PT  - JOURNAL ARTICLE
AU  - Hayek, Ayman A. Al
AU  - Robert, Asirvatham A.
AU  - Matar, Abdullah Bin
AU  - Algarni, Ali
AU  - Alkubedan, Haneen
AU  - Alharbi, Turki
AU  - Amro, Afrah Al
AU  - Alrashidi, Seham A.
AU  - Dawish, Mohamed Al
TI  - Risk factors for hospital admission among COVID-19 patients with diabetes
AID  - 10.15537/smj.2020.10.25419
DP  - 2020 Oct 01
TA  - Saudi Medical Journal
PG  - 1090--1097
VI  - 41
IP  - 10
4099  - http://smj.org.sa/content/41/10/1090.short
4100  - http://smj.org.sa/content/41/10/1090.full
SO  - Saudi Med J2020 Oct 01; 41
AB  - Objectives: To elucidate the risk factors for hospital admission among COVID-19 patients with type 2 diabetes mellitus (T2DM).Methods: This retrospective study was conducted at the Prince Sultan Military Medical City, Riyadh, Saudi Arabia between May 2020 and July 2020. Out of 7,260 COVID-19 patients, 920 were identified as T2DM. After the exclusion process, 806 patients with T2DM were included in this analysis. Patients’ data were extracted from electronic medical records. A logistic regression model was performed to estimate the risk factors of hospital admission.Results: Of the total of 806 COVID-19 patients with T2DM, 48% were admitted in the hospital, 52% were placed under home isolation. Older age between 70-79 years (OR [odd ratio] 2.56; p=0.017), ≥80 years (OR 6.48; p=0.001) were significantly more likely to be hospitalized compared to <40 years. Similarly, patients with higher HbA1c level of ≥9% compared to <7%; (OR 1.58; p=0.047); patients with comorbidities such as, hypertension (OR 1.43; p=0.048), cardiovascular disease (OR 1.56; p=0.033), cerebrovascular disease (OR 2.38; p=0.016), chronic pulmonary disease (OR 1.51; p=0.018), malignancy (OR 2.45; p=0.025), chronic kidney disease (CKD) IIIa, IIIb, IV (OR 2.37; p=0.008), CKD V (OR 5.07; p=0.007) were significantly more likely to be hospitalized. Likewise, insulin-treated (OR 1.46; p=0.03) were more likely to require hospital admission compared to non-insulin treated patients.Conclusion: Among COVID-19 patients with diabetes, higher age, high HbA1c level, and presence of other comorbidities were found to be significant risk factors for the hospital admission.