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Clinical Characteristics and Outcomes of Diabetics Hospitalized for Covid-19 Infection: A Single-Centered, Retrospective, Observational Study Publisher



Mansour A1 ; Sajjadijazi SM1, 2 ; Kasaeian A3, 4 ; Khosravi B4 ; Sorouri M4 ; Azizi F5 ; Rajabi Z5 ; Motamedi F5 ; Sirusbakht A4 ; Eslahi M5 ; Mojtabbavi H4 ; Sima AR4 ; Radmard AR6 ; Mohajeritehrani MR1 Show All Authors
Authors
  1. Mansour A1
  2. Sajjadijazi SM1, 2
  3. Kasaeian A3, 4
  4. Khosravi B4
  5. Sorouri M4
  6. Azizi F5
  7. Rajabi Z5
  8. Motamedi F5
  9. Sirusbakht A4
  10. Eslahi M5
  11. Mojtabbavi H4
  12. Sima AR4
  13. Radmard AR6
  14. Mohajeritehrani MR1
  15. Abdollahi M4
Show Affiliations
Authors Affiliations
  1. 1. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Cell Therapy and Regenerative Medicine Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Hematology, Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Digestive Disease Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Internal Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Radiology Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: EXCLI Journal Published:2020


Abstract

Some debates exist regarding the association of diabetes mellitus (DM) with COVID-19 infection severity and mortality. In this study, we aimed to describe and compare the clinical characteristics and outcomes of hospitalized COVID-19 patients with and without DM. In this single-centered, retrospective, observational study, we enrolled adult patients with COVID-19 who were admitted to the Shariati hospital, Tehran, Iran, from February 25, 2020, to April 21, 2020. The clinical and paraclinical information as well as the clinical outcomes of patients were collected from inpatient medical records. A total of 353 cases were included (mean age, 61.67 years; 57.51 % male), of whom 111 patients were diabetics (mean age, 63.66 years; 55.86 % male). In comparison to those without DM, diabetic patients with COVID-19 were more likely to have other comorbidities, elevated systolic blood pressure (SBP), elevated blood sugar (BS), lower estimated glomerular filtration rate (eGFR) and elevated blood urea nitrogen (BUN). The association of DM with severe outcomes of COVID-19 infection (i.e. mechanical ventilation, median length of hospital stay and mortality) remained non-significant before and after adjustments for several factors including age, sex, body mass index (BMI), smoking status, and comorbidities. Based on our results DM has not been associated with worse outcomes in hospitalized patients for COVID-19 infection. © 2020, Leibniz Research Centre for Working Environment and Human Factors. All rights reserved.
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