ArticleBMC infectious diseases2025
Clinical outcomes and predictive modeling in COVID-19 patients with type 2 diabetes mellitus: a multicenter retrospective cohort study.
Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study aimed to assess the influence of type 2 diabetes mellitus (T2DM) on clinical features and adverse outcomes in COVID-19 patients and to develop a predictive model for adverse outcomes in this population.
methodsA retrospective analysis was conducted from December 2022 to February 2023, involving 1058 COVID-19 inpatients at two hospitals. Patients were divided into T2DM (n = 363) and non-T2DM (n = 695) groups. Demographic and laboratory data were collected, and univariate analyses were performed. Logistic regression analysis was employed to identify risk factors associated with ICU admission, and a predictive model was constructed and validated using ROC curves.
resultsT2DM patients exhibited higher levels of certain inflammatory and biochemical markers and a greater incidence of ICU admission compared to non-T2DM patients. Neutrophil count and lactate dehydrogenase were identified as independent risk factors for ICU admission.
conclusionsT2DM is associated with increased levels of inflammatory and biochemical markers and a higher risk of ICU admission in COVID-19 patients. The predictive model, incorporating neutrophil count and lactate dehydrogenase, offers clinical utility. The study's findings can inform clinical strategies for managing COVID-19 patients with T2DM, particularly in predicting and mitigating adverse outcomes.
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