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Comparative analysis of CURB 65 score between diabetic & non - diabetic in hospitalized COVID patients
International Journal of Health Sciences ; 6:2776-2784, 2022.
Article in English | Scopus | ID: covidwho-1989167
ABSTRACT

Introduction:

Diabetes Mellitus is a chief reason for morbidity and mortality globally. It is also a major comorbidity contributory factor in COVID-19. Patients with diabetes have an increased susceptibility to viral and bacterial infections, including those affecting the respiratory tract. Numerous scoring systems have been developed to evaluate and stratify the risk of Communityacquired Pneumonia (CAP). CURB 65 scorings are one of the time tested and relatively easy methods. However, comparative CURB 65 SCORE data analysing its correlation between diabetes mellitus (DM) & non - diabetic mellitus (NDM) in hospitalized covid 19 patients is lacking. Therefore, this study aimed to evaluate and perform a comparative analysis of CURB 65 scores between diabetic & non- diabetic hospitalized COVID 19 confirmed patients.

Methods:

This cross-sectional single-centre research evaluated hundred and forty COVID 19 positive patients with and without diabetes from April to June 2021. Following the evaluation of the glycemic status of the patient, CURB 65 scores were calculated. Cohorts were grouped as mild, moderate and severe illnesses, based on the CURB 65 score. Duration of hospitalisation, the requirement of the ventilator, ICU admission and mortality were recorded. Patients were monitored until they were discharged or deceasement.

Results:

Of the sixty-nine patients who were diabetic, 65.2 % had a mild illness, 30.4% had moderate and 4.3 % had severe illness. Of the rest 71 patients who were non-diabetic 97.2 % had mild, 2.8% had moderate and none had severe illness. There is a significant association between patients with and without diabetes when compared with their CURB 65 score with a p-value <0.0001 and a chi-square value of 24. Seventeen DM patients were hospitalised in ICU and 13 required ventilation, whilst only 4 NDM patients were in ICU and 3 required ventilator support. The mean value of the duration of hospital stay for the DM group was 9.25 days with an SD of ± 5.0. In comparison mean value for NDM cohorts was 7.01 days with an SD of ± 4.30. The difference was statistically significant with a p-value of 0.005. No mortality was noted in NDM patients. In contrast, 17 DM patients succumbed. The difference in mortality was statistically significant with a p-value of <0.0001.

Conclusion:

CURB 65 was found to be of increased value for diabetic patients. The severity of illness is more in the diabetes population than in the non-diabetic population. © 2022 The authors.
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Full text: Available Collection: Databases of international organizations Database: Scopus Type of study: Prognostic study Language: English Journal: International Journal of Health Sciences Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: Scopus Type of study: Prognostic study Language: English Journal: International Journal of Health Sciences Year: 2022 Document Type: Article