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- Title
Comparative Analysis of COVID-19 Outcomes in Type 1 and Type 2 Diabetes: A Three-Year Retrospective Study.
- Authors
Cioca, Flavius; Timar, Romulus; Ignuta, Flavia; Vlad, Adrian; Bratosin, Felix; Rosca, Ovidiu; Jianu, Adelina Maria; Rosca, Daniela; Septimiu-Radu, Susa; Burtic, Sonia-Roxana; Fildan, Ariadna Petronela; Laitin, Sorina Maria Denisa
- Abstract
Background and Objectives: This comprehensive retrospective study assesses COVID-19 outcomes in type 1 (T1D) and type 2 diabetes (T2D) patients across three years, focusing on how these outcomes varied with the evolving pandemic and changes in diabetes management. The study aims to determine if COVID-19 outcomes, including severity, intensive care unit (ICU) admission rates, duration of hospitalization, and mortality, are significantly different between these diabetes subtypes. Materials and Methods: The study analyzed data from patients admitted to the Victor Babes Hospital for Infectious Diseases and Pulmonology with confirmed COVID-19 and pre-existing diabetes, from the years 2020, 2021, and 2022. Results: Among 486 patients (200 without diabetes, 62 with T1D, 224 with T2D), T2D patients showed notably higher severity, with 33.5% experiencing severe cases, compared to 25.8% in T1D. Mortality rates were 11.6% in T2D and 8.1% in T1D. T2D patients had longer hospital stays (11.6 ± 7.0 days) compared to T1D (9.1 ± 5.8 days) and were more likely to require ICU admission (OR: 2.24) and mechanical ventilation (OR: 2.46). Hyperglycemia at admission was significantly higher in the diabetes groups, particularly in T2D (178.3 ± 34.7 mg/dL) compared to T1D (164.8 ± 39.6 mg/dL). Conclusions: The study reveals a discernible difference in COVID-19 outcomes between T1D and T2D, with T2D patients having longer hospital admissions, mechanical ventilation necessities, and mortality risks.
- Subjects
TYPE 2 diabetes; TYPE 1 diabetes; COVID-19; INTENSIVE care units; COMPARATIVE studies
- Publication
Medicina (1010660X), 2024, Vol 60, Issue 2, p210
- ISSN
1010-660X
- Publication type
Article
- DOI
10.3390/medicina60020210