Factors related to the death of diabetic patients with COVID-19 hospitalized in Joseph Raseta Befelatanana University Hospital in Antananarivo, Madagascar

Autor: Miora M. A. Andrianiaina, Tsikinirina V. Randrianomanana, Rija E. Raherison, Thierry Razanamparany, Sitraka A. Raharinavalona, Jean F. Rafamatanantsoa, Andrianirina D. P. Rakotomalala, Radonirina L. Andrianasolo
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Research in Medical Sciences. 10:1839
ISSN: 2320-6012
2320-6071
DOI: 10.18203/2320-6012.ijrms20222256
Popis: Background: Diabetes mellitus is associated with severe and even fatal forms of COVID-19. The objective of this study was to identify the factors linked to the death of COVID-19 diabetic patients in order to improve their care.Methods: An analytical cross-sectional study was carried out in the endocrinology department of the Joseph Raseta Befelatanana University Hospital Center, Antananarivo, Madagascar. It has concerned all the cases of COVID-19 diabetics (162 patients) recorded from April 2020 to July 2021 (16 months).Results: In our study, the case fatality rate of COVID-19 in diabetics was 14.49%. Significant factors related to death, after univariate analysis, were: vascular complications including nephropathy (OR=4.74), neuropathy (OR=5.38) and ischemic heart disease (OR=3.9), presence of other comorbidities (OR=9.02), dyspnea (OR=4.60), seizures (OR=6.22) or alertness disorder (OR=4.35), lower oxygen saturation (p=0.04), pleurisy (OR=4.67), signs of cardiac decompensation (OR=3.46), an elevated mean blood sugar level (p
Databáze: OpenAIRE
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