Evaluation and comparison of diabetic and non-diabetic patients infected by COVID-19 and phenotypes of severity: an analytical and cross-sectional study in a reference hospital of the Federal District, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/23658 |
Resumo: | Introduction: In March 2020 the World Health Organization (WHO) declared a pandemic for the disease called COVID 19, caused by a new acute severe coronavirus respiratory syndrome 2 (SARS-CoV-2), being a public health emergency of international interest. Since the beginning of the pandemic, diabetes mellitus has emerged as a complicating factor, with unfavorable outcomes compared to the non-diabetic population. Thus, our study aimed to evaluate and compare, through an analytical, cross-sectional and descriptive study, the phenotypes of severity among people with diabetic and non-diabetic COVID-19 in a reference hospital in the Federal District, Brazil. Material and methods: Through an active search of data in the medical records of hospitalized patients diagnosed with COVID-19 by the"Real Time Polymerase Chain Reaction" (RT-PCR) method, 2041 individuals who, after exclusion criteria, selected a total of 762 for the proposed study were selected, comparing clinical and laboratory data between the group with diabetes and without diabetes. Descriptive statistics were performed with mean and standard deviation values, absolute frequency and relative percentage. The normality and homogeneity of the data were calculated with the Shapiro-Wilk and Levene test, respectively. The student's t-test for independent samples was used to compare the continuous variables and the chi-square test was used to compare categorical variables between diabetic and non-diabetic patients. Findings: Individuals with diabetes presented a more severe clinical picture when compared to those without the disease. Evidencing an independent risk factor for a worse prognosis. Discussion: our findings are in line with other studies already conducted, showing that the chronic inflammatory component of the disease seems to be the main trigger for unfavorable outcomes. Conclusion: Considering the epidemiological importance of diabetes, urgent research is made that elucidate the above-mentioned doubts, aiming at more appropriate therapeutic interventions and, therefore, improving outcomes in this population. In the case of a new and still little known disease, with several questions, probably many of the answers will only come over time, through more robust, prospective and randomized studies, with larger and more diverse populations. |
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Evaluation and comparison of diabetic and non-diabetic patients infected by COVID-19 and phenotypes of severity: an analytical and cross-sectional study in a reference hospital of the Federal District, BrazilEvaluación y comparación de pacientes diabéticos y no diabéticos infectados por COVID-19 y fenotipos de severidad: un estudio analítico y transversal en un hospital de referencia del Distrito Federal, BrasilAvaliação e comparação de pacientes diabéticos e não diabéticos infectados pelo COVID-19 e fenótipos de gravidade: um estudo analítico e transversal em hospital de referência do Distrito Federal, BrasilCOVID-19Diabetes mellitusFactores de riesgoIndicadores de morbimortalidadSíndrome de respuesta inflamatoria sistémica.Diabetes mellitusRisk factorsIndicators of morbidity and mortalityCOVID-19Systemic inflammatory response syndrome.COVID-19Diabetes mellitusFatores de riscoIndicadores de morbimortalidadeSíndrome de resposta inflamatória sistêmica.Introduction: In March 2020 the World Health Organization (WHO) declared a pandemic for the disease called COVID 19, caused by a new acute severe coronavirus respiratory syndrome 2 (SARS-CoV-2), being a public health emergency of international interest. Since the beginning of the pandemic, diabetes mellitus has emerged as a complicating factor, with unfavorable outcomes compared to the non-diabetic population. Thus, our study aimed to evaluate and compare, through an analytical, cross-sectional and descriptive study, the phenotypes of severity among people with diabetic and non-diabetic COVID-19 in a reference hospital in the Federal District, Brazil. Material and methods: Through an active search of data in the medical records of hospitalized patients diagnosed with COVID-19 by the"Real Time Polymerase Chain Reaction" (RT-PCR) method, 2041 individuals who, after exclusion criteria, selected a total of 762 for the proposed study were selected, comparing clinical and laboratory data between the group with diabetes and without diabetes. Descriptive statistics were performed with mean and standard deviation values, absolute frequency and relative percentage. The normality and homogeneity of the data were calculated with the Shapiro-Wilk and Levene test, respectively. The student's t-test for independent samples was used to compare the continuous variables and the chi-square test was used to compare categorical variables between diabetic and non-diabetic patients. Findings: Individuals with diabetes presented a more severe clinical picture when compared to those without the disease. Evidencing an independent risk factor for a worse prognosis. Discussion: our findings are in line with other studies already conducted, showing that the chronic inflammatory component of the disease seems to be the main trigger for unfavorable outcomes. Conclusion: Considering the epidemiological importance of diabetes, urgent research is made that elucidate the above-mentioned doubts, aiming at more appropriate therapeutic interventions and, therefore, improving outcomes in this population. In the case of a new and still little known disease, with several questions, probably many of the answers will only come over time, through more robust, prospective and randomized studies, with larger and more diverse populations.Introducción: En marzo de 2020 la Organización Mundial de la Salud (OMS) declaró una pandemia por la enfermedad denominada COVID 19, provocada por un nuevo síndrome respiratorio agudo severo por coronavirus 2 (SARS-CoV-2), siendo una emergencia de salud pública de interés internacional. Desde el comienzo de la pandemia, la diabetes mellitus ha surgido como un factor de complicación, con resultados desfavorables en comparación con la población no diabética. Así, nuestro estudio tuvo como objetivo evaluar y comparar, a través de un estudio analítico, transversal y descriptivo, los fenotipos de gravedad en personas con COVID-19 diabéticos y no diabéticos en un hospital de referencia del Distrito Federal, Brasil. Material y métodos: Mediante una búsqueda activa de datos en las historias clínicas de pacientes hospitalizados diagnosticados de COVID-19 por el método "Reacción en cadena de la polimerasa en tiempo real" (RT-PCR), 2041 individuos que, tras criterios de exclusión, seleccionaron un total de Se seleccionaron 762 para el estudio propuesto, comparando datos clínicos y de laboratorio entre el grupo con diabetes y sin diabetes. Se realizó estadística descriptiva con valores de media y desviación estándar, frecuencia absoluta y porcentaje relativo. La normalidad y homogeneidad de los datos se calcularon con la prueba de Shapiro-Wilk y Levene, respectivamente. Se utilizó la prueba t de Student para muestras independientes para comparar las variables continuas y la prueba de chi-cuadrado para comparar variables categóricas entre pacientes diabéticos y no diabéticos. Hallazgos: las personas con diabetes presentaban un cuadro clínico más grave en comparación con las que no tenían la enfermedad. Evidenciando un factor de riesgo independiente de peor pronóstico. Discusión: nuestros hallazgos están en línea con otros estudios ya realizados, que muestran que el componente inflamatorio crónico de la enfermedad parece ser el principal desencadenante de resultados desfavorables. Conclusión: Considerando la importancia epidemiológica de la diabetes, se realizan investigaciones urgentes que dilucidan las dudas mencionadas, con el objetivo de realizar intervenciones terapéuticas más adecuadas y, por tanto, mejorar los resultados en esta población. En el caso de una enfermedad nueva y aún poco conocida, con varias preguntas, probablemente muchas de las respuestas solo lleguen con el tiempo, a través de estudios más robustos, prospectivos y aleatorizados, con poblaciones más grandes y diversas.Introdução: Em março de 2020 a Organização Mundial da Saúde (OMS) declarou uma pandemia pela doença denominada COVID 19, causado por uma nova síndrome respiratória aguda grave coronavírus 2 (SARS-CoV-2), sendo uma emergência de saúde pública de interesse internacional. Desde o início da pandemia, o diabetes mellitus emergiu como um fator complicador, com desfechos desfavoráveis em comparação à população não diabética. Dessa forma, nosso estudo objetivou avaliar e comparar, através de um estudo analítico, transversal e descritivo, os fenótipos de gravidade entre pessoas com COVID-19 diabéticas e não diabéticas em um hospital de referência no Distrito Federal, Brasil. Material e métodos: Através de busca ativa de dados em prontuários de pacientes internados com diagnóstico com COVID-19 pelo método “Real Time Reação de Cadeia de Polimerase” (RT-PCR), foram recrutados 2041 indivíduos que, após critérios de exclusão, selecionados um total de 762 para o estudo proposto, comparando dados clínicos e laboratoriais entre o grupo com diabetes e sem diabetes. A estatística descritiva foi realizada com valores média e desvio-padrão, frequência absoluta e percentual relativo. A normalidade e homogeneidade dos dados foram calculadas com o teste de Shapiro-Wilk e Levene, respectivamente. O teste t de student para amostras independentes foi usado para comparar as variáveis contínuas e o teste qui-quadrado foi utilizado para comparar as variáveis categóricas entre os pacientes diabéticos e não diabéticos. Resultados: Indivíduos com diabetes apresentaram um quadro clínico mais severo quando comparados àqueles sem a doença. Evidenciando um fator de risco independente para um pior prognóstico. Discussão: nossos achados vão de encontro a outras pesquisas já realizadas, mostrando que o componente inflamatório crônico da doença parece ser o principal gatilho para desfechos desfavoráveis. Conclusão: Considerando a importância epidemiológica do diabetes, fazem-se urgentes pesquisas que elucidem as dúvidas acima expostas, visando intervenções terapêuticas mais apropriadas e, portanto, melhorando os desfechos nesta população. Em se tratando de uma doença nova e ainda pouco conhecida, com várias interrogações, provavelmente muitas das respostas só virão com o tempo, através de estudos mais robustos, prospectivos e randomizados, com populações maiores e mais diversificadas.Research, Society and Development2021-12-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2365810.33448/rsd-v10i16.23658Research, Society and Development; Vol. 10 No. 16; e149101623658Research, Society and Development; Vol. 10 Núm. 16; e149101623658Research, Society and Development; v. 10 n. 16; e1491016236582525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/23658/20818Copyright (c) 2021 Marina Grazziotin Pasolini; Fernanda Silveira Tavares; Mariani Carla Prudente Batista; Amanda Sena Nunes Canabrava; Lisandra Vieira da Cruz Souza; Isabela Yumi Saito Delage; Fábio Siqueira; Hugo de Luca Correa; Thiago dos Santos Rosahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPasolini, Marina Grazziotin Tavares, Fernanda Silveira Batista, Mariani Carla Prudente Canabrava, Amanda Sena Nunes Souza, Lisandra Vieira da Cruz Delage, Isabela Yumi Saito Siqueira, FábioCorrea, Hugo de Luca Rosa, Thiago dos Santos 2021-12-20T11:03:07Zoai:ojs.pkp.sfu.ca:article/23658Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:42:27.640008Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Evaluation and comparison of diabetic and non-diabetic patients infected by COVID-19 and phenotypes of severity: an analytical and cross-sectional study in a reference hospital of the Federal District, Brazil Evaluación y comparación de pacientes diabéticos y no diabéticos infectados por COVID-19 y fenotipos de severidad: un estudio analítico y transversal en un hospital de referencia del Distrito Federal, Brasil Avaliação e comparação de pacientes diabéticos e não diabéticos infectados pelo COVID-19 e fenótipos de gravidade: um estudo analítico e transversal em hospital de referência do Distrito Federal, Brasil |
title |
Evaluation and comparison of diabetic and non-diabetic patients infected by COVID-19 and phenotypes of severity: an analytical and cross-sectional study in a reference hospital of the Federal District, Brazil |
spellingShingle |
Evaluation and comparison of diabetic and non-diabetic patients infected by COVID-19 and phenotypes of severity: an analytical and cross-sectional study in a reference hospital of the Federal District, Brazil Pasolini, Marina Grazziotin COVID-19 Diabetes mellitus Factores de riesgo Indicadores de morbimortalidad Síndrome de respuesta inflamatoria sistémica. Diabetes mellitus Risk factors Indicators of morbidity and mortality COVID-19 Systemic inflammatory response syndrome. COVID-19 Diabetes mellitus Fatores de risco Indicadores de morbimortalidade Síndrome de resposta inflamatória sistêmica. |
title_short |
Evaluation and comparison of diabetic and non-diabetic patients infected by COVID-19 and phenotypes of severity: an analytical and cross-sectional study in a reference hospital of the Federal District, Brazil |
title_full |
Evaluation and comparison of diabetic and non-diabetic patients infected by COVID-19 and phenotypes of severity: an analytical and cross-sectional study in a reference hospital of the Federal District, Brazil |
title_fullStr |
Evaluation and comparison of diabetic and non-diabetic patients infected by COVID-19 and phenotypes of severity: an analytical and cross-sectional study in a reference hospital of the Federal District, Brazil |
title_full_unstemmed |
Evaluation and comparison of diabetic and non-diabetic patients infected by COVID-19 and phenotypes of severity: an analytical and cross-sectional study in a reference hospital of the Federal District, Brazil |
title_sort |
Evaluation and comparison of diabetic and non-diabetic patients infected by COVID-19 and phenotypes of severity: an analytical and cross-sectional study in a reference hospital of the Federal District, Brazil |
author |
Pasolini, Marina Grazziotin |
author_facet |
Pasolini, Marina Grazziotin Tavares, Fernanda Silveira Batista, Mariani Carla Prudente Canabrava, Amanda Sena Nunes Souza, Lisandra Vieira da Cruz Delage, Isabela Yumi Saito Siqueira, Fábio Correa, Hugo de Luca Rosa, Thiago dos Santos |
author_role |
author |
author2 |
Tavares, Fernanda Silveira Batista, Mariani Carla Prudente Canabrava, Amanda Sena Nunes Souza, Lisandra Vieira da Cruz Delage, Isabela Yumi Saito Siqueira, Fábio Correa, Hugo de Luca Rosa, Thiago dos Santos |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Pasolini, Marina Grazziotin Tavares, Fernanda Silveira Batista, Mariani Carla Prudente Canabrava, Amanda Sena Nunes Souza, Lisandra Vieira da Cruz Delage, Isabela Yumi Saito Siqueira, Fábio Correa, Hugo de Luca Rosa, Thiago dos Santos |
dc.subject.por.fl_str_mv |
COVID-19 Diabetes mellitus Factores de riesgo Indicadores de morbimortalidad Síndrome de respuesta inflamatoria sistémica. Diabetes mellitus Risk factors Indicators of morbidity and mortality COVID-19 Systemic inflammatory response syndrome. COVID-19 Diabetes mellitus Fatores de risco Indicadores de morbimortalidade Síndrome de resposta inflamatória sistêmica. |
topic |
COVID-19 Diabetes mellitus Factores de riesgo Indicadores de morbimortalidad Síndrome de respuesta inflamatoria sistémica. Diabetes mellitus Risk factors Indicators of morbidity and mortality COVID-19 Systemic inflammatory response syndrome. COVID-19 Diabetes mellitus Fatores de risco Indicadores de morbimortalidade Síndrome de resposta inflamatória sistêmica. |
description |
Introduction: In March 2020 the World Health Organization (WHO) declared a pandemic for the disease called COVID 19, caused by a new acute severe coronavirus respiratory syndrome 2 (SARS-CoV-2), being a public health emergency of international interest. Since the beginning of the pandemic, diabetes mellitus has emerged as a complicating factor, with unfavorable outcomes compared to the non-diabetic population. Thus, our study aimed to evaluate and compare, through an analytical, cross-sectional and descriptive study, the phenotypes of severity among people with diabetic and non-diabetic COVID-19 in a reference hospital in the Federal District, Brazil. Material and methods: Through an active search of data in the medical records of hospitalized patients diagnosed with COVID-19 by the"Real Time Polymerase Chain Reaction" (RT-PCR) method, 2041 individuals who, after exclusion criteria, selected a total of 762 for the proposed study were selected, comparing clinical and laboratory data between the group with diabetes and without diabetes. Descriptive statistics were performed with mean and standard deviation values, absolute frequency and relative percentage. The normality and homogeneity of the data were calculated with the Shapiro-Wilk and Levene test, respectively. The student's t-test for independent samples was used to compare the continuous variables and the chi-square test was used to compare categorical variables between diabetic and non-diabetic patients. Findings: Individuals with diabetes presented a more severe clinical picture when compared to those without the disease. Evidencing an independent risk factor for a worse prognosis. Discussion: our findings are in line with other studies already conducted, showing that the chronic inflammatory component of the disease seems to be the main trigger for unfavorable outcomes. Conclusion: Considering the epidemiological importance of diabetes, urgent research is made that elucidate the above-mentioned doubts, aiming at more appropriate therapeutic interventions and, therefore, improving outcomes in this population. In the case of a new and still little known disease, with several questions, probably many of the answers will only come over time, through more robust, prospective and randomized studies, with larger and more diverse populations. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-09 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/23658 10.33448/rsd-v10i16.23658 |
url |
https://rsdjournal.org/index.php/rsd/article/view/23658 |
identifier_str_mv |
10.33448/rsd-v10i16.23658 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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https://rsdjournal.org/index.php/rsd/article/view/23658/20818 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 16; e149101623658 Research, Society and Development; Vol. 10 Núm. 16; e149101623658 Research, Society and Development; v. 10 n. 16; e149101623658 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
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UNIFEI |
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UNIFEI |
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Research, Society and Development |
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Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
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rsd.articles@gmail.com |
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1797052698140344320 |