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A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19
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Reasons for Hospitalization Among Australians With Type 1 or Type 2 Diabetes and COVID-19

Dunya Tomic1, Jonathan E Shaw1, Dianna J Magliano1

  • 1Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Canadian Journal of Diabetes
|September 25, 2023
PubMed

Insights

Respiratory diseases, particularly viral pneumonia, were the main reason for acute hospitalizations in Australian adults with diabetes and COVID-19. Post-COVID hospitalization reasons for these patients mirrored pre-pandemic trends.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Endocrinology

Background:

  • Diabetes mellitus (type 1 and type 2) is a significant risk factor for severe COVID-19 outcomes.
  • Understanding hospitalization drivers in diabetic populations during the COVID-19 pandemic is crucial for resource allocation and patient management.

Purpose of the Study:

  • To investigate the primary causes of hospitalization among Australian individuals with diabetes (type 1 and type 2) following a COVID-19 diagnosis.
  • To compare hospitalization reasons in diabetic COVID-19 patients with non-diabetic COVID-19 patients and pre-pandemic admission data.

Main Methods:

  • Analysis of COVID-19 cases and linked hospitalization data in Victoria, Australia.
  • Assessment of acute (0-30 days) and post-acute (31-365 days) hospitalizations.
  • Comparison between diabetic and non-diabetic COVID-19 patients, and pre-pandemic controls.

Main Results:

  • 13,302 diabetic Australians were hospitalized within a year of COVID-19 diagnosis.
  • Respiratory diseases caused 40% of acute hospital admissions in diabetic patients.
  • Viral pneumonia was the leading cause of acute hospitalization, occurring more frequently in diabetic patients (APR 1.87).
  • Post-acute hospitalization patterns for diabetic patients were similar to those observed before the pandemic.

Conclusions:

  • Respiratory conditions are the predominant cause of acute hospitalizations for diabetic individuals with COVID-19.
  • Post-acute hospitalization reasons in this cohort align with established patterns for diabetes management.
  • Emphasizes the need for robust community-based management of diabetes during the ongoing COVID-19 pandemic.
Abstract

Keywords:
COVID-19Complications du diabète sucréHospitalisationMaladie cardiovasculairePneumoniecardiovascular diseasediabetes mellitus complicationsdiabetes mellitus epidemiologyhospitalizationpneumoniaÉpidémiologie du diabète sucré

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