Outcomes of COVID-19: disparities by ethnicity

ObjectivesTo investigate the role of ethnicity in COVID-19 outcome disparities in a cohort in Kuwait. MethodsThis is a retrospective analysis of 405 individuals infected with SARS-CoV-2 in Kuwait. Outcomes such as symptoms severity and mortality were considered. Multivariate logistic regression models were used to report the odds ratios (OR) for ICU admission and dying from COVID-19. ResultsThe cohort included 290 Arabs and 115 South Asians. South Asians recorded significantly higher COVID-19 death rates compared to Arabs (33% vs. 7.6%, P value<0.001). When compared to Arabs, South Asians also had higher odds of being admitted to the ICU (OR = 6.28, 95% CI: 3.34 - 11.80, p < 0.001). South Asian patients showed 7.62 (95% CI: 3.62 - 16.02, p < 0.001) times the odds of dying from COVID-19. ConclusionCOVID-19 patients with South Asians ethnicity are more likely to have worse prognosis and outcome when compared to patients with Arab ethnicity. This suggest a possible role for ethnicity in COVID-19 outcome disparities and this role is likely to be multifactorial.

Clinical Characteristics and Outcomes of Diabetic COVID-19 patients in Kuwait

BackgroundCOVID-19 has a highly variable clinical presentation, ranging from asymptomatic to severe respiratory symptoms and death. Diabetes seems to be one of the main comorbidities contributing to a worse COVID-19 outcome. ObjectiveIn here we analyze the clinical characteristics and outcomes of diabetic COVID-19 patients Kuwait. MethodsIn this single-center, retrospective study of 417 consecutive COVID-19 patients, we analyze and compare disease severity, outcome, associated complications, and clinical laboratory findings between diabetic and non-diabetic COVID-19 patients. ResultsCOVID-19 patients with diabetes had more ICU admission than non-diabetic COVID-19 patients (20.1% vs. 16.8%, p<0.001). Diabetic COVID-19 patients also recorded higher mortality in comparison to non-diabetic COVID-19 patients (16.7% vs. 12.1%, p<0.001). Diabetic COVID-19 patients had significantly higher prevalence of comorbidities, such as hypertension. Laboratory investigations also highlighted notably higher levels of C-reactive protein in diabetic COVID019 patients and lower estimated glomerular filtration rate. They also showed a higher incidence of complications. logistic regression analysis showed that every 1 mmol/L increase in fasting blood glucose in COVID-19 patients is associated with 1.52 (95% CI: 1.34 - 1.72, p<0.001) times the odds of dying from COVID-19. ConclusionDiabetes is a major contributor to worsening outcomes in COVID-19 patients. Understanding the pathophysiology underlining these findings could provide insight into better management and improved outcome of such cases. Highlights of the StudyO_LIA significantly higher proportion of COVID-19 patients with diabetes mellitus required admission to the ICU. C_LIO_LIHigher fasting blood glucose was associated with higher risk of COVID-19 associated mortality. C_LIO_LICOVID-19 patients with diabetes mellitus had significantly higher incidence of complications including sepsis, ARDS, cardiac failure and renal failure. C_LI

Clinical characteristics of Coronavirus Disease 2019 (COVID-19) patients in Kuwait

This is a retrospective single-center study of 417 consecutive patients with coronavirus disease 2019 (COVID-19) admitted to Jaber Al-Ahmad Hospital in Kuwait between February 24, 2020 and May 24, 2020. In total, 39.3% of patients were asymptomatic, 41% were symptomatic with mild/moderate symptoms, 5.3% were admitted to the intensive care unit (ICU) and recovered, and 14.4% died. The mean age of death cases was 54.20 years ({+/-} 11.09). Comorbidities were more prevalent in patients who died compared with others. Key findings include abnormal levels of markers assicated with infection, inflammation, abnormal blood clotting, heart problems and kidney problems in patients with severe form of the disease and poor putcome. We report a rapidly deteriorating estimated glomerular filtration rate (eGFR) in deaths during ICU stay with kidney injury complications reported in 65% of deaths (p < 0.05). Our dynamic profiling of eGFR in ICU highlights the potential role of renal markers in forecasting disease outcome that could perhaps identify patients at risk of poor outcome.

A mechanical model of wing and theoretical estimate of taper factor for three gliding birds.

We tested a mechanical model of wing,which was constructed using the measurements of wingspan and wing area taken from three species of gliding birds.In this model,we estimated the taper factors of the wings for jackdaw (Corrus monedula), Harris' hawk (Parabuteo unicinctas) and Lagger falcon (Falco jugger) as 1.8, 1.5 and 1.8,respectively. Likewise, by using the data linear regression and curve estimation method,as well as estimating the taper factors and the angle between the humerus and the body, we calculated the relationship between wingspan,wing area and the speed necessary to meet the aerodynamic requirements of sustained flight.In addition,we calculated the relationship between the speed,wing area and wingspan for a specific angle between the humerus and the body over the range of stall speed to maximum speed of gliding flight.We then compared the results for these three species of gliding birds. These comparisons suggest that the aerodynamic characteristics of Harris' hawk wings are similar to those of the falcon but different from those of the jackdaw.This paper also presents two simple equations to estimate the minimum angle between the humerus and the body as well as the minimum span ratio of a bird in gliding flight.