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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2020
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.
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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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