Sociodemographic factors, clinical characteristics, outcomes and short-term follow-up in COVID-19 patients with new onset hyperglycemia and pre-existing diabetes on admission in a tertiary-care hospital in Bangladesh
2024

COVID-19 and Diabetes: Understanding New Onset Hyperglycemia

Sample size: 169 publication 10 minutes Evidence: moderate

Author Information

Author(s): Sultana Kakoly Nadira, Hasan S. M. Kamrul, Hoque Mohammad Mahfuzul, Ratul Rifat Hossain, Khan Md. Abdullah Saeed, Mitra Dipak Kumar, Billah Baki

Primary Institution: North South University

Hypothesis

This study aimed to compare the sociodemographic factors, clinical characteristics, and outcomes between COVID-19 patients with new onset hyperglycemia and those with pre-existing diabetes.

Conclusion

The study highlights the clinical trajectory of new-onset hyperglycemia in COVID-19 patients and emphasizes the need for diligent monitoring and management post-discharge.

Supporting Evidence

  • 30.18% of patients had new onset hyperglycemia.
  • 69.8% had pre-existing diabetes.
  • 29 patients died in the hospital.
  • Four patients left against medical advice.
  • 135 out of 136 survivors attended follow-up two weeks after discharge.

Takeaway

This study looked at how COVID-19 affects people with diabetes and those who develop high blood sugar for the first time, showing that many need careful follow-up after leaving the hospital.

Methodology

A prospective observational study was conducted among adult COVID-19 patients with new onset hyperglycemia or pre-existing diabetes admitted to the COVID-19 unit of Dhaka Medical College Hospital.

Potential Biases

Potential bias due to the convenience sampling method and the exclusion of critically ill patients.

Limitations

The study has limitations including a small sample size, data collected from a single center, and a short follow-up time.

Participant Demographics

Average age of patients was 56.38 years, with 60.36% male and 51.83% from rural areas.

Statistical Information

P-Value

p = 0.003 for smoking prevalence

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0311508

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