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Table 1 Baseline features of hospitalized Covid-19 patients with diabetes compared with those without diabetes, and patients experiencing the primary composite outcome (admission to ICU, mechanical ventilation or death), compared with those discharged alive not experiencing an event

From: Cardiometabolic multimorbidity is associated with a worse Covid-19 prognosis than individual cardiometabolic risk factors: a multicentre retrospective study (CoViDiab II)

 

Diabetes

 

Primary composite outcome

 

No

n = 273

Yes

n = 81

p

No

n = 149

Yes

n = 128

p

Age ≥ 70, n (%)

90 (33.0)

52 (64.2)

 < 0.001

42 (28.2)

65 (50.8)

 < 0.001

Male sex, n (%)

165 (60.2)

50 (61.7)

0.81

84 (56.4)

86 (67.2)

0.065

Body mass index (Kg/m2)

26.1 [23.9–28.6]*

27.0 [24.8–29.4]**

0.20

25.2 [23.4–27.7]***

27.1 [25.0–29.4]****

0.002

Diabetes, n (%)

N/A

N/A

N/A

23 (15.4)

40 (31.2)

0.002

Diabetes therapy, n (%)

N/A

N/A

N/A

   

 Diet alone, n (%)

   

1 (4.8)

4 (10.8)

0.64

 EuGla, n (%)

   

9 (42.9)

17 (45.9)

0.82

 OHA (alone or in combination with EuGlA), n (%)

   

4 (19.0)

3 (8.1)

0.22

 Basal insulin (alone or in combination with EuGlA or OHA), n (%)

   

0 (0.0)

4 (10.8)

0.29

 MDI, n (%)

   

7 (33.3)

9 (24.3)

0.46

Hypertension, n (%)

126 (46.1)

54 (66.7)

0.001

62 (41.6)

86 (67.2)

 < 0.001

Drugs acting on RAAS

 ACEi, n (%)

− 36 (13.2)

− 19 (23.5)

0.011

24 (16.1)

23 (18.0)

0.55

 ARBs, n (%)

− 40 (14.7)

− 14 (17.3)

0.42

20 (13.4)

19 (14.8)

0.60

Dyslipidaemia, n (%)

49 (18.0)

29 (37.2)

 < 0.001

28 (18.9)

37 (29.1)

0.047

Smoking

^

^^

 

^^^

^^^^

 

 Never, n (%)

203 (83.2)

55 (75.3)

0.13

100 (77.5)

92 (80.7)

0.54

 Ever, n (%)

41 (16.8)

18 (24.6)

29 (22.9)

22 (19.3)

   Ex, n (%)

31 (12.7)

17 (23.3)

0.055#

19 (14.7)

21 (18.4)

0.032#

   Current, n (%)

10 (4.1)

1 (1.4)

10 (7.8)

1 (0.9)

Prior CV event, n (%)

21 (7.7)

13 (16.0)

0.026

14 (9.5)

16 (12.5)

0.42

Prior heart failure, n (%)

11 (4.1)

10 (12.8)

0.005

6 (4.1)

13 (10.6)

0.038

Prior malignancy, n (%)

14 (5.2)

6 (7.7)

0.40

6 (4.0)

10 (7.9)

0.17

Prior COPD, n (%)

27 (10.0)

17 (21.2)

0.008

11 (7.4)

28 (21.9)

0.001

Antiviral therapy, n (%)

103 (37.7)

29 (35.8)

0.77

60 (40.3)

60 (46.9)

0.27

Plasma glucose (mg/dL)

102 [93–118]

151 [117–215]

 < 0.001

101 [93–119]

119 [99–160]

 < 0.001

Serum creatinine (mg/dL)

0.81 [0.70–1.04]

1.03 [0.82–1.50]

 < 0.001

0.83 [0.70–1.03]

0.97 [0.72–1.26]

0.016

ESR (mm/hr)

42.5 [23.5–59]

73.5 [43–86]

0.075

38 [24–65]

78 [54–79]

0.19

CRP (mg/L)

2.71 [0.82–7.52]

5.06 [1.70–10.58]

0.014

1.84 [0.59–4.17]

6.37 [2.09–13.52]

 < 0.001

Lactate dehydrogenase (U/L)

272.5 [216–344]

289 [218–386]

0.31

254 [210–314]

313 [246–399]

 < 0.001

Fibrinogen (mg/dL)

470.5 [383.5–800]

556 [467–752]

0.028

479 [372–800]

524 [426–800]

0.064

D-dimer (mg/L)

450 [1.57–891]

432 [4.09–1440]

0.31

357 [0.89–780]

598 [214–1250]

0.006

White blood cell count (× 109/L)

5.90 [4.38–8.48]

6.79 [5.46–8.80]

0.045

5.73 [4.08–7.20]

7.04 [5.11–9.67]

 < 0.001

Lymphocytes (× 109/L)

1.11 [0.73–1.66]

1.07 [0.75–1.48]

0.38

1.20 [0.81–1.65]

0.95 [0.65–1.52]

0.015

Neutrophil count (× 109/L)

3.97 [2.67–6.0]

4.84 [0.75–1.48]

0.017

3.78 [2.62–5.12]

5.25 [3.65–7.7]

 < 0.001

Blood gas analysis

 pH

7.46 [7.42–7.49]

7.46 [7.42–7.48]

0.45

7.45 [7.43–7.48]

7.46 [7.41–7.50]

0.95

 PaO2/FIO2 ratio

367 [281–438]

322 [237–394]

0.012

405 [350–462]

281 [186–333]

 < 0.001

 pCO2, mmHg

34.0 [31.0–37.0]

35.7 [33.0–39.0]

0.055

34.9 [31.0–37.0]

35 [31.0–38.2]

0.43

 HCO3, mmol/l

24.2 [22.2–26.0]

24.6 [22.4–27.1]

0.45

24.0 [22.4–25.5]

24.5 [22.0–28.0]

0.16

 Venous lactate, mmol/l

1.2 [0.9–2.1]

1.7 [1.2–7.0]

 < 0.001

1.2 [0.8–1.8]

1.5 [1.0–8.0]

0.002

  1. Continuous variables are presented as median [25th, 75th percentile]; categorical variables are presented as number (percentage)
  2. # p-value for difference in never, ex and current mokers
  3. EuGlA, euglycemic agents (metformin, dipeptidyl peptidase 4 inhibitors, glucagon-like peptide 1 receptor agonists, sodium-glucose co-transporter 2 inhibitors and/or pioglitazone); OHA, oral hypoglycaemic agents (sulfonylureas or glinides); MDI, multiple daily insulin injections; RAAS, renin–angiotensin–aldosterone system; ACEi, angiotensin converting enzyme inhibitors; ARB, angiotensin receptor blocker; CV, cardiovascular; COPD, chronic obstructive pulmonary disease; ESR, erythrocytes sedimentation rate; CRP, c-reactive protein; PaO2, arterial pO2; FIO2, fraction of inspired oxygen
  4. Body mass index data were available for *120, **49, ***55 and ****95 patients
  5. Smoking data were available for ^244, ^^73, ^^^129 and ^^^^114 patients
  6. Anti-diabetes therapy data were available for 58 of the 63 patients with diabetes who completed the study