ISSN: 2577-4301
Authors: Mondal MK*, Roy BR, Banik D and Debasish B
Background: Coronaviruses are a group of RNA viruses that cause respiratory tract infections ranging from mild to critical illness in humans and animals. The prevalence of diabetes mellitus (DM) and raised blood glucose levels can act as independent factors of mortality and morbidity related to COVID-19. Objective: Aim of the study is to analyze detailed clinical data of patients with diabetes and confirmed COVID-19 and to compare the clinical outcome of Covid-19 cases between diabetic and non-diabetic patients. Method: A retrospective cohort study was conducted among 300 patients of confirmed COVID-19 admitted to ICU of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh during July 2020 to December 2020. Results: In this study, maximum number (49%) of patients was in the age group of 61 to 75 years and minimum number (3%) of patients were 15 to 30 years of age group. There were (74.33%) male patients and (25.67%) female patients. Regarding co-morbidities, more than half of the patients were suffering from Diabetes (60.22%) and Hypertension (53.44%). Significant amount of patients were also suffering from chronic obstructive pulmonary disease (27%) and bronchial asthma (16.66%). Ischemic heart disease was (10.33.%), chronic kidney disease (10.89%) and hypothyroidism(9.78%) at the time of admission. Among the three group we found that mortality rate of diabetic patients is higher than non-diabetic patient’s. Mortality rate in non-diabetic case were 53.78% , diabetic patients without other co-morbidity were 75% and diabetic patients with other co-morbidity were 86.78%. In every group male mortality was higher than female mortality. Conclusion: In this study we compared the clinical features of COVID-19 patients with diabetes and non-diabetic ICU admitted cases. Diabetic patients with other co morbidities in ICU cases showed higher rates of mortality. The high mortality in severe COVID-19 patients with diabetes indicated that we need more supervision on these patients.
Keywords: Covid-19; Diabetes mellitus; Intensive care unit and Clinical profile
