澳大利亚人患有1型或2型糖尿病和COVID-19的住院原因
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
概括
呼吸系统疾病,特别是病毒性肺炎,是澳大利亚成人糖尿病和COVID-19急性住院的主要原因. 这些患者的COVID后住院原因反映了大流行前的趋势.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病 (第一类和第二类) 是严重的COVID-19结局的重要危险因素.
- 在COVID-19大流行期间,了解糖尿病人群中的住院驱动因素对于资源配置和患者管理至关重要.
研究的目的:
- 调查COVID-19诊断后澳大利亚糖尿病患者 (1型和2型) 住院的主要原因.
- 将糖尿病COVID-19患者的住院原因与非糖尿病COVID-19患者和大流行前入院数据进行比较.
主要方法:
- 分析澳大利亚维多利亚州的COVID-19病例和相关住院数据.
- 评估急性 (0-30天) 和后急性 (31-365天) 入院情况.
- 糖尿病和非糖尿病COVID-19患者之间的比较,以及大流行前的对照.
主要成果:
- 13,302名澳大利亚糖尿病患者在COVID-19诊断后的一年内住院.
- 呼吸系统疾病导致糖尿病患者急性住院的40% .
- 病毒性肺炎是急性住院的主要原因,在糖尿病患者中更频繁发生 (APR 1.87).
- 糖尿病患者急性住院后的住院模式与大流行前观察到的类似.
结论:
- 呼吸系统疾病是COVID-19糖尿病患者急性住院的主要原因.
- 在这个队列中,急性后住院的原因与糖尿病管理的既定模式保持一致.
- 强调在持续的COVID-19大流行期间需要强有力的基于社区的糖尿病管理.
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