| アブストラクト | We conducted a multicenter retrospective cohort study across 38 hospitals in Chiba, Japan, between February 1, 2020 and November 31, 2021 to investigate the effect of coronavirus disease 2019 (COVID-19) on patients with diabetes mellitus receiving inpatient care. We collected inpatient medical data through Diagnosis procedure combination (DPC), the diagnoses and payment system of medical insurance, from each hospital. We excluded patients younger than 18 years, those who were pregnant, and those who had diabetes but were not treated with diabetic medication. A total of 10,776 patients were included: 7,679 in the non-diabetic (control) group and 3,097 in the diabetic group. Patients in the diabetic group were older and had a higher body mass index (BMI) than those in the control group. In the diabetes group, 88.4% of the patients were treated with insulin therapy and 44.2% were treated with oral hypoglycemic agents. The length of hospital days was significantly longer in the diabetes group. The in-hospital mortality rate was significantly higher especially between 50 and 59 years old. The rates of in-hospital mortality, mechanical ventilation, intensive care unit (ICU) admission, renal replacement therapies such as hemodialysis (HD), and continuous hemodiafiltration (CHDF) were all higher, even after adjusting for age, sex, BMI, and ambulance use. In conclusion, diabetes was a significant risk factor of the severe clinical outcomes especially for in-hospital mortality, mechanical ventilation usage, ICU admission, HD, and CHDF in Japan. |
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| ジャーナル名 | PloS one |
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| Pubmed追加日 | 2025/3/19 |
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| 投稿者 | Suwanai, Hirotsugu; Kanda, Masato; Harada, Kazuharu; Ishii, Keitaro; Iwasaki, Hajime; Hara, Natsuko; Kobayashi, Yoshio; Matsumura, Hajime; Inoue, Takahiro; Suzuki, Ryo |
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| 組織名 | Department of Diabetes, Metabolism, and Endocrinology, Tokyo Medical University,;Tokyo, Japan.;Department of Cardiovascular Medicine, Graduate School of Medicine, Chiba;University, Chiba, Japan.;Healthcare Management Research Center, Chiba University Hospital, Chiba, Japan.;Department of Health Data Science, Tokyo Medical University, Tokyo, Japan.;Department of Plastic and Reconstructive Surgery, Tokyo Medical University, |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/40106491/ |
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