Diabetic Ketoacidosis in COVID-19 Patients: Clinical Characteristics and Outcomes – A Retrospective Study in a Single Tertiary Care Hospital, Dubai, United Arab Emirates
Introduction: We aimed to evaluate the clinical characteristics of patients presenting with DKA and COVID-19 infection and describe the clinical outcomes compared to those without COVID-19. Methods: A retrospective study in a single tertiary care hospital in Dubai was conducted on patients admitted...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2023-08-01
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| Series: | Dubai Diabetes and Endocrinology Journal |
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| Online Access: | https://beta.karger.com/Article/FullText/531683 |
| _version_ | 1797690705358880768 |
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| author | Hana AL Sughaiyer Abeer AL Haj Samia Murad Ibrahim Abdulrahman |
| author_facet | Hana AL Sughaiyer Abeer AL Haj Samia Murad Ibrahim Abdulrahman |
| author_sort | Hana AL Sughaiyer |
| collection | DOAJ |
| description | Introduction: We aimed to evaluate the clinical characteristics of patients presenting with DKA and COVID-19 infection and describe the clinical outcomes compared to those without COVID-19. Methods: A retrospective study in a single tertiary care hospital in Dubai was conducted on patients admitted between 1st March 2020 and 30th July 2020 with a diagnosis of DKA with and without COVID-19 infection. Results: A total of 32 patients with DKA were identified. Eleven patients had a positive COVID-19 test and 21 patients were negative. The majority of DKA patients were males (84.4%). In the COVID-19 group, the mean age was 41.3 years old. Seven patients had preexisting diabetes (63.7%) and 4 patients (36.4%) had newly diagnosed diabetes. COVID-19 patients had a longer median length of hospital stay (7 days vs. 4 days; p = 0.278), shorter duration of DKA (16 h vs. 24 h; p = 0.043), and higher mortality (18.2% vs. 0%; p = 0.047). Conclusion: COVID-19 infection can precipitate DKA in patients with either newly diagnosed or preexisting diabetes. DKA patients with COVID-19 infection had higher mortality compared to those without COVID-19. This should urge physicians to be more vigilant in assessing the glycemic status of patients presenting with COVID-19 infection. |
| first_indexed | 2024-03-12T02:03:00Z |
| format | Article |
| id | doaj.art-2f7381d540ef45c797d17b4a544d844b |
| institution | Directory Open Access Journal |
| issn | 2673-1738 |
| language | English |
| last_indexed | 2024-03-12T02:03:00Z |
| publishDate | 2023-08-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Dubai Diabetes and Endocrinology Journal |
| spelling | doaj.art-2f7381d540ef45c797d17b4a544d844b2023-09-07T07:56:39ZengKarger PublishersDubai Diabetes and Endocrinology Journal2673-17382023-08-011910.1159/000531683531683Diabetic Ketoacidosis in COVID-19 Patients: Clinical Characteristics and Outcomes – A Retrospective Study in a Single Tertiary Care Hospital, Dubai, United Arab EmiratesHana AL Sughaiyer0Abeer AL Haj1Samia Murad Ibrahim Abdulrahman2Department of Medicine, Rashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesDepartment of Medicine, Rashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesDepartment of Medicine, Rashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesIntroduction: We aimed to evaluate the clinical characteristics of patients presenting with DKA and COVID-19 infection and describe the clinical outcomes compared to those without COVID-19. Methods: A retrospective study in a single tertiary care hospital in Dubai was conducted on patients admitted between 1st March 2020 and 30th July 2020 with a diagnosis of DKA with and without COVID-19 infection. Results: A total of 32 patients with DKA were identified. Eleven patients had a positive COVID-19 test and 21 patients were negative. The majority of DKA patients were males (84.4%). In the COVID-19 group, the mean age was 41.3 years old. Seven patients had preexisting diabetes (63.7%) and 4 patients (36.4%) had newly diagnosed diabetes. COVID-19 patients had a longer median length of hospital stay (7 days vs. 4 days; p = 0.278), shorter duration of DKA (16 h vs. 24 h; p = 0.043), and higher mortality (18.2% vs. 0%; p = 0.047). Conclusion: COVID-19 infection can precipitate DKA in patients with either newly diagnosed or preexisting diabetes. DKA patients with COVID-19 infection had higher mortality compared to those without COVID-19. This should urge physicians to be more vigilant in assessing the glycemic status of patients presenting with COVID-19 infection.https://beta.karger.com/Article/FullText/531683diabetic ketoacidosiscovid-19characteristicsoutcomes |
| spellingShingle | Hana AL Sughaiyer Abeer AL Haj Samia Murad Ibrahim Abdulrahman Diabetic Ketoacidosis in COVID-19 Patients: Clinical Characteristics and Outcomes – A Retrospective Study in a Single Tertiary Care Hospital, Dubai, United Arab Emirates Dubai Diabetes and Endocrinology Journal diabetic ketoacidosis covid-19 characteristics outcomes |
| title | Diabetic Ketoacidosis in COVID-19 Patients: Clinical Characteristics and Outcomes – A Retrospective Study in a Single Tertiary Care Hospital, Dubai, United Arab Emirates |
| title_full | Diabetic Ketoacidosis in COVID-19 Patients: Clinical Characteristics and Outcomes – A Retrospective Study in a Single Tertiary Care Hospital, Dubai, United Arab Emirates |
| title_fullStr | Diabetic Ketoacidosis in COVID-19 Patients: Clinical Characteristics and Outcomes – A Retrospective Study in a Single Tertiary Care Hospital, Dubai, United Arab Emirates |
| title_full_unstemmed | Diabetic Ketoacidosis in COVID-19 Patients: Clinical Characteristics and Outcomes – A Retrospective Study in a Single Tertiary Care Hospital, Dubai, United Arab Emirates |
| title_short | Diabetic Ketoacidosis in COVID-19 Patients: Clinical Characteristics and Outcomes – A Retrospective Study in a Single Tertiary Care Hospital, Dubai, United Arab Emirates |
| title_sort | diabetic ketoacidosis in covid 19 patients clinical characteristics and outcomes a retrospective study in a single tertiary care hospital dubai united arab emirates |
| topic | diabetic ketoacidosis covid-19 characteristics outcomes |
| url | https://beta.karger.com/Article/FullText/531683 |
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