دورية أكاديمية

Predictors of readmission and mortality in adults with diabetes or stress hyperglycemia after initial hospitalization for COVID-19

التفاصيل البيبلوغرافية
العنوان: Predictors of readmission and mortality in adults with diabetes or stress hyperglycemia after initial hospitalization for COVID-19
المؤلفون: Joanna Mitri, Rajesh Garg, Marie E McDonnell, Ruth S Weinstock, Akshata Chaugule, Kyra Howard, Donald C Simonson, Geetha Gopalakrishnan, Jasmin Lebastchi, Nadine E Palermo, Gregory Westcott
المصدر: BMJ Open Diabetes Research & Care, Vol 12, Iss 3 (2024)
بيانات النشر: BMJ Publishing Group, 2024.
سنة النشر: 2024
المجموعة: LCC:Diseases of the endocrine glands. Clinical endocrinology
مصطلحات موضوعية: Diseases of the endocrine glands. Clinical endocrinology, RC648-665
الوصف: Introduction We previously reported predictors of mortality in 1786 adults with diabetes or stress hyperglycemia (glucose>180 mg/dL twice in 24 hours) admitted with COVID-19 from March 2020 to February 2021 to five university hospitals. Here, we examine predictors of readmission.Research design and methods Data were collected locally through retrospective reviews of electronic medical records from 1786 adults with diabetes or stress hyperglycemia who had a hemoglobin A1c (HbA1c) test on initial admission with COVID-19 infection or within 3 months prior to initial admission. Data were entered into a Research Electronic Data Capture (REDCap) web-based repository, and de-identified. Descriptive data are shown as mean±SD, per cent (%) or median (IQR). Student’s t-test was used for comparing continuous variables with normal distribution and Mann-Whitney U test was used for data not normally distributed. X2 test was used for categorical variable.Results Of 1502 patients who were alive after initial hospitalization, 19.4% were readmitted; 90.3% within 30 days (median (IQR) 4 (0–14) days). Older age, lower estimated glomerular filtration rate (eGFR), comorbidities, intensive care unit (ICU) admission, mechanical ventilation, diabetic ketoacidosis (DKA), and longer length of stay (LOS) during the initial hospitalization were associated with readmission. Higher HbA1c, glycemic gap, or body mass index (BMI) were not associated with readmission. Mortality during readmission was 8.0% (n=23). Those who died were older than those who survived (74.9±9.5 vs 65.2±14.4 years, p=0.002) and more likely had DKA during the first hospitalization (p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2052-4897
Relation: https://drc.bmj.com/content/12/3/e004167.full; https://doaj.org/toc/2052-4897
DOI: 10.1136/bmjdrc-2024-004167
URL الوصول: https://doaj.org/article/64ae6d2d498e4d35a8b715d80667482a
رقم الأكسشن: edsdoj.64ae6d2d498e4d35a8b715d80667482a
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20524897
DOI:10.1136/bmjdrc-2024-004167