for SCO in patients with DM (OR, 1.175; P=0.014), while glycemic control was not. The use of medication did not affect the SCO, but the renin-angiotensin system inhibitors showed protective effects against acute cardiac injury (OR, 0.048; P=0.045). CONCLUSION: The COVID-19 patients with DM had higher severity and resulted in SCO. Intensive and aggressive monitoring of COVID-19 clinical outcomes in DM group, especially in elderly patients is warranted.
has issue date
2020-05-21
(
xsd:dateTime
)
bibo:doi
10.4093/dmj.2020.0105
bibo:pmid
32602272
has license
cc-by-nc
sha1sum (hex)
ab0f88b962d7237f5d0dba3ffa20ef8c0118cde1
schema:url
https://doi.org/10.4093/dmj.2020.0105
resource representing a document's title
The Risk of Diabetes on Clinical Outcomes in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study
has PubMed Central identifier
PMC7332325
has PubMed identifier
32602272
schema:publication
Diabetes Metab J
resource representing a document's body
covid:ab0f88b962d7237f5d0dba3ffa20ef8c0118cde1#body_text
is
schema:about
of
named entity 'USE OF MEDICATION'
named entity 'NON-'
named entity 'PROGNOSIS'
named entity 'RISK OF'
named entity 'DID'
named entity 'BIOMARKERS'
named entity '110'
named entity 'TERTIARY'
named entity 'METHODS'
named entity 'RENIN-ANGIOTENSIN SYSTEM'
named entity 'ELDERLY PATIENTS'
named entity 'CONCLUSION'
named entity 'SEVERITY'
named entity 'DPP4'
named entity 'influenza'
named entity 'lactate dehydrogenase'
named entity 'Acute respiratory distress syndrome'
named entity 'HbA1c'
named entity 'septic shock'
named entity 'COVID-19'
named entity 'COVID'
named entity 'Daegu'
named entity 'glycemic control'
named entity 'tertiary hospital'
named entity 'glycemic control'
named entity 'risk factors'
named entity 'septic shock'
named entity 'elderly patients'
named entity 'South Korea'
named entity 'intensive care unit'
named entity 'risk factor'
named entity 'HbA1c'
named entity 'diabetic patients'
named entity 'pulse oximetry'
named entity 'COVID'
named entity 'electronic medical records'
named entity 'MERS-CoV'
named entity 'neutrophil'
named entity 'intensive care unit'
named entity 'SARS'
named entity 'ARDS'
named entity 'informed consent'
named entity 'hypertension'
named entity 'cellular receptor'
named entity 'DPP4'
named entity 'Armonk'
named entity 'reverse transcriptase'
named entity 'hydroxychloroquine'
named entity 'hyperglycemia'
named entity 'SARS-CoV'
named entity 'COVID'
named entity 'glycemic control'
named entity 'ICU'
named entity 'fasting plasma glucose'
named entity 'P<0.05'
named entity 'COVID-19'
named entity '28 days'
named entity 'insulin'
named entity 'bilateral pneumonia'
named entity 'virus'
named entity 'prognosis'
named entity 'complement'
named entity 'diabetes'
named entity 'China'
named entity 'high-risk'
named entity 'physical examination'
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