初级保健中2型糖尿病和covid-19患者的特征

Evelyn Morales-González, Gustavo Vázquez-Morales, V. Sánchez-Escalante
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摘要

目的:描述2型糖尿病(dm2)感染sars-CoV-2人群的特征,并评价dm2病史与covid-19严重程度之间是否存在关联。方法:采用非概率抽样方法,从墨西哥社会保障研究所第28家庭医学单元流行病学监测在线通报系统(sinolave)获取信息。共发现1688例covid-19确诊病例,并将其分为患有和不患有dm2的患者。采用Excel 2019和Stata v. 15.1程序进行双变量统计分析;相关指标采用泊松logistic回归和χ2检验,差异均有统计学意义<0.05。结果:合并dm2患者的严重急性呼吸道感染患病率、肺炎诊断率、住院率、死亡率均高于未合并dm2组。结论:dm2组出现不良特征的频率较高。covid-19造成的健康状况加强了有意寻找未确诊、未经治疗或正在治疗且血糖控制不良的糖尿病患者的重要性,以避免重大健康并发症。
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Characterization of Patients with Type 2 Diabetes Mellitus and covid-19 in Primary Care
Objectives: To describe the characteristics of the population diagnosed with type 2 Diabetes Mellitus (dm2) infected by sars-CoV-2, and to evaluate whether there is an association between dm2 history and covid-19 severity. Methods: non-probabilistic by convenience sampling, information was obtained from the Online Notification System for Epidemiological Surveillance (sinolave) of the Family Medicine Unit No. 28 of the Mexican Institute of Social Security. A total of 1688 confirmed cases of covid-19 were identified and grouped into patients with and without dm2. Bivariate statistical analysis was performed with Excel 2019 and Stata v. 15.1 programs; measures of association were used using Poisson logistic regression and χ2 test with statistical significance <0.05. Results: it was observed that, in patients with covid-19 and dm2, the prevalence ratio of severe acute respiratory infection, diagnosis of pneumonia, hospitalization, and death were higher compared to the group without dm2. Conclusion: the frequency, of unfavorable characteristics, was higher in the group of patients with dm2. Health conditions caused by covid-19 reinforce the relevance of an intentional search for undiagnosed diabetic patients, untreated or under treatment with poor glycemic control, in order to avoid major health complications.
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