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Covid-19 Infection Mortality Risk in Iranian Patients With Type 2 Diabetes, Hypertension and Obesity; [Risque De Mortalite Lie a L'infection Par La Covid-19 Chez Les Patients Iraniens Souffrant De Diabete De Type 2, D'hypertension Et D'obesite] Publisher Pubmed



Shadnoush M1 ; Rabizadeh S2 ; Esteghamati A2 ; Nakhjavani M2 ; Paridari NB3 ; Khoshabi M4 ; Rajab A2 ; Ghaemi F5
Authors
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Authors Affiliations
  1. 1. Department of Clinical Nutrition, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Endocrinology and Metabolism Research Center, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Non-Communicable Disease Treatment Group, Ministry of Health and Medical Education, Tehran, Iran
  4. 4. Department of Geospatial Information Systems, Center of Excellence in GIS, K.N. Toosi University of Technology, Tehran, Iran
  5. 5. Department of Transplantation and Disease Management, Ministry of Health and Medical Education, Tehran, Iran

Source: Eastern Mediterranean Health Journal Published:2022


Abstract

Background: Diabetes mellitus and hypertension are highly prevalent among patients with severe COVID-19. Aims: To study the mortality risk of COVID-19 infection in patients with type 2 diabetes and additive effect of hypertension and obesity in the Iranian population. Methods: This was a cross-sectional survey of the national COVID-19 registry from the Iranian Ministry of Health. The medical status of 22 002 patients with COVID-19 between 1 March and 30 April 2020 was analysed. Results: Patients with type 2 diabetes had a higher risk of mortality with an odds ratio (OR) of 1.67 [95% confidence interval (CI): 1.53–1.82, P < 0.001]. The risk of mortality was also high in patients with diabetes and hypertension, with an odds ratio of 1.76 (95% CI: 1.56–1.99, P < 0.001). The odds ratio of the risk of mortality in patients with diabetes, hypertension and obesity was 1.87 (95% CI: 1.35–2.58, P < 0.001). Conclusion: Type 2 diabetes, hypertension and obesity each predict mortality in Iranian patients with COVID-19, and when they are present together, patients have a greater risk of mortality. © World Health Organization (WHO) 2022.
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