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High prevalence of Afro-Caribbean ethnicity and hypoglycaemia in patients with diabetes and end stage renal disease hospitalized with COVID-19.
Corcillo, Antonella; Cohen, Siew; Game, David; Karalliedde, Janaka.
  • Corcillo A; School of Cardiovascular Medicine & Sciences, King's College London, London, UK.
  • Cohen S; Guy's and St Thomas NHS Foundation Trust, Guy's Hospital, London, UK.
  • Game D; Guy's and St Thomas NHS Foundation Trust, Guy's Hospital, London, UK.
  • Karalliedde J; Guy's and St Thomas NHS Foundation Trust, Guy's Hospital, London, UK.
Nephrology (Carlton) ; 26(3): 252-254, 2021 Mar.
Article in English | MEDLINE | ID: covidwho-1088144
ABSTRACT
End stage renal disease (ESRD) is associated with a high mortality rate among patients hospitalized with COVID-19. To the best of our knowledge, there is limited data on the clinical features, ethnicity, inpatient glycaemic control and outcomes in patients with diabetes related ESRD in the literature. We report the clinical features and outcomes of 39 consecutive ESRD patients (28 on haemodialysis [HD] and 11 with renal transplant) secondary to diabetic kidney disease admitted to a university hospital with COVID-19. We observed a high prevalence of patients of Afro-Caribbean ethnicity hospitalized with COVID-19 with a 73% and 54% prevalence in renal transplant and HD groups respectively. The mortality rate of our cohort was 36%. Nearly a one-third of HD patients and one-fifth of transplant patients had hypoglycaemic events during COVID-19 hospitalization. Adjustment of diabetes treatment was frequently required. Our data highlight the importance of integrated multidisciplinary care of patients with diabetes related ESRD hospitalized with COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Blood Glucose / Ethnicity / Renal Dialysis / Diabetes Complications / COVID-19 / Hypoglycemia / Kidney Failure, Chronic Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Nephrology (Carlton) Journal subject: Nephrology Year: 2021 Document Type: Article Affiliation country: Nep.13809

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Blood Glucose / Ethnicity / Renal Dialysis / Diabetes Complications / COVID-19 / Hypoglycemia / Kidney Failure, Chronic Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Nephrology (Carlton) Journal subject: Nephrology Year: 2021 Document Type: Article Affiliation country: Nep.13809