Evolution of Covid-19 in diabetic patients in a city in southwestern Bahia
DOI:
https://doi.org/10.33448/rsd-v10i16.23810Keywords:
Covid-19; Diabetes Mellitus; Hospitalization; Patients; Pandemic.Abstract
This article aims to identify the evolution of Covid-19 in patients with diabetes mellitus in the city of Vitória da Conquista, Bahia, Brazil, in order to detect the correlation between the symptoms presented and the hospitalization of these patients, in addition to evaluating the influence of comorbidities associated with the level of hospitalization. For this, a cross-sectional study of a quantitative nature was carried out. The study data were obtained through the electronic medical record inserted in the monitoring system of Covid-19 in the city of Vitória da Conquista. Since the beginning of the Covid-19 pandemic in march 2020 until the month of august 2021, 1770 cases of people with diabetes mellitus contaminated by SARS-CoV-2 were confirmed in the city. General characteristics such as gender, age, race/color, in addition to symptoms and comorbidities associated with diabetes mellitus, patient outcomes, and whether they were health professionals were analyzed. It was found that although females represent a rate of 55%, male patients have a 1.8 times greater risk of evolving to hospitalization. With regard to the hospitalization rate, it was concluded that it is associated with the presence of other comorbidities and the development of symptoms such as a drop in oxygen saturation and breathing difficulties.
References
Adegunsoye, A., Ventura, I. B., & Liarski, V. M. (2020). Association of black race with outcomes in COVID-19 disease: A retrospective cohort study. Annals of the American Thoracic Society, 17(10), 1336–1339.
Anghebem, M. I., Rego, F. G. de M., & Picheth, G. (2020). COVID-19 e Diabetes: a relação entre duas pandemias distintas. RBAC, 52(2). https://doi.org/10.21877/2448-3877.20200001
Aragão, J. (2013). Introdução aos estudos quantitativos utilizados em pesquisas científicas. Revista Práxis, 3(6). https://doi.org/10.25119/praxis-3-6-566
Bastos, L. S., Niquini, R. P., Lana, R. M., Villela, D. A. M., Cruz, O. G., Coelho, F. C., Codeço, C. T., & Gomes, M. F. C. (2020). COVID-19 e hospitalizações por SRAG no Brasil: uma comparação até a 12a semana epidemiológica de 2020. Cadernos de Saude Publica, 36(4). https://doi.org/10.1590/0102-311x00070120
Bornstein, S. R., Dalan, R., Hopkins, D., Mingrone, G., & Boehm, B. O. (2020). Endocrine and metabolic link to coronavirus infection. Nature Reviews. Endocrinology, 16(6), 297–298.
Bode, B., Garrett, V., Messler, J., McFarland, R., Crowe, J., Booth, R., & Klonoff, D. C. (2020). Glycemic characteristics and clinical outcomes of COVID-19 patients hospitalized in the United States. Journal of Diabetes Science and Technology, 14(4), 813–821.
Bustos-Vazquez, E., & Padilla-González, E. (2021). 1526Survival of hospitalized COVID-19 patients with multimorbidity in Hidalgo Mexico. International Journal of Epidemiology, 50(Supplement_1). doi:10.1093/ije/dyab168.104
Brito, S. B. P., Braga, I. O., Cunha, C. C., Palácio, M. A. V., & Takenami, I. (2020). Pandemia da COVID-19: o maior desafio do século XXI. Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology)–Visa em Debate, 8(2), 54-63.
Carneiro, D. O., da Silva, E. P., Oliveira, J. B. S., Peixoto, I. B., Pimenta, R. M. C., & OLIVEIRA, W. N. F. (2021). PREVALÊNCIA DE CURA E ÓBITO POR COVID-19 NO ESTADO DA BAHIA, BRASIL, E SUA CORRELAÇÃO COM CONDIÇÕES MÉDICAS SUBJACENTES. Visão Acadêmica, 21(4).
Centros de Controle e Prevenção de Doenças. (2020). Orientação clínica provisória para o manejo de pacientes com doença coronavírus confirmada (COVID-19).
Chen, Y., Yang, D., Cheng, B., Chen, J., Peng, A., Yang, C., Liu, C., Xiong, M., Deng, A., Zhang, Y., Zheng, L., & Huang, K. (2020). Clinical characteristics and outcomes of patients with diabetes and COVID-19 in association with glucose-lowering medication. Diabetes Care, 43(7), 1399–1407.
Fleming, N., Sacks, L. J., Pham, C. T., Neoh, S. L., & Ekinci, E. I. (2021). An overview of COVID-19 in people with diabetes: Pathophysiology and considerations in the inpatient setting. Diabetic Medicine: A Journal of the British Diabetic Association, 38(3), e14509.
Galvão, MHR e Roncalli, AG (2021). Fatores associados a maior risco de ocorrência de óbito por COVID-19: análise de importantes com base em casos confirmados. Revista Brasileira de Epidemiologia , 23 , e200106.
Guinancio, J. C., Sousa, J. G. M. de, Carvalho, B. L. de, Souza, A. B. T. de, Floriano, A. de A., & Ribeiro, W. A. (2020). COVID – 19: Desafios do cotidiano e estratégias de enfrentamento frente ao isolamento social. Research, Society and Development, 9(8), e259985474.
Guan, W.-J., Ni, Z.-Y., Hu, Y., Liang, W.-H., Ou, C.-Q., He, J.-X., Liu, L., Shan, H., Lei, C.-L., Hui, D. S. C., Du, B., Li, L.-J., Zeng, G., Yuen, K.-Y., Chen, R.-C., Tang, C.-L., Wang, T., Chen, P.-Y., Xiang, J., … China Medical Treatment Expert Group for Covid-19. (2020). Clinical characteristics of Coronavirus disease 2019 in China. The New England Journal of Medicine, 382(18), 1708–1720.
Harrison, Pam. Androgênios poderiam explicar a vulnerabilidade masculina à Covid-19. Blog. Disponível em: <https://portugues.medscape.com/verartigo/6504876#vp_2> Acesso em 18 de novembro de 2021
Instituto Brasileiro de Geografia e Estatisticas - IBGE. (2021). Cidades e Estados/Vitória Da Conquista. ttps://www.ibge.gov.br/cidades-eestados/ba/vitoria-da-conquista.html
International Diabetes Federation. (2019). IDF Diabetes Atlas. Inís Communication. https://www.diabetes.org.br/profissionais/images/DIRETRIZES-COMPLETA-2019-2020.pdf
Kumar, A., Arora, A., Sharma, P., Anikhindi, S. A., Bansal, N., Singla, V., Khare, S., & Srivastava, A. (2020). Is diabetes mellitus associated with mortality and severity of COVID-19? A meta-analysis. Diabetes & Metabolic Syndrome, 14(4), 535–545.
Madjid, M., Safavi-Naeini, P., Solomon, SD, & Vardeny, O. (2020). Efeitos potenciais dos coronavírus no sistema cardiovascular: uma revisão. JAMA cardiology , 5 (7), 831-840.
Zu, ZY, Jiang, MD, Xu, PP, Chen, W., Ni, QQ, Lu, GM, & Zhang, LJ (2020). Doença por coronavírus 2019 (COVID-19): uma perspectiva da China. Radiologia , 296 (2), E15-E25.
Mascarello, K. C., Vieira, A. C. B. C., Souza, A. S. S. de, Marcarini, W. D., Barauna, V. G., & Maciel, E. L. N. (2021). Hospitalização e morte por COVID-19 e sua relação com determinantes sociais da saúde e morbidades no Espírito Santo: um estudo transversal. Epidemiologia e Servicos de Saude: Revista Do Sistema Unico de Saude Do Brasil, 30(3). https://doi.org/10.1590/s1679-49742021000300004
Michelozzi, P., de’Donato, F., Scortichini, M., De Sario, M., Noccioli, F., Rossi, P., & Davoli, M. (2020). Mortality impacts of the coronavirus disease (COVID-19) outbreak by sex and age: rapid mortality surveillance system, Italy, 1 February to 18 April 2020. Euro Surveillance : Bulletin Europeen Sur Les Maladies Transmissibles [Euro Surveillance : European Communicable Disease Bulletin], 25(19). https://doi.org/10.2807/1560-7917.ES.2020.25.19.2000620
Montopoli, M., Zumerle, S., Vettor, R., Rugge, M., Zorzi, M., Catapano, CV, ... & Alimonti, A. (2020). Terapias de privação de andrógenos para câncer de próstata e risco de infecção por SARS-CoV-2: um estudo de base populacional (N = 4532). Annals of Oncology , 31 (8), 1040-1045.
Muniangi-Muhitu, H., Akalestou, E., Salem, V., Misra, S., Oliver, N. S., & Rutter, G. A. (2020). Covid-19 and diabetes: A complex bidirectional relationship. Frontiers in Endocrinology, 11, 582936.
Pal, R., & Bhansali, A. (2020). COVID-19, diabetes mellitus and ACE2: The conundrum. Diabetes Research and Clinical Practice, 162(108132), 108132.
Pontes, L., Danski, M. T. R., Piubello, S. M. N., Pereira, J. de F. G., Jantsch, L. B., Costa, L. B., Santos, J. de O. dos, &
Prefeitura Municipal de Vitória da Conquista - PMVC. (2021). Saúde. https://www.pmvc.ba.gov.br/saude/
Pugliese, G., Vitale, M., Resi, V., & Orsi, E. (2020). Is diabetes mellitus a risk factor for COronaVIrus Disease 19 (COVID-19)? Acta Diabetologica, 57(11), 1275–1285.
Qian, J., Zhao, L., Ye, R.-Z., Li, X.-J., & Liu, Y.-L. (2020). Age-dependent gender differences in COVID-19 in mainland China: Comparative study. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 71(9), 2488–2494
Simão, M. C. S. A., Oliveira, J. F. C. e., Rodrigues, E. C., Oliveira, F. T. de, Araujo, J. M. B. G. de, Caldeira, J. R. F., … Lopes, A. G. (2021). Complicações pulmonares em pacientes diabéticos com infecção por covid-19 / Pulmonary complications in diabetic patientes with covid-19 infection. Brazilian Journal of Health Review, 4(2), 4636–4646.
Sociedade Brasileira de Diabetes. (2017). Diretrizes da Sociedade Brasileira de Diabetes 2017-2018. Clannad. https://edisciplinas.usp.br/pluginfile.php/4232401/mod_resource/content/2/diretrizes-sbd-2017-2018%281%29.pdf
Sociedade Brasileira de Diabetes. (2019). Diretrizes da Sociedade Brasileira de Diabetes 2019-2020. Clannad. https://www.diabetes.org.br/profissionais/images/DIRETRIZES-COMPLETA-2019-2020.pdf
Souza, A. S. R., Amorim, M. M. R., Melo, A. S. de O., Delgado, A. M., Florêncio, A. C. M. C. da C., Oliveira, T. V. de, Lira, L. C. S., Sales, L. M. dos S., Souza, G. A., Melo, B. C. P. de, Morais, Í., & Katz, L. (2021). Errata: General aspects of the COVID-19 pandemic. Revista Brasileira de Saúde Materno Infantil, 21(suppl 2), 565–565.
Souza, L., Randow, R., & Sivieiro, P. (2020). Reflexões em tempos de COVID-19: diferenciais por sexo e idade. Comunicação em Ciências da Saúde, 31, 75–83.
Ten-Caten, F., Gonzalez-Dias, P., Castro, Í., Ogava, R. L. T., Giddaluru, J., Silva, J. C. S., Martins, F., Gonçalves, A. N. A., Costa-Martins, A. G., Araujo, J. D., Viegas, A. C., Cunha, F. Q., Farsky, S., Bozza, F. A., Levin, A. S., Pannaraj, P. S., de Silva, T. I., Minoprio, P., Pinheiro da Silva, F., … Nakaya, H. I. (2021). In-depth analysis of laboratory parameters reveals the interplay between sex, age, and systemic inflammation in individuals with COVID-19. International Journal of Infectious Diseases: IJID: Official Publication of the International Society for Infectious Diseases, 105, 579–587.
World Health Organization - WHO. (2021). Coronavirus (COVID-19) Dashboard.
Wu, Z., & McGoogan, J. M. (2020). Characteristics of and important lessons from the Coronavirus disease 2019 (COVID-19) outbreak in China: Summary of a report of 72 314 cases from the Chinese center for disease control and prevention: Summary of a report of 72 314 cases from the Chinese center for disease control and prevention. JAMA: The Journal of the American Medical Association, 323(13), 1239–1242.
Zanella, L. C. H. (2013). Metodologia de pesquisa. UFSC. http://arquivos.eadadm.ufsc.br/EaDADM/UAB_2014_2/Modulo_1/Metodologia/material_didatico/Livro%20texto%20Metodologia%20da%20Pesquisa.pdf
Zheng, YY, Ma, YT, Zhang, JY e Xie, X. (2020). COVID-19 e o sistema cardiovascular. Nature Reviews Cardiology , 17 (5), 259-260.
Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., Xiang, J., Wang, Y., Song, B., Gu, X., Guan, L., Wei, Y., Li, H., Wu, X., Xu, J., Tu, S., Zhang, Y., Chen, H., & Cao, B. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet, 395(10229), 1054–1062.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Aline Ferreira Soares; Bianca da Silva Costa; Pablo Maciel Brasil Moreira; Antonio Carlos Ricardo Braga Junior; Aline Teixeira Amorim
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
