The Association Between Diabetes and the Outcome of COVID-19 Infection in Bethlehem, Palestine: A Case-Control Study.

IF 1.1 Q4 MICROBIOLOGY
Journal of Pathogens Pub Date : 2024-11-12 eCollection Date: 2024-01-01 DOI:10.1155/2024/1051658
Rasmi Fayiz Abu-Helu, Mohammad Jumah Zeer, Ghaleb Mohammad Adwan
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Abstract

The severity of COVID-19's outcomes has been positively correlated with an increased risk of respiratory failure and death, especially in patients with chronic illnesses. This case-control design study aims to examine the correlation in the Palestinian population in light of its impact on diabetic patients. The study was conducted from March 2020 to June 2021 on 417 patients admitted to the Palestinian National Center for Rehabilitation. Of them, 198 cases were tested positive for COVID-19 and had diabetes, whereas the remaining 219 were those who tested positive for COVID-19 but were not diagnosed with diabetes and acted as controls. Data from patient files were collected to address the study questions. Patients' ages ranged from 17 to 98 years, with a mean age of 58. Male participants represented 53.5% of the total. The results of the current study indicated that the case fatality rate (CFR) was 14.2% for all participants and 19.7% for patients with diabetes. In regard to patients' health conditions, 5.7% had cardiovascular diseases (CVD), 33.6% had hypertension, 6.5% had kidney diseases, and 47.4% had diabetes. According to the multivariate analysis, diabetic patients had a 1.63 times higher risk for COVID-19 infection compared to nondiabetic patients (adjustment of odds ratio of 1.63 and confidence interval [CI] = 0.354-1.856). This is the first study to investigate the relationship between the severity of COVID-19 outcomes in Palestine and the diabetes status, and the majority of its findings are consistent with other research studies that assessed the impact of COVID-19 on diabetic patients (with minor variations in the number and percentage). The study confirms that along with diabetes, age, hypertension, kidney diseases, shortness of breath, requirement of oxygen, D-dimer, C-reactive protein (CRP), kidney function test (KFT), and days of hospitalization were also associated with severe COVID-19 outcomes, whereas gender, CVDs, and liver function test (LFT) were not associated with severe COVID-19 outcomes.

在巴勒斯坦伯利恒,糖尿病与COVID-19感染结局之间的关系:一项病例对照研究
COVID-19结果的严重程度与呼吸衰竭和死亡风险增加呈正相关,特别是慢性疾病患者。本病例对照设计研究的目的是根据其对糖尿病患者的影响来检查巴勒斯坦人口的相关性。该研究于2020年3月至2021年6月对巴勒斯坦国家康复中心收治的417名患者进行了研究。其中,198例COVID-19检测呈阳性并患有糖尿病,其余219例为COVID-19检测呈阳性但未被诊断患有糖尿病的患者,作为对照组。从患者档案中收集数据以解决研究问题。患者年龄17 ~ 98岁,平均年龄58岁。男性参与者占总数的53.5%。目前的研究结果表明,所有参与者的病死率(CFR)为14.2%,糖尿病患者为19.7%。就患者的健康状况而言,5.7%患有心血管疾病,33.6%患有高血压,6.5%患有肾病,47.4%患有糖尿病。多因素分析显示,糖尿病患者感染新冠肺炎的风险是非糖尿病患者的1.63倍(调整优势比为1.63,置信区间[CI] = 0.354-1.856)。这是首个调查巴勒斯坦COVID-19结局严重程度与糖尿病状况之间关系的研究,其大部分发现与评估COVID-19对糖尿病患者影响的其他研究一致(在数量和百分比上略有差异)。该研究证实,除糖尿病外,年龄、高血压、肾脏疾病、呼吸短促、氧气需求、d -二聚体、c反应蛋白(CRP)、肾功能测试(KFT)和住院天数也与COVID-19严重结局相关,而性别、心血管疾病和肝功能测试(LFT)与COVID-19严重结局无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Pathogens
Journal of Pathogens MICROBIOLOGY-
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审稿时长
15 weeks
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