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Predictors of New-Onset Diabetes in Hospitalized Patients with SARS-CoV-2 Infection

The pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is one of the world’s most disruptive health crises. The presence of diabetes plays an important role in the severity of the infection, and a rise in newly diagnosed diabetes cases has been identified....

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Autores principales: Făgărășan, Iulia, Rusu, Adriana, Cristea, Maria, Bala, Cornelia-Gabriela, Vulturar, Damiana-Maria, Cristea, Ciprian, Todea, Doina-Adina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9603418/
https://www.ncbi.nlm.nih.gov/pubmed/36293811
http://dx.doi.org/10.3390/ijerph192013230
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author Făgărășan, Iulia
Rusu, Adriana
Cristea, Maria
Bala, Cornelia-Gabriela
Vulturar, Damiana-Maria
Cristea, Ciprian
Todea, Doina-Adina
author_facet Făgărășan, Iulia
Rusu, Adriana
Cristea, Maria
Bala, Cornelia-Gabriela
Vulturar, Damiana-Maria
Cristea, Ciprian
Todea, Doina-Adina
author_sort Făgărășan, Iulia
collection PubMed
description The pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is one of the world’s most disruptive health crises. The presence of diabetes plays an important role in the severity of the infection, and a rise in newly diagnosed diabetes cases has been identified. The aim of this retrospective study was to determine the incidence of new-onset diabetes (NOD) and predictive factors with their cut-off values for patients hospitalized with COVID-19. All patients (n = 219) hospitalized for COVID-19 during three consecutive months were included. NOD was diagnosed in 26.48% of patients. The severity of the infection, hospital admission values for fasting plasma glucose, lactate dehydrogenase (LDH), PaO2/FiO2 ratio, the peak values for leucocytes, neutrophils, C-reactive protein, triglycerides, and the need for care in the intensive care unit were predictors for the occurrence of NOD in univariate analysis, while only LDH level remained a significant predictor in the multivariable analysis. In conclusion, the results of the study showed a high incidence of NOD in patients hospitalized with COVID-19 and identified LDH levels at hospital admission as a significant predictor of NOD during SARS-CoV-2 infection. However, the persistence of NOD after the COVID-19 infection is not known, therefore, the results must be interpreted with caution.
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spelling pubmed-96034182022-10-27 Predictors of New-Onset Diabetes in Hospitalized Patients with SARS-CoV-2 Infection Făgărășan, Iulia Rusu, Adriana Cristea, Maria Bala, Cornelia-Gabriela Vulturar, Damiana-Maria Cristea, Ciprian Todea, Doina-Adina Int J Environ Res Public Health Article The pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is one of the world’s most disruptive health crises. The presence of diabetes plays an important role in the severity of the infection, and a rise in newly diagnosed diabetes cases has been identified. The aim of this retrospective study was to determine the incidence of new-onset diabetes (NOD) and predictive factors with their cut-off values for patients hospitalized with COVID-19. All patients (n = 219) hospitalized for COVID-19 during three consecutive months were included. NOD was diagnosed in 26.48% of patients. The severity of the infection, hospital admission values for fasting plasma glucose, lactate dehydrogenase (LDH), PaO2/FiO2 ratio, the peak values for leucocytes, neutrophils, C-reactive protein, triglycerides, and the need for care in the intensive care unit were predictors for the occurrence of NOD in univariate analysis, while only LDH level remained a significant predictor in the multivariable analysis. In conclusion, the results of the study showed a high incidence of NOD in patients hospitalized with COVID-19 and identified LDH levels at hospital admission as a significant predictor of NOD during SARS-CoV-2 infection. However, the persistence of NOD after the COVID-19 infection is not known, therefore, the results must be interpreted with caution. MDPI 2022-10-14 /pmc/articles/PMC9603418/ /pubmed/36293811 http://dx.doi.org/10.3390/ijerph192013230 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Făgărășan, Iulia
Rusu, Adriana
Cristea, Maria
Bala, Cornelia-Gabriela
Vulturar, Damiana-Maria
Cristea, Ciprian
Todea, Doina-Adina
Predictors of New-Onset Diabetes in Hospitalized Patients with SARS-CoV-2 Infection
title Predictors of New-Onset Diabetes in Hospitalized Patients with SARS-CoV-2 Infection
title_full Predictors of New-Onset Diabetes in Hospitalized Patients with SARS-CoV-2 Infection
title_fullStr Predictors of New-Onset Diabetes in Hospitalized Patients with SARS-CoV-2 Infection
title_full_unstemmed Predictors of New-Onset Diabetes in Hospitalized Patients with SARS-CoV-2 Infection
title_short Predictors of New-Onset Diabetes in Hospitalized Patients with SARS-CoV-2 Infection
title_sort predictors of new-onset diabetes in hospitalized patients with sars-cov-2 infection
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9603418/
https://www.ncbi.nlm.nih.gov/pubmed/36293811
http://dx.doi.org/10.3390/ijerph192013230
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