Comparative analysis of clinical profile, laboratory profile and outcome in COVID-19 patients with and without hypothyroidism.

Autor: Sindhu Malini B; Department of General Medicine, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India., Chidambaram Y; Department of General Medicine, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India., Clement Jenil Dhas CP; Department of General Medicine, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India., Navinkumar BK; Department of General Medicine, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India., Sujith Kumar S; Department of General Medicine, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.
Jazyk: angličtina
Zdroj: Ghana medical journal [Ghana Med J] 2024 Sep; Vol. 58 (3), pp. 192-197.
DOI: 10.4314/gmj.v58i3.3
Abstrakt: Objectives: Previous studies suggest that patients' thyroid status might directly impact the course of Coronavirus disease 2019 (COVID-19). The objective of the study was to determine the clinical profile of COVID-19 patients with hypothyroidism and compare it with that of COVID-19 patients without hypothyroidism.
Design: Retrospective observational study.
Setting: The study was conducted in a tertiary healthcare centre in Tamil Nadu between May and June 2021.
Participants: The study included 117 patients admitted with hypothyroidism and COVID-19 as well as 117 age and Gender matched COVID-19 patients without hypothyroidism.
Main Outcome Measures: Data regarding the demography, comorbidities, presenting symptoms, method of diagnosis of COVID-19, computed tomography (CT) severity score, Interleukin 6 (IL-6), D-dimer, oxygen requirement, number of days in hospital and outcome were collected for both groups. Data analysis was conducted, and p<0.05 was considered statistically significant.
Results: The study comprised 234 patients over two months, from May to June 2021. Distribution of presenting symptoms showed that the hypothyroidism group presented with a higher incidence of fever (66.67%), loose stool (18.80%) and myalgia (7.69%). Results show that RTPCR+, O 2 Requirement, death, D-dimer, IL-6, number of days admitted as well as CT-severity did not show any statistically significant differences (p>0.05) between both groups. The outcomes also showed that both groups reported four mortalities.
Conclusions: The results of the study help conclude that the hypothyroidism status of a COVID-19 patient is not associated with higher severity of clinical symptoms, deranged laboratory values as well as mortality.
Funding: None declared.
Competing Interests: Conflict of interest: None declared
(Copyright © The Author(s).)
Databáze: MEDLINE
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