Diabetes Mellitus is Associated with 90-Day Mortality in Old Critically Ill COVID-19 Patients: a Multicenter Prospective Observational Cohort Study.

Infection(2023)

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摘要
Several studies have found an association between diabetes mellitus, disease severity and outcome in COVID-19 patients. Old critically ill patients are particularly at risk. This study aimed to investigate the impact of diabetes mellitus on 90-day mortality in a high-risk cohort of critically ill patients over 70 years of age. This multicentre international prospective cohort study was performed in 151 ICUs across 26 countries. We included patients ≥ 70 years of age with a confirmed SARS-CoV-2 infection admitted to the intensive care unit from 19th March 2020 through 15th July 2021. Patients were categorized into two groups according to the presence of diabetes mellitus. Primary outcome was 90-day mortality. Kaplan–Meier overall survival curves until day 90 were analysed and compared using the log-rank test. Mixed-effect Weibull regression models were computed to investigate the influence of diabetes mellitus on 90-day mortality. This study included 3420 patients with a median age of 76 years were included. Among these, 37.3
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关键词
SARS-CoV-2,Intensive care unit,Elderly,Old,Critical care,Ventilation,Risk factors
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