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Risk factors for hospital admission among COVID-19 patients with diabetes: A study from Saudi Arabia
OBJECTIVES: To elucidate the risk factors for hospital admission among COVID-19 patients with type 2 diabetes mellitus (T2DM). METHODS: This retrospective study was conducted at the Prince Sultan Military Medical City, Riyadh, Saudi Arabia between May 2020 and July 2020. Out of 7,260 COVID-19 patien...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Saudi Medical Journal
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7841525/ https://www.ncbi.nlm.nih.gov/pubmed/33026050 http://dx.doi.org/10.15537/smj.2020.10.25419 |
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author | Hayek, Ayman A. Al Robert, Asirvatham A. Matar, Abdullah Bin Algarni, Ali Alkubedan, Haneen Alharbi, Turki Amro, Afrah Al Alrashidi, Seham A. Dawish, Mohamed Al |
author_facet | Hayek, Ayman A. Al Robert, Asirvatham A. Matar, Abdullah Bin Algarni, Ali Alkubedan, Haneen Alharbi, Turki Amro, Afrah Al Alrashidi, Seham A. Dawish, Mohamed Al |
author_sort | Hayek, Ayman A. Al |
collection | PubMed |
description | OBJECTIVES: To elucidate the risk factors for hospital admission among COVID-19 patients with type 2 diabetes mellitus (T2DM). METHODS: This retrospective study was conducted at the Prince Sultan Military Medical City, Riyadh, Saudi Arabia between May 2020 and July 2020. Out of 7,260 COVID-19 patients, 920 were identified as T2DM. After the exclusion process, 806 patients with T2DM were included in this analysis. Patients’ data were extracted from electronic medical records. A logistic regression model was performed to estimate the risk factors of hospital admission. RESULTS: Of the total of 806 COVID-19 patients with T2DM, 48% were admitted in the hospital, 52% were placed under home isolation. Older age between 70-79 years (OR [odd ratio] 2.56; p=0.017), ≥80 years (OR 6.48; p=0.001) were significantly more likely to be hospitalized compared to <40 years. Similarly, patients with higher HbA1c level of ≥9% compared to <7%; (OR 1.58; p=0.047); patients with comorbidities such as, hypertension (OR 1.43; p=0.048), cardiovascular disease (OR 1.56; p=0.033), cerebrovascular disease (OR 2.38; p=0.016), chronic pulmonary disease (OR 1.51; p=0.018), malignancy (OR 2.45; p=0.025), chronic kidney disease (CKD) IIIa, IIIb, IV (OR 2.37; p=0.008), CKD V (OR 5.07; p=0.007) were significantly more likely to be hospitalized. Likewise, insulin-treated (OR 1.46; p=0.03) were more likely to require hospital admission compared to non-insulin treated patients. CONCLUSION: Among COVID-19 patients with diabetes, higher age, high HbA1c level, and presence of other comorbidities were found to be significant risk factors for the hospital admission. |
format | Online Article Text |
id | pubmed-7841525 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Saudi Medical Journal |
record_format | MEDLINE/PubMed |
spelling | pubmed-78415252021-03-11 Risk factors for hospital admission among COVID-19 patients with diabetes: A study from Saudi Arabia Hayek, Ayman A. Al Robert, Asirvatham A. Matar, Abdullah Bin Algarni, Ali Alkubedan, Haneen Alharbi, Turki Amro, Afrah Al Alrashidi, Seham A. Dawish, Mohamed Al Saudi Med J Original Article OBJECTIVES: To elucidate the risk factors for hospital admission among COVID-19 patients with type 2 diabetes mellitus (T2DM). METHODS: This retrospective study was conducted at the Prince Sultan Military Medical City, Riyadh, Saudi Arabia between May 2020 and July 2020. Out of 7,260 COVID-19 patients, 920 were identified as T2DM. After the exclusion process, 806 patients with T2DM were included in this analysis. Patients’ data were extracted from electronic medical records. A logistic regression model was performed to estimate the risk factors of hospital admission. RESULTS: Of the total of 806 COVID-19 patients with T2DM, 48% were admitted in the hospital, 52% were placed under home isolation. Older age between 70-79 years (OR [odd ratio] 2.56; p=0.017), ≥80 years (OR 6.48; p=0.001) were significantly more likely to be hospitalized compared to <40 years. Similarly, patients with higher HbA1c level of ≥9% compared to <7%; (OR 1.58; p=0.047); patients with comorbidities such as, hypertension (OR 1.43; p=0.048), cardiovascular disease (OR 1.56; p=0.033), cerebrovascular disease (OR 2.38; p=0.016), chronic pulmonary disease (OR 1.51; p=0.018), malignancy (OR 2.45; p=0.025), chronic kidney disease (CKD) IIIa, IIIb, IV (OR 2.37; p=0.008), CKD V (OR 5.07; p=0.007) were significantly more likely to be hospitalized. Likewise, insulin-treated (OR 1.46; p=0.03) were more likely to require hospital admission compared to non-insulin treated patients. CONCLUSION: Among COVID-19 patients with diabetes, higher age, high HbA1c level, and presence of other comorbidities were found to be significant risk factors for the hospital admission. Saudi Medical Journal 2020 /pmc/articles/PMC7841525/ /pubmed/33026050 http://dx.doi.org/10.15537/smj.2020.10.25419 Text en Copyright: © Saudi Medical Journal http://creativecommons.org/licenses/by-nc This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Hayek, Ayman A. Al Robert, Asirvatham A. Matar, Abdullah Bin Algarni, Ali Alkubedan, Haneen Alharbi, Turki Amro, Afrah Al Alrashidi, Seham A. Dawish, Mohamed Al Risk factors for hospital admission among COVID-19 patients with diabetes: A study from Saudi Arabia |
title | Risk factors for hospital admission among COVID-19 patients with diabetes: A study from Saudi Arabia |
title_full | Risk factors for hospital admission among COVID-19 patients with diabetes: A study from Saudi Arabia |
title_fullStr | Risk factors for hospital admission among COVID-19 patients with diabetes: A study from Saudi Arabia |
title_full_unstemmed | Risk factors for hospital admission among COVID-19 patients with diabetes: A study from Saudi Arabia |
title_short | Risk factors for hospital admission among COVID-19 patients with diabetes: A study from Saudi Arabia |
title_sort | risk factors for hospital admission among covid-19 patients with diabetes: a study from saudi arabia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7841525/ https://www.ncbi.nlm.nih.gov/pubmed/33026050 http://dx.doi.org/10.15537/smj.2020.10.25419 |
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