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糖尿病患者对2019冠状病毒病感染的易感性:临床血液学及并发症分析

Susceptibility of Diabetic Patients to COVID-19 Infections: Clinico-Hematological and Complications Analysis.

作者信息

Atwah Banan, Iqbal Mohammad Shahid, Kabrah Saeed, Kabrah Ahmed, Alghamdi Saad, Tabassum Aisha, Baghdadi Mohammed A, Alzahrani Hissah

机构信息

Laboratory Medicine Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah 21955, Saudi Arabia.

Research Center, King Faisal Specialist Hospital and Research Centre (KFSH&RC), Jeddah 23431, Saudi Arabia.

出版信息

Vaccines (Basel). 2023 Mar 1;11(3):561. doi: 10.3390/vaccines11030561.

Abstract

BACKGROUND

Coronavirus disease 2019 has become a global health threat resulting in a catastrophic spread and more than 3.8 million deaths worldwide. It has been suggested that there is a negative influence of diabetes mellites (DM), which is a complex chronic disease, on COVID-19 severe outcomes. Other factors in diabetic patients may also contribute to COVID-19 disease outcomes, such as older age, obesity, hyperglycaemia, hypertension, and other chronic conditions.

METHODS

A cohort study was conducted on the demographics, clinical information, and laboratory findings of the hospitalised COVID-19 with DM and non-DM patients were obtained from the medical records in King Faisal Specialist Hospital and Research Centre, Saudi Arabia.

RESULTS

Among the study population, 108 patients had DM, and 433 were non-DM patients. Patients with DM were more likely to present symptoms such as fever (50.48%), anorexia (19.51%), dry cough (47.96%), shortness of breath (35.29%), chest pain (16.49%), and other symptoms. There was a significant decrease in the mean of haematological and biochemical parameters, such as haemoglobin, calcium, and alkaline phosphate in people with diabetes compared to non-diabetics and a considerable increase in other parameters, such as glucose, potassium, and cardiac troponin.

CONCLUSIONS

According to the findings of this study, patients who have diabetes have a greater risk of developing more severe symptoms associated with COVID-19 disease. This could result in more patients being admitted to the intensive care unit as well as higher mortality rates.

摘要

背景

2019冠状病毒病已成为全球健康威胁,在全球范围内造成灾难性传播,导致超过380万人死亡。有人提出,作为一种复杂的慢性病,糖尿病(DM)对2019冠状病毒病的严重后果有负面影响。糖尿病患者的其他因素也可能影响2019冠状病毒病的病情转归,如年龄较大、肥胖、高血糖、高血压和其他慢性病。

方法

对沙特阿拉伯法赫德国王专科医院和研究中心收治的2019冠状病毒病合并糖尿病患者和非糖尿病患者的人口统计学、临床信息和实验室检查结果进行队列研究,数据来自病历记录。

结果

在研究人群中,108例患者患有糖尿病,433例为非糖尿病患者。糖尿病患者更易出现发热(50.48%)、厌食(19.51%)、干咳(47.96%)、气短(35.29%)、胸痛(16.49%)等症状。与非糖尿病患者相比,糖尿病患者血液学和生化指标如血红蛋白、钙和碱性磷酸酶的平均值显著降低,而血糖、钾和心肌肌钙蛋白等其他指标则显著升高。

结论

根据本研究结果,糖尿病患者感染2019冠状病毒病后出现更严重症状的风险更高。这可能导致更多患者入住重症监护病房,死亡率也更高。

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