Comparing between survived and deceased patients with Diabetes Mellitus and COVID-19 in Bangladesh: A cross sectional study from a COVID-19 dedicated hospital

AbstractThe current coronavirus disease 2019 (COVID-19) outbreak was reported to cause significantly higher mortality and morbidity among patients with diabetes mellitus (DM). Although Bangladesh is amongst the top 10 countries with diabetic people, data on these patients with COVID-19 is scarce from this region. This study aimed to illustrate the clinical features and outcomes of hospitalized patients with COVID-19 and DM in Bangladesh while comparing survivors and deceased.This retrospective cross-sectional study was conducted among RT-PCR confirmed COVID-19 patients with pre-existing Diabetes Mellitus in a specialized COVID-19 hospital in Bangladesh. Data from hospital records were analyzed.Among 921 RT-PCR confirmed COVID-19 admitted during the study period, 231 (∼25%) patients with pre-existing DM (median age 60 years) were included in the analysis. The death rate among all hospitalized patients (with and without DM) was 2.8% compared to 11.3% among diabetic patients. The median hospital stay was 13 days (IQR 10.5, 17.0) for survivors and five days (IQR 2.0-8.3) for the deceased. The clinical features were not significantly different between survivors and the deceased. However, deceased patients had significantly lower blood oxygen level (85% vs 93%, p <0.001), and higher neutrophil-lymphocyte ratio (7.9 vs 4.5, p 0.003) and serum ferritin (946.0 vs 425.0 ng/ml, p 0.03). Glycemic status was poor in both groups.This study would help identify a subgroup of diabetic patients with COVID-19 who are at higher risk of in-hospital death and improve clinical decision making.

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Musculoskeletal Disorders in Patients with Diabetes Mellitus: A Cross-Sectional Study

International Journal of Rheumatology ◽

10.1155/2018/3839872 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

A. Majjad ◽

Y. Errahali ◽

H. Toufik ◽

J. H Djossou ◽

M. A. Ghassem ◽

...

Keyword(s):

Diabetes Mellitus ◽

Musculoskeletal Disorders ◽

Associated Factors ◽

Vascular Complications ◽

Female Gender ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Diabetes

Introduction. A variety of musculoskeletal disorders (MS) have been associated with diabetes mellitus (DM). This study aimed at assessing the prevalence and associated factors of MS disorders in Moroccan diabetic patients. Methods. A cross-sectional study enrolled consecutive patients with DM. We recorded demographic features of patients and characteristics of DM. MS disorders and vascular complications were assessed by clinical examinations and investigations. Associated factors of MS disorders were assessed by univariate and multivariate analyses. Result. 376 subjects were included; 84.6% had type 2 DM. The participants’ median age was 54 years [45–62]; 41% had one or more vascular complications. 34.4% had one or more MS disorders. Osteoarthritis was present in 19.4% of patients. Hand disorders were seen in 14.4%. Shoulder capsulitis was present in 12.5%. Long duration of diabetes and dyslipidemia were associated with increased prevalence of hand abnormalities (P=0.017; P=0.019, respectively). Age and dyslipidemia were associated with shoulder capsulitis (P=0.019; P=0.047, respectively). Female gender, overweight, and nephropathy were associated with increased odds of osteoarthritis (P=0.009, P=0.004, and P=0.032, respectively). Conclusion. MS disorders are frequent in this population and associated with various factors. HbA1c level does not appear to be associated with development of MS disorders.

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Evaluation of the health promotion behavior in patients with diabetes mellitus

Acta Paulista de Enfermagem ◽

10.1590/s0103-21002008000100013 ◽

2008 ◽

Vol 21 (1) ◽

pp. 84-88 ◽

Cited By ~ 4

Author(s):

Francisca Aline Arrais Sampaio ◽

Renata Pereira de Melo ◽

Isaura Letícia Tavares Palmeira Rolim ◽

Ricardo Costa de Siqueira ◽

Lorena Barbosa Ximenes ◽

...

Keyword(s):

Diabetes Mellitus ◽

Social Support ◽

Health Promotion ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Health Unit ◽

Sectional Study ◽

Cross Sectional ◽

Health Promotion Behavior ◽

Patients With Diabetes

OBJECTIVE: To evaluate the health promotion behavior of diabetic patients in agreement with the indicators of the Nursing Outcome Classification (NOC). METHODS: A cross-sectional study was performed with 84 diabetic patients followed in a Basic Health Unit, using the NOC scale for health promotion behavior. RESULTS: Among the appraised indicators, the use of social support for health promotion and the development of health behaviors presented median < 2. The health promotion behavior presented median = 3. CONCLUSION: Diabetic patients present limitations to the practice of health promotion behavior.

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THE FREQUENCY OF ADHESIVE CAPSULITIS IN DIABETES MELLITUS PATIENTS

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.1.2/008 ◽

2012 ◽

Vol 1 (2) ◽

pp. 33-37

Author(s):

Shakeel Ahmad ◽

Dr. Mohammad Sohail Rafi ◽

Iqbal Ahmed Siddiqui ◽

Khurram Hamidi ◽

Nabiha Mujahid Faruq

Keyword(s):

Diabetes Mellitus ◽

Sample Size ◽

Adhesive Capsulitis ◽

Cross Sectional Study ◽

University Hospital ◽

Musculoskeletal Symptoms ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Diabetes

OBJECTIVE To find out adhesive capsulitis patients in diabetes mellitus patients. STUDY DESIGN Cross-sectional study. STUDY SETTINGS & PARTICIPANTS Patients with diabetes mellitus from Ziauddin university hospital Clifton Karachi were included. 325 diabetic patients in which 81 patients were diagnosed with adhesive capsulitis. SAMPLE SIZE A Sample size of 325 patients was selected. SUBJECTS 170 men and 155 women aged between 40 to 79 years were selected. RESULT Frequency of shoulder adhesive capsulitis was 24.9% among diabetic subjects. CONCLUSION Adhesive capsulitis are under recognized in adult diabetic patients occurring in 18% of the cases. Physicians should consider examining the periarticular region of the joints in the hands and shoulders whenever a diabetic patient presents with musculoskeletal symptoms.

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Costs incurred by patients with diabetes mellitus in a tertiary care hospital - a cross sectional study

The Journal of Clinical and Scientific Research ◽

10.15380/2277-5706.jcsr.16.12.002 ◽

2017 ◽

Vol 6 (4) ◽

pp. 203

Author(s):

K Nagaraj ◽

VV Anupamaa

Keyword(s):

Diabetes Mellitus ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Diabetes

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THE PREVALENCE OF HYPERTENSION IN DIABETIC AND NON-DIABETIC STROKE PATIENTS IN COMMUNITY HOSPITAL OF DISTRICT SWAT, PAKISTAN

Journal of Saidu Medical College, Swat ◽

10.52206/jsmc.2012.2.2.187-191 ◽

1969 ◽

Vol 2 (2) ◽

pp. 187-191

Author(s):

Sahibzada Saeed Jan ◽

Taj Muhammad Khan ◽

Alamzeb ◽

Izaz-urrahman ◽

Amanullah ◽

...

Keyword(s):

Diabetes Mellitus ◽

Community Hospital ◽

Macrovascular Disease ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Elevated Blood ◽

Sectional Study ◽

Stroke Patients ◽

Cross Sectional ◽

Hospital District

Background: As hypertension is the most important risk factor for stroke, it is generally considered to beasymptomatic condition and require lifetime therapy which may include chemotherapy and lifestylechanges. Hypertension also clearly contributes to the risk of macrovascular disease in patients with type-IIdiabetes mellitus. Therefore, the present study was conducted to evaluate the prevalence of hypertension indiabetic and non-diabetic stroke patients in community hospital district Swat. Methodology: This was a cross-sectional study, comprised of 100 subjects, 50 were diabetic and 50 werenon-diabetic stroke patients of ages between 28 to 90 years. The blood sugar (random and fasting), bloodpressure (systolic and diastolic) of Diabetic stroke subjects were compared with Non-diabetic strokesubjects. Results: The prevalence of hypertension was significantly high in diabetic stroke subject as compared tonon-diabetic stroke subjects. Conclusion: Diabetic patients with persistently elevated blood pressure are more prone to develop stroke ascompared to non diabetic with hypertension KEYWORDS:Stroke, Diabetes mellitus, hypertension.

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Association between obesity and depression in patients with diabetes mellitus type 2; a study protocol

F1000Research ◽

10.12688/f1000research.5995.1 ◽

2015 ◽

Vol 4 ◽

pp. 7 ◽

Cited By ~ 4

Author(s):

Eduardo De la Cruz-Cano ◽

Carlos Alfonso Tovilla-Zarate ◽

Emilio Reyes-Ramos ◽

Thelma Beatriz Gonzalez-Castro ◽

Isela Juarez-Castro ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Diabetes Mellitus Type 2 ◽

Cross Sectional Study ◽

Diabetes Mellitus Type ◽

Sectional Study ◽

Cross Sectional ◽

The World ◽

Patients With Diabetes

Background: Diabetes mellitus and depression are highly prevalent conditions throughout the world and have significant impact on health outcomes. It has been estimated that diabetes mellitus type 2 affects about 246 million people in the world; nevertheless, incidence varies among countries. There is evidence that depression is associated with a poor metabolic control in patients with type 2 diabetes mellitus that present other health problems (such as hypertension and obesity). The aim of this study protocol is to determine if obesity increases the risk for depression in patient with diabetes type 2.Methods: The analysis will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).The studies suitable for inclusion will be assessed by the Newcastle-Ottawa Scale (NOS) to determine their methodological quality. To identify the studies of interest, we will search on PubMed and EBSCO databases. We will use the following keyword combinations: "Diabetes Mellitus type 2 AND obesity AND depression", "depression AND Diabetes Mellitus type 2", "Diabetes Mellitus type 2 AND body mass index cross sectional study", "depression AND obesity cross-sectional study". Causes for exclusion will be publications that studied patients diagnosed with diabetes mellitus type 1; articles that focused on the treatment and complications of diabetes mellitus type 2; publications that have studied other clinical or psychiatric conditions (for instance, seizure disorder or history of schizophrenia, bipolar disorder, psychotic symptoms or dementia).Conclusion: The results of this study will form the basis for a better understanding of the association between obesity and depression in patients with diabetes mellitus type 2, and will allow development of prediction tools and better interventions. It is evident that several modifiable and non-modifiable risk factors play an important role in the pathogenesis of diabetes among population. Currently, evidence for the deleterious effects of diabetes mellitus type 2 are based on cross-sectional or other observational designs. Therefore, this study will have important implications for future research and public health guidance.

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Diabetes Mellitus with Silent Myocardial Ischemia: A Single-Center Cross-Sectional Study of Karachi, Pakistan

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i29b31589 ◽

2021 ◽

pp. 56-60

Author(s):

Muhammad Zohaib Siddiq ◽

Shahid Hussain Memon ◽

Anwar Ali ◽

Tabassum Almas ◽

Atiya Razzaq ◽

...

Keyword(s):

Diabetes Mellitus ◽

Myocardial Ischemia ◽

Cross Sectional Study ◽

Silent Myocardial Ischemia ◽

Study Patient ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

St Segment ◽

History Of

Background: Previous studies have established the fact that diabetic patients are predominantly inclined towards silent myocardial infarction (SMI). The objective of the present study is to determine the incidence of SMI in diabetes mellitus (DM) patients. Methodology: In this cross-sectional study, patient data was gathered on a predesigned proforma regarding the detailed history of dyspnea, DM and its duration, chest pain either present or not. Those patients who had normal ECG labeled negative for SMI, while those who had either ST-segment elevation or ST-segment deviation on resting ECG were positive for SMI. Study was conducted at the National Institute of Cardiovascular Diseases (NICVD) Karachi- Pakistan. Results: The mean age of the enrolled patients was 54.21±8.65 (40-70) years. Out of 210, majority were female (51.90%).Overall, 94(44.76%) patients were obese, 122(58.09%) were hypertensive, 90(42.85%) had dyslipidemia and 98(46.66%) diabetic patients were smokers. There were 93 (44.3%) DM patients who had SMI. Moreover, 109(51.90%) patients had a family history of myocardial ischemia. Conclusion: The SMI incidence among diabetic patients was found higher in local population. It is proposed that diabetic patients with demonstrated cardiovascular autonomic neuropathy must be screened for the manifestation of SMI.

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Prevalence of Diabetic Foot Ulcer and Associated Factors among Adult Diabetic Patients Who Attend the Diabetic Follow-Up Clinic at the University of Gondar Referral Hospital, North West Ethiopia, 2016: Institutional-Based Cross-Sectional Study

Journal of Diabetes Research ◽

10.1155/2017/2879249 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 22

Author(s):

Tesfamichael G. Mariam ◽

Abebaw Alemayehu ◽

Eleni Tesfaye ◽

Worku Mequannt ◽

Kiber Temesgen ◽

...

Keyword(s):

Diabetes Mellitus ◽

Diabetic Foot ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Cross Sectional Study ◽

Care Practice ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

Diabetes mellitus is a metabolic disorder which is characterized by multiple long-term complications that affect almost every system in the body. Foot ulcers are one of the main complications of diabetes mellitus. However, there is limited evidence on the occurrence of foot ulcer and influencing factors in Ethiopia. An institutional-based cross-sectional study was conducted in Gondar University Hospital, Ethiopia, to investigate foot ulcer occurrence in diabetic patients. Systematic random sampling was used to select 279 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with diabetic foot ulcer. Odds ratio with 95% confidence interval was computed to determine the level of significance. Diabetic foot ulcer was found to be 13.6%. Rural residence [AOR = 2.57; 95% CI: 1.42, 5.93], type II diabetes mellitus [AOR = 2.58; 95% CI: 1.22, 6.45], overweight [AOR = 2.12; 95% CI: 1.15, 3.10], obesity [AOR = 2.65; 95% CI: 1.25, 5.83], poor foot self-care practice [AOR = 2.52; 95% CI: 1.21, 6.53], and neuropathy [AOR = 21.76; 95% CI: 8.43, 57.47] were factors associated with diabetic foot ulcer. Diabetic foot ulcer was found to be high. Provision of special emphasis for rural residence, decreasing excessive weight gain, managing neuropathy, and promoting foot self-care practice would decrease diabetic foot ulcer.

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Psychiatric Disorders in Diabetic Patients in Rafsanjan

Psychological Disorders and Research ◽

10.31487/j.pdr.2021.01.02 ◽

2021 ◽

pp. 1-4

Author(s):

Reza Bidaki ◽

Parvin Agha Mohamad Hasani ◽

Maryam Alireza Zade ◽

Rezvan Sadr Mohammadi ◽

Reza Bidaki ◽

...

Keyword(s):

Psychiatric Disorders ◽

Common Mental Disorders ◽

Risk Groups ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Demographic Questionnaire ◽

Patients With Diabetes ◽

Diabetes Center

Objective: To determine prevalence rates, associated features, and risk factors for psychiatric disorders subsequent to the diagnosis of IDDM. Methods: In this cross-sectional study were been selected 100 randomly who referred to Rafsanjan Diabetes Center. The data of this study is gathered demographic questionnaire and Minnesota Multi-phasic Personality Inventory (MMPI). Data was analysed with software SPSS-17. Results: 76% of the patients were female and 24% were men 45.4% of the illiterate population. The results showed hypochondriasis (22%) and schizophrenia (19%) and depression (11%) are three psychiatric disorders that patients with diabetes in high-risk groups have reported. Conclusion: The present study demonstrated that about 30-45% of patients with diabetes suffered from common mental disorders. The prevalence of some psychiatric disorders is considerable in diabetic patients in Rafsanjan.

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