Progression & prognosis of Covid-19 patients having diabetes mellitus

  • Dr. Md. Mahbub Alam Siddiqui Associate professor, Department of Medicine, TMSS Medical College & Rafatullah Community Hospital, Bogura, Bangladesh
  • Dr. Md. Rafiqul Islam Registrar, Department of Cardiology, National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh.
  • Dr. Md. Mir Sufian Senior Consultant, Department of Cardiology, Naogaon General Hospital, Naogaon, Bangladesh.
  • Dr. Priyanka Podder Medical Officer, Institute of Nuclear Medicine & Allied Sciences, Cox’s Bazar, Bangladesh
  • Dr. Md. Abu Masud Ansary Assistant Registrar, Department of Medicine, TMSS Medical College & Rafatullah Community Hospital, Bogura, Bangladesh
  • Dr. Shahed Ahmed Indoor Medical Officer (COVID-19 ward), TMSS Medical College & Rafatullah Community Hospital, Bogura, Bangladesh.
  • Dr. Nyeem Ahmad Nibir Indoor Medical Officer (COVID-19 ward), TMSS Medical College & Rafatullah Community Hospital, Bogura, Bangladesh
  • Dr. Md. Rafiur Rahman Sahin Indoor Medical Officer (COVID-19 ward), TMSS Medical College & Rafatullah Community Hospital, Bogura, Bangladesh.
Keywords: Emergency, Diabetes, Prognosis, Symptoms, Variables, Experienced

Abstract

Background:  Diabetes patients experience a variety of internal health issues, including immune deficiencies, inflammatory storms, hyperglycemia, coagulation risks, and elevated levels of ACE2 receptors. They also suffer from various illnesses like high blood pressure, cardiovascular disease, kidney problems, visual issues, and a host of others. None of these factors raise the chance of contracting SARS-CoV-2. However, once they are infected, the condition worsens to the point that the death rate is high.

Objective: This study aimed to examine the severity of symptoms between COVID-19 participants with and without diabetes.

Methods:  A total of 347 patients with confirmed SARS CoV-2 were selected by a purposive sampling method for this retrospective, single-center study that took place from June 1, 2020, to August 31, 2020, at the Department of Medicine, TMSS Medical College, and Rafatullah Community Hospital, Bogura, Bangladesh. We investigated and compared their sociodemographic information, clinical traits, morbidities, lab results, and CT scan results. The study was approved by the ethical committee of the mentioned hospital. All of the patients tested positive for COVID 19. Patients with a COVID 19 negative result and those younger than 18 years old were, however, eliminated based on the study's exclusion criteria.

Results: Diabetes patients experienced worse hospital outcomes, including a death rate of 19.4% (p=0.002163), and longer hospital stays (p = 0.0001) compared to non-diabetic patients. Additionally, diabetic patients got more oxygen therapy (32 hours, p 0.05), injectable antiviral drugs (161, p 0.05), and low molecular weight heparin (105, p 0.05) than non-diabetics. These findings suggest that diabetes affects the prognosis of COVID 19.

Conclusion:  Diabetes worsens the prognosis and is a risk factor for the Covid-19 symptoms' quick progression. Therefore, individuals with Covid-19 infection and diabetes should receive additional attention because they could deteriorate at any time.

 

 

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Author Biographies

Dr. Md. Mahbub Alam Siddiqui, Associate professor, Department of Medicine, TMSS Medical College & Rafatullah Community Hospital, Bogura, Bangladesh

 

 

Dr. Md. Rafiqul Islam, Registrar, Department of Cardiology, National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh.

 

 

Dr. Md. Mir Sufian, Senior Consultant, Department of Cardiology, Naogaon General Hospital, Naogaon, Bangladesh.

 

 

Dr. Priyanka Podder, Medical Officer, Institute of Nuclear Medicine & Allied Sciences, Cox’s Bazar, Bangladesh

 

 

Dr. Md. Abu Masud Ansary, Assistant Registrar, Department of Medicine, TMSS Medical College & Rafatullah Community Hospital, Bogura, Bangladesh

 

 

Dr. Shahed Ahmed, Indoor Medical Officer (COVID-19 ward), TMSS Medical College & Rafatullah Community Hospital, Bogura, Bangladesh.

 

 

Dr. Nyeem Ahmad Nibir, Indoor Medical Officer (COVID-19 ward), TMSS Medical College & Rafatullah Community Hospital, Bogura, Bangladesh

 

 

Dr. Md. Rafiur Rahman Sahin, Indoor Medical Officer (COVID-19 ward), TMSS Medical College & Rafatullah Community Hospital, Bogura, Bangladesh.

 

 

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CITATION
DOI: 10.26838/MEDRECH.2023.10.1.670
Published: 2023-01-04
How to Cite
1.
Siddiqui MMA, Islam MR, Sufian MM, Podder P, Ansary MAM, Ahmed S, Nibir NA, Sahin MRR. Progression & prognosis of Covid-19 patients having diabetes mellitus. Med. res. chronicles [Internet]. 2023Jan.4 [cited 2023Feb.9];10(1):14-1. Available from: https://medrech.com/index.php/medrech/article/view/652
Section
Original Research Article