Evidence map›Paper›PMID 33778910›Full record

SynthesisActa diabetologica2021

Impact of diabetes mellitus on in-hospital mortality in adult patients with COVID-19: a systematic review and meta-analysis.

Halla Kaminska, Lukasz Szarpak, Dariusz Kosior, Wojciech Wieczorek, Agnieszka Szarpak, Mahdi Al-Jeabory, Wladyslaw Gawel, Aleksandra Gasecka, Milosz J Jaguszewski, Przemyslawa Jarosz-Chobot

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Acta diabetologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  17. POST-COVID-19 and the pancreas.The American journal of emergency medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Halla KaminskaDepartment of Pediatrics and Children's Diabetology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Silesia, Poland.ORCID http://orcid.org/0000-0003-0960-8365
Lukasz SzarpakMaria Sklodowska-Curie Bialystok Oncology Center, Ogrodowa 12 str., 15-027, Bialystok, Poland. lukasz.szarpak@gmail.com.ORCID http://orcid.org/0000-0002-0973-5455
Dariusz KosiorFaculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University, Warsaw, Poland.ORCID http://orcid.org/0000-0002-7821-4442
Wojciech WieczorekDepartment of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland.ORCID http://orcid.org/0000-0001-9870-3633
Agnieszka SzarpakMaria Sklodowska-Curie Medical Academy in Warsaw, Warsaw, Poland.ORCID http://orcid.org/0000-0002-6196-6111
Mahdi Al-JeaboryPolish Society of Disaster Medicine, Warsaw, Poland.ORCID http://orcid.org/0000-0003-4412-6409
Wladyslaw GawelDepartment of Surgery, The Silesian Hospital in Opava, Opava, Czech Republic.ORCID http://orcid.org/0000-0003-2608-0726
Aleksandra GaseckaDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0001-5083-7587
Milosz J JaguszewskiFirst Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.ORCID http://orcid.org/0000-0002-2555-593X
Przemyslawa Jarosz-ChobotDepartment of Pediatrics and Children's Diabetology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Silesia, Poland.ORCID http://orcid.org/0000-0002-1120-0994

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe novel coronavirus disease 2019 (COVID-19) has spread worldwide since the beginning of 2020, placing the heavy burden on the health systems all over the world. The population that particularly has been affected by the pandemic is the group of patients suffering from diabetes mellitus. Having taken the public health in considerations, we have decided to perform a systematic review and meta-analysis of diabetes mellitus on in-hospital mortality in patients with COVID-19.

methodsA systematic literature review (MEDLINE, EMBASE, Web of Science, Scopus, Cochrane) including all published clinical trials or observational studies published till December 10, 2020, was performed using following terms "diabetes mellitus" OR "diabetes" OR "DM" AND "survival" OR "mortality" AND "SARS-CoV-2" OR "COVID-19".

resultsNineteen studies were included out of the 7327 initially identified studies. Mortality of DM patients vs non-DM patients was 21.3 versus 6.1%, respectively (OR = 2.39; 95%CI: 1.65, 3.64; P < 0.001), while severe disease in DM and non-DM group varied and amounted to 34.8% versus 22.8% (OR = 1.43; 95%CI: 0.82, 2.50; P = 0.20). In the DM group, the complications were observed far more often when compared with non-DM group, both in acute respiratory distress (31.4 vs. 17.2%; OR = 2.38; 95%CI:1.80, 3.13; P < 0.001), acute cardiac injury (22.0% vs. 12.8%; OR = 2.59; 95%CI: 1.81, 3.73; P < 0.001), and acute kidney injury (19.1 vs. 10.2%; OR = 1.97; 95%CI: 1.36, 2.85; P < 0.001).

conclusionsBased on the findings, we shall conclude that diabetes is an independent risk factor of the severity of COVID-19 in-hospital settings; therefore, patients with diabetes shall aim to reduce the exposure to the potential infection of COVID-19.

Indexed as

AdultAgedAged, 80 and overCOVID-19Diabetes MellitusFemaleHospital MortalityHumansMaleMiddle AgedPandemicsRisk FactorsSARS-CoV-2COVID-19Diabetes mellitusHospitalizationMeta-analysisMortalitySARS-CoV-2Systematic review

Identifiers

PMID33778910
PMCPMC8005367

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.