EVALUATION OF COMPLICATIONS AND OUTCOMES IN PATIENTS WITH DIABETES MELLITTUS AND COVID-19
Diabetes Technology and Therapeutics
; 24(SUPPL 1):A223-A224, 2022.
Article
in English
| EMBASE | ID: covidwho-1896120
ABSTRACT
Background and Aims:
Purpose of the study was to research the complication rate of acute complications and outcomes of hospitalized patients with COVID-19 and diabetes mellitusMethods:
. A retrospective analysis of the 1,500 medical histories of hospitalized patients with a confirmed diagnosis of COVID-19 at the infectious hospitals in Karaganda city, Republic of Kazakhstan. Among patients there were 86 (36.6%) men, 149 (63.4%) women, the median age was 63, (Q1 = 53, Q3 = 71). The complication rate of acute complications of COVID-19 and the outcomes of the disease was conducted. The comparison group consisted of patients without diabetes, n = 1265 patients.Results:
The following complications were more common in the presence of diabetes mellitus acute respiratory distress syndrome in 2.9 times (p < 0.001), acute respiratory failure in 1.8 times (p < 0.001), oxygen insufflation requirement in 1.9 times (p < 0.001). Artificial pulmonary ventilation and the requirement for treatment in the intensive care unit were higher in the group of patients with diabetes mellitus 3.7 and 2.4 times, respectively (p < 0.001). The lethal outcome was 2.1 times higher than in the group of patients without diabetes (p < 0.001). The main causes of the mortality were acute cardiopulmonary failure-28.2%, pulmonary embolism in 24%, multiple organ failure in 10.9%, infectious-toxic shock in 30.4%, other types of shock in 2.2 %, cerebral edema in 4.3%.Conclusions:
The course of Covid-19 on the background of diabetes mellitus is distinguished by a high rate of complications and mortality.
acute respiratory failure; adult; adult respiratory distress syndrome; artificial ventilation; brain edema; cardiopulmonary insufficiency; complication; conference abstract; controlled study; coronavirus disease 2019; diabetes mellitus; diabetic patient; female; hospital patient; human; intensive care unit; Kazakhstan; lung embolism; major clinical study; male; medical history; middle aged; mortality; multiple organ failure; outcome assessment; oxygen therapy; retrospective study; toxic shock syndrome
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Experimental Studies
Language:
English
Journal:
Diabetes Technology and Therapeutics
Year:
2022
Document Type:
Article
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