Document Type
Article
Publication Date
12-2022
Identifier
DOI: 10.1016/j.diabres.2022.110156; PMCID: PMC9663407
Abstract
Aims: We examined diabetes status (no diabetes; type 1 diabetes [T1D]; type 2 diabetes [T2D]) and other demographic and clinical factors as correlates of coronavirus disease 2019 (COVID-19)-related hospitalization. Further, we evaluated predictors of COVID-19-related hospitalization in T1D and T2D.
Methods: We analyzed electronic health record data from the de-identified COVID-19 database (December 2019 through mid-September 2020; 87 US health systems). Logistic mixed models were used to examine predictors of hospitalization at index encounters associated with confirmed SARS-CoV-2 infection.
Results: In 116,370 adults ( >=18 years old) with COVID-19 (93,098 no diabetes; 802 T1D; 22,470 T2D), factors that independently increased risk for hospitalization included diabetes, male sex, public health insurance, decreased body mass index (BMI; < 25.0-29.9 kg/m2), increased BMI ( >25.0-29.9 kg/m2), vitamin D deficiency/insufficiency, and Elixhauser comorbidity score. After further adjustment for concurrent hyperglycemia and acidosis in those with diabetes, hospitalization risk was substantially higher in T1D than T2D and in those with low vitamin D and elevated hemoglobin A1c (HbA1c).
Conclusions: The higher hospitalization risk in T1D versus T2D warrants further investigation. Modifiable risk factors such as vitamin D deficiency/insufficiency, BMI, and elevated HbA1c may serve as prognostic indicators for COVID-19-related hospitalization in adults with diabetes.
Journal Title
Diabetes research and clinical practice
Volume
194
First Page
110156
Last Page
110156
MeSH Keywords
Adult; Male; Humans; Adolescent; COVID-19; Diabetes Mellitus, Type 2; Retrospective Studies; SARS-CoV-2; Diabetes Mellitus, Type 1; Hospitalization; Vitamin D Deficiency
Keywords
COVID-19; Comorbidities; Hospitalization; Type 1 diabetes; Type 2 diabetes; Vitamin D
Recommended Citation
Tallon EM, Ebekozien O, Sanchez J, et al. Impact of diabetes status and related factors on COVID-19-associated hospitalization: A nationwide retrospective cohort study of 116,370 adults with SARS-CoV-2 infection. Diabetes Res Clin Pract. 2022;194:110156. doi:10.1016/j.diabres.2022.110156
Comments
This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.
Publisher's Link: https://www.diabetesresearchclinicalpractice.com/article/S0168-8227(22)00970-6/fulltext