Evidence map›Paper›PMID 42381836›Full record

ArticleClinical medicine insights. Endocrinology and diabetes2026

Frequency and Impact of Thyroid Hormone Abnormalities in COVID-19: An Observational Study at the Peak of the Pandemic.

Paweł Komarnicki, Alicja Rajewska, Jolanta Tomczak, Elżbieta Wrotkowska, Zbigniew Krasiński, Marek Ruchała

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Article in Clinical medicine insights. Endocrinology and diabetes, 2026. 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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Paweł KomarnickiDepartment of Endocrinology, Metabolism, and Internal Diseases, Poznan University of Medical Sciences, Poland.ORCID https://orcid.org/0000-0001-6548-0613
Alicja RajewskaDepartment of Endocrinology, Metabolism, and Internal Diseases, Poznan University of Medical Sciences, Poland.
Jolanta TomczakDepartment of Vascular, Endovascular Surgery, Angiology and Phlebology, Poznan University of Medical Sciences, Poland.
Elżbieta WrotkowskaDepartment of Endocrinology, Metabolism, and Internal Diseases, Poznan University of Medical Sciences, Poland.
Zbigniew KrasińskiDepartment of Vascular, Endovascular Surgery, Angiology and Phlebology, Poznan University of Medical Sciences, Poland.
Marek RuchałaDepartment of Endocrinology, Metabolism, and Internal Diseases, Poznan University of Medical Sciences, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: COVID-19, caused by SARS-CoV-2, affects multiple organ systems, including the thyroid gland. Non-Thyroidal Illness Syndrome (NTIS) is frequently observed in severe systemic disease. NTIS-like thyroid hormone alterations have previously been reported in COVID-19. However, the relationship between these changes and disease outcomes remains unclear. Objectives: We aimed to evaluate thyroid function and vitamin D concentrations in hospitalized COVID-19 patients, and to analyze the association between hormonal measurements and patient characteristics with COVID-19 mortality. Methods: We conducted a retrospective database search of 846 adult patients hospitalized in a dedicated COVID-19 hospital at the peak of the pandemic. Based on the availability of serum levels of TSH, FT3, FT4, and vitamin D, 137 patients were included in the analysis. Descriptive statistics, comparative analyses, and logistic regression were used to evaluate the associations of laboratory measurements, sex, and age with COVID-19 mortality. Results: Decreased thyroid hormone and vitamin D concentrations were more common than in the general population, although none differed between deceased and COVID-19 survivors. Among the cohort, 63.5% had decreased TSH, 21.2% had decreased FT3, 24.1% had decreased FT4, and 75.9% presented with vitamin D deficiency. Comparative analyses showed no significant differences in TSH ( Conclusions: NTIS-like thyroid hormone alterations and vitamin D deficiency are highly prevalent among hospitalized COVID-19 patients but do not predict in-hospital mortality. Age remains the major risk factor for death in this population. Our findings confirm that COVID-19 frequently affects the endocrine system and highlight the need for further research on long-term thyroid outcomes.

Indexed as

COVID-19euthyroid sick syndromelow T3 syndromenon-thyroidal illness syndromeNTIS

Identifiers

PMID42381836
PMCPMC13315277

What Socratic holds

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Registered trials

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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.