澳大利亚1型或2型糖尿病和新冠肺炎患者住院的原因。

IF 2.3 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Canadian Journal of Diabetes Pub Date : 2024-02-01 DOI:10.1016/j.jcjd.2023.09.002
Dunya Tomic MBBS (Hons) , Jonathan E. Shaw MD , Dianna J. Magliano PhD
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引用次数: 0

摘要

目的:确定感染新冠肺炎的糖尿病患者住院的原因。方法:我们分析了向维多利亚州卫生部报告的所有新冠肺炎病例和相关的住院数据。我们确定了1型或2型糖尿病和新冠肺炎患者急性(0-30天)和急性后(31-365天)住院的原因,与新冠肺炎和无糖尿病患者以及新冠肺炎大流行前入院的原因相比。结果:在新冠肺炎确诊后的12个月内,13302名患有1型或2型糖尿病的澳大利亚人在维多利亚州住院。在糖尿病患者中,呼吸系统疾病占急性入院人数的40%。病毒性肺炎是糖尿病患者急性住院的主要原因,与非糖尿病患者相比,病毒性肺炎在糖尿病患者中占住院人数的比例更大(调整后的PR 1.87,95%CI 1.76-1.99)。糖尿病患者急性后住院人数的分布与新冠肺炎大流行前糖尿病患者的分布一致。结论:呼吸系统疾病是1型或2型糖尿病和新冠肺炎患者急性住院的主要原因。急性后住院的原因类似于糖尿病患者和无新冠肺炎患者。在当前的疫情中,我们加强了糖尿病患者社区管理的重要性。
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Reasons for Hospitalization Among Australians With Type 1 or Type 2 Diabetes and COVID-19

Objective

Our aim in this study was to determine the reasons for hospitalization in Australian people with diabetes who contract COVID-19.

Methods

All COVID-19 cases reported to the Victorian Department of Health and linked hospitalization data were assessed. We determined reasons for acute (0 to 30 days) and postacute (31 to 365 days) hospitalization among those with type 1 or type 2 diabetes and COVID-19, compared to those with COVID-19 and no diabetes, and to admissions before the COVID-19 pandemic.

Results

A total of 13,302 Australians with type 1 or type 2 diabetes were hospitalized in the state of Victoria in the 12 months after COVID-19 diagnosis. Respiratory diseases accounted for 40% of acute admissions among those with diabetes. Viral pneumonia was the leading cause of acute hospitalization among those with diabetes and constituted a larger proportion of admissions in those with compared to those without diabetes (adjusted prevalence ratio 1.87, 95% confidence interval 1.76 to 1.99). The distribution of postacute hospitalizations among those with diabetes aligned with that of people with diabetes before the COVID-19 pandemic.

Conclusions

Respiratory diseases are the leading cause of acute hospitalization in those with type 1 or type 2 diabetes and COVID-19. The reasons for postacute hospitalization resemble those in people with diabetes and no COVID-19. We reinforce the importance of community management of people with diabetes in the ongoing pandemic.

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来源期刊
Canadian Journal of Diabetes
Canadian Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
CiteScore
4.80
自引率
4.00%
发文量
130
审稿时长
54 days
期刊介绍: The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals. Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.
期刊最新文献
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