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- Title
Diabetes Does Not Increase the Risk of Hospitalization Due to COVID-19 in Patients Aged 50 Years or Older in Primary Care—APHOSDIAB—COVID-19 Multicenter Study.
- Authors
Orozco-Beltrán, Domingo; Merino-Torres, Juan Francisco; Pérez, Antonio; Cebrián-Cuenca, Ana M.; Párraga-Martínez, Ignacio; Ávila-Lachica, Luis; Rojo-Martínez, Gemma; Pomares-Gómez, Francisco J.; Álvarez-Guisasola, Fernando; Sánchez-Molla, Manuel; Gutiérrez, Felix; Ortega, Francisco J.; Mata-Cases, Manel; Carretero-Anibarro, Enrique; Vilaseca, Josep Maria; Quesada, Jose A.
- Abstract
The purpose of this study was to identify clinical, analytical, and sociodemographic variables associated with the need for hospital admission in people over 50 years infected with SARS-CoV-2 and to assess whether diabetes mellitus conditions the risk of hospitalization. A multicenter case-control study analyzing electronic medical records in patients with COVID-19 from 1 March 2020 to 30 April 2021 was conducted. We included 790 patients: 295 cases admitted to the hospital and 495 controls. Under half (n = 386, 48.8%) were women, and 8.5% were active smokers. The main comorbidities were hypertension (50.5%), dyslipidemia, obesity, and diabetes (37.5%). Multivariable logistic regression showed that hospital admission was associated with age above 65 years (OR from 2.45 to 3.89, ascending with age group); male sex (OR 2.15, 95% CI 1.47–3.15), fever (OR 4.31, 95% CI 2.87–6.47), cough (OR 1.89, 95% CI 1.28–2.80), asthenia/malaise (OR 2.04, 95% CI 1.38–3.03), dyspnea (4.69, 95% CI 3.00–7.33), confusion (OR 8.87, 95% CI 1.68–46.78), and a history of hypertension (OR 1.61, 95% CI 1.08–2.41) or immunosuppression (OR 4.97, 95% CI 1.45–17.09). Diabetes was not associated with increased risk of hospital admission (OR 1.18, 95% CI 0.80–1.72; p = 0.38). Diabetes did not increase the risk of hospital admission in people over 50 years old, but advanced age, male sex, fever, cough, asthenia, dyspnea/confusion, and hypertension or immunosuppression did.
- Subjects
PRIMARY care; COVID-19; TYPE 2 diabetes; HOSPITAL care; ELECTRONIC health records
- Publication
Journal of Clinical Medicine, 2022, Vol 11, Issue 8, p2092
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm11082092