High death rate due to diabetes upon admission to hospital


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Written by Ernie Mundell and Robert Braidt

HealthDay Reporters

Thursday, February 18, 2021 (HealthDay News) – diabetic It is a significant risk factor for a severe outbreak of COVID-19, and a new European study proves this: It found that 1 in 5 patients with Covid-19 disease hospitalized die within 28 days of admission.

No American expert was surprised by this grim result.

“Diabetics are clearly in the high-risk category and they should be among the first groups of people to get diabetes SerumDr. Mangala Narasimhan, who directs critical care services at Northwell Health in New Hyde Park, New York, advises. She also advises people with diabetes to make sure they are in control of Blood sugar levels And avoid any complications of the disease.

Narasimhan, who was not involved in the new study, said such steps “seem to make a really difference in terms of survival from COVID infection”.

The research was led by Bertrand Carrillo and Sami Hajjaj, diabetologists at the University Hospital of Nantes in France. In May last year, they published preliminary results that showed 10% of Covid-19 patients with diabetes died within seven days of hospitalization.

The most recent and updated results came from more patients – nearly 2,800 – who were treated for COVID-19 in 68 hospitals across France. Their average age was 70, nearly two-thirds were men, and many were overweight. About 40% were also suffering from various forms of diabetes complications.

The French team reported on February 17 in the magazine that within 28 days after being hospitalized, 21% of patients had died. Diabetes.

Of these patients who survived for at least one month, 50% were discharged from hospital with an average stay of nine days; 12% were still in hospital on day 28, and 17% transferred from the first hospital to another facility.

The researchers said younger age, routine treatment of diabetes with metformin, and having symptoms for a longer period before admission to hospital were major factors associated with a higher likelihood of discharge.

She continued

Patients who take it regularly Insulin – It probably indicates more advanced diabetes – they had a 44% higher risk of death than those who did not take insulin, the investigators said. Long-term glycemic control was not associated with patient outcomes, but a high blood sugar level at the time of hospitalization was a strong predictor of death and a reduced chance of discharge.

Dr. Barbara Kipper oversees family medicine at Glen Cove Hospital in Glen Cove, New York. Reading about the results, she said it shows “clearly diabetes is a significant risk factor for both needing an ICU /Ventilator Hospital care as well as death ”within a month of admission.

Kieber said it was “logical” that people with complications from poorly controlled diabetes are more at risk of developing the condition, as this creates a “pro-inflammatory state” similar to that seen in advanced COVID-19.

But Kabir also warned that death rates may have improved for COVID-19 patients, including those with diabetes, over the past year.

She pointed out that “this study was conducted in the first wave of the epidemic, and it was found that many of the current treatment regimens and drugs that were tried in the early stage were not useful and other treatment regimens replaced them.”

For example, “The current use of steroids in treatment may play a role in myxology [improved] “Diagnosing the condition of patients in general, and especially for those with diabetes,” said Kieper.

more information

The American Diabetes Association has more Covid-19.

Sources: Mangala Narasimhan, DO, Director, Critical Care Services, Northwell Health, New Hyde Park, NY; Barbara Kipper, MD, MD, Family Medicine, Glen Cove Hospital, Glen Cove, New York; DiabetesPress release, February 17, 2021

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