沙特阿拉伯贾赞地区 COVID-19 患者中新发糖尿病的患病率和短期临床影响。

IF 2.8 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM BMC Endocrine Disorders Pub Date : 2024-09-20 DOI:10.1186/s12902-024-01724-z
Amal H Mohamed, Majid Darraj, Abuobaida Yassin, Mohammed Somaili, Ahmed Sayed, Omar Oraibi, Mostafa Mohrag, Mohammed Ali Madkhali, Sameer Alqassimi, Mohammed A Madkhali
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引用次数: 0

摘要

背景:糖尿病是预测病情严重程度和死亡率的一个主要因素,在COVID-19感染者中,糖尿病的发病率增加了50%。本研究的目的是估计 COVID-19 患者中新发糖尿病的患病率,并研究该疾病的短期临床结果:这是一项通过修改电子病历来评估 COVID-19 患者中新发 DM 发病率及其对疾病严重程度影响的回顾性研究。研究纳入了2020年6月至2021年12月期间确诊为COVID-19的成年患者:结果:共纳入 725 名患者。其中男性占 53.8%,女性占 46.2%,平均年龄(43.35±16.76)岁。13.2%为糖尿病患者;2.2%为原有糖尿病患者,11.0%为新发糖尿病患者。6.34%的患者同时患有其他疾病。在新诊断的糖尿病患者中,有 6 人(0.8%)在发病时出现 DKA。年龄、家族史(FH)和体重指数(BMI)与新发糖尿病之间存在明显的相关性(P 结论):与 COVID-19 相关的新发 DM 患病率与疾病严重程度和死亡率显著相关。年龄、FH 和 BMI 是主要的预测因素。我们建议经常监测 COVID-19 感染者的血糖,以发现 DM,从而及时进行治疗。
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Prevalence and short-term clinical impacts of new-onset diabetes mellitus among patients with COVID-19 in jazan region, Saudi Arabia.

Background: Diabetes Mellitus is a major predictor for severity and mortality that is increased by 50% in COVID-19 infection. The aim of this study is to estimate the prevalence of new-onset DM among patients with COVID-19 and examined the short clinical outcomes of the disease.

Method: This is a retrospective study of revising electronic medical records to assess the prevalence of new-onset DM in COVID-19 patients and its impact on the severity of the disease. Adult patients with confirmed COVID-19 during the period from June 2020 to December 2021 were enrolled.

Results: 725 patients were included. 53.8% of them were males and 46.2 were females, the mean age was 43.35 ± 16.76. 13.2% were diabetics; 2.2% with preexisting DM and 11.0% had new-onset DM. 6.34% had coexisting medical conditions. DKA at presentation was observed in 6 patients (0.8%) of newly diagnosed DM. There is a significant correlation between age and family history (FH), and BMI and new-onset DM (P < 0.05). The overall mortality rate was 2.2%, and it was significantly higher in diabetics in comparison to non-diabetics (P < 0.001). 8.6% had persistent hyperglycemia after 4 months of follow-up.

Conclusion: The prevalence of COVID-19 related new-onset DM was correlated significantly with disease severity and mortality rate. Age, FH, and BMI, were the major predictors. We recommend that frequent monitoring of blood glucose for patients with COVID-19 infections to detect DM, therefore, prompt treatment can be initiated.

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来源期刊
BMC Endocrine Disorders
BMC Endocrine Disorders ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
280
审稿时长
>12 weeks
期刊介绍: BMC Endocrine Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of endocrine disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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