PT - JOURNAL ARTICLE AU - Ayman A. Al Hayek AU - Asirvatham A. Robert AU - Abdullah Bin Matar AU - Ali Algarni AU - Haneen Alkubedan AU - Turki Alharbi AU - Afrah Al Amro AU - Seham A. Alrashidi AU - Mohamed Al Dawish 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.