Early Hyperglycemia in Diabetics as a Predictor of Disease Severity in COVID-19

作     者：Niaz Ahmed Shaikh Arshee Khan Asnin Shah Rubina Inamdar Rania Abosalama Rafeh Jamal Niaz Ahmed Shaikh;Arshee Khan;Asnin Shah;Rubina Inamdar;Rania Abosalama;Rafeh Jamal

作者机构：Dubai Health Authority Rashid Hospital Dubai UAE 

出 版 物：《International Journal of Clinical Medicine》 (临床医学国际期刊（英文）)

年 卷 期：2021年第12卷第12期

页      面：543-550页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Admission Hyperglycemia COVID-19 Diabetes Disease Severity 

摘      要：Background: Hyperglycemia is an important predictor of prolonged hospitalization and mortality. The objective of this study was to analyze the role of early hyperglycemia in predicting the severity of COVID-19 illness and mortality. Method: Retrospective study on 259 patients with COVID-19 with measurement of average glucose during 24 hours of admission. Association of Early Hyperglycemia categorized as 180 mg/dl;was studied with mortality, requirement of ICU stay and prognostic markers. Results: Early hyperglycemia (180 mg/dl) revealed a higher median value for CRP (109 mg/l [IQR;48 - 199]) in comparison to 180 mg/dl group;24 (15.9%) vs 14 patients (13%) [p = 0.51] in the 180 mg/dl was 8 (5.3%) while Conclusion: Hyperglycemia in the first 24 hours may anticipate an increased risk of ICU stay and a higher mortality rate. It may be a possible predictor of disease severity.