The association between macrovascular complications and intensive care admission, invasive mechanical ventilation, and mortality in people with diabetes hospitalized for coronavirus disease-2019 (COVID-19)
- Type de publi. : Article dans une revue
- Date de publi. : 19/10/2022
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Auteurs :
Gemma LlauradóBogdan VlachoMatthieu WargnyYue RuanJosep Franch-NadalPere DomingoPierre GourdyPierre-Jean SaulnierSamy HadjadjSarah WildRustam ReaBertrand CariouKamlesh KhuntiDídac MauricioJuan Antonio ArroyoJuan-José ChillarónRosa CorcoyRoberto GüerriManel Mata-CasesEmilio OrtegaMatthieu PichelinMaëva SaignesJeanne SaunierSelma El AndaloussiJoëlle Martin-GauthierEmily RebouilleauTanguy RomanPascale MahotMatthieu PichelinAnne-Laure Fournier-GuillouxNicolas MauduitEdith Bigot- CorbelAnne-Sophie BoureauLaure de DekcerAudrey ErnouldClaire PrimotAnne SeguinMarielle JoliveauSonia PouvreauChloé FournierJeremy ThureauEdith FonteneauPamela HublainCarole AgasseMathilde de KergaradecVincent MinvilleFanny Vardon-BounesGuillaume Martin-BlondelBlandine TramuntMarie-Christine TurninHélène HanaireJean Michel MansuyDidier FabreMarie-Blanche ArhainxLaurent CazalsLaure CombesEmmanuelle LamiBruno MégarbanePierre LeroyJean-François GautierTiphaine Vidal-TrecanJean-Pierre RivelineJean-Louis LaplancheStéphane MoulyLouis PotierRonan RousselMalak TaherYawa AboulekaFetta YakerAurelie CarlierAnne BouttenMarilyne Hallot-FeronFadila MourahCharles ThivoletEmilie BlondMuriel RollandJosep Verdecho MendezMarine AlexandreJulien PottecherEmilie RicherLaurent MeyerFlorina LucaJean-Marc LessingerThibault BahougneBruno GuerciSiham BenzirarCatherine Malaplate-ArmandThierry MattonJulien PoissyKarine FaurePierre FontaineFlorence BaudouxAnne VambergueJean David PekarMarc LambertCécile YelnikAmélie BruandetLaurent PetitDidier NeauVincent RigalleauAnnie BerardAmandine GaliootRemy CoudroyArnaud W. ThilleRené RobertFrance Roblot-CazenaveBlandine RammaertPierre Jean SaulnierXavier PiguelNesrine BenhendaCamille HussonCeline OlivierFlorence TorremochaMathilde FratyMarie Flamen D’assignyAurelie MiotValentin BossardKada KloucheAlain MakinsonAriane SultanJean-Baptiste BonnetVincent FoulongneFlorence GaltierCécile AubronSéverine AnsartVéronique KerlanPascale QuiniouJean- Luc CarreStéphane QuesnotBruno LaviolleCarole SchwebelOlivier EpaulardPierre-Yves BenhamouCécile BétryAnne-Laure BorelSandrine LablancheDorra Derouich-GuergourCatherine DuclosEmmanuel CossonErwan GuyotAurore DeniauPhucthutrang NguyenYves ReznikMichael JoubertStéphane AlloucheLydia GuittetSteven GrangeManuel EtienneGaetan PrevostValéry BrunelJean-Christophe LagierDidier RaoultAnne DutourBénédicte GaboritSandrine BoullluPatrice DarmonAdèle LasbleizMathieu CerinoFanny RomainMarie HoussaysJean-Pierre QuenotLionel PirothBruno VergèsLaurence DuvillardBernard BonnotteAlain MercatVincent Dubée DubéeIngrid AllixPatrice RodienRobin DhersinMaylis LebeaultWojciech TrzepizurJocelyne LoisonAntoine BrangierPierre AsfarPascal ReynierFrançoise LarcherFrançoise JoubaudMarie-Rita AndreuGeoffrey UrbanskiLaurent HubertCédric AnnweilerJean DellamonicaJohan CourjonNicolas ChevalierGiulia ChinettiMagda ChafaiBruno MourvillierFirouze Bani-SadrSarra BarraudBrigitte DelemerPhilippe GilleryPascale LabedadeAmélie ChabrolAlfred PenfornisCatherine PetitCoralie AmadouMaxime AdlerClément DubostPierre-Louis ConanLyse BordierFranck CeppaCyril GarciaMathilde SollierOlivier DupuySophie LaplanceOlivier BilluartMarie Joseph AroulandaFrédérique OlivierFlorence AyonNathalie WilhelmLoic EpelboinNadia SabbahAurelie CharpinPierre SquaraOlivier BelliardClaude DuboisMichel MarreJohann AuchabieRoxane CourtoisThierry DuriezTiphaine MergeyLaura ValleeLaetitia SeguinAbdallah Al-SalamehJ.P. LanoixSandrine Soriot-ThomasAnne-Marie Bourgeois-DescoulsRachel DesailloudNatacha GermainBogdan GaluscaGwenaelle BelletonNesrine MarouaniDelia PalaghiuAmira HammourFernando BerdaguerThimothée KlopfensteinHajer ZayetPatrice WiniszewskiMarie ZanussoPauline GarnierIngrid JulierKarim HamzaouiSophie Marty-GresTarik El SadkiLucile CadotJean-Louis DubostCéline GonfroyCatherine CampinosPascale MartresMarie Pierre CoulhonNicolas AllouMarwa BachirStella HoangCandice KembellecOlivia SuplyFatima KharchaAnne-Claire DevougeAnna Flaus-FurmanukIsabelle MadelineVincent EhingerSophie BastardLoic RaffrayFrederic RenouAude BojarskKarine BorsuAngelique GorlinServane Di BernardoCarole Truong van UtStephane RenaudAntoine VignolesEmilie FochLaurie MasseHubert GrandHelene FerrandChristelle Raffaitin-CardinHadjer ZellaguiCeline Castang-BrachetFrederique BouryAna Alvarez TenaIsabelle MouraPierre KalfonLouis PasteurJuliana DarasteanuLouis PasteurArnaud MonierLouis PasteurPascal FoucaultLouis PasteurAlexandra DepuilleLouis PasteurStéphanie Laugier-RobiollePatrick CaneiroMaud BassoEtienne LargerSamir BouamWahiba BenzenatiLeila Ait BachirCamille Cussac PillegandMarc VasseChristophe MichardNathanaëlle MontanierLuc MillotFrançoise CrepetDanielle RatsimbaKevin BouillerSophie BorotIsabelle BruckertAnnie ClergeotFranck SchilloDorothée VignesMuriel Bourgeon-GhittorilachgarClaire Lambert de CursayStéphane LevanteJean-Charles AuréganAntoine MerletCécile ZaragozaGwénaëlle ArnaultAnne-Gaëlle Le LouppOlivier LesieurMariam Roncato-SaberanDidier GouetRomain LemariHong-An AllanoEmmanuel VivierCaroline ParisetCédric LuytonLucien MarchandFanny DoroszewskiMatthieu PecquetLaurent PerardSylvie Vuillermoz-BlasNicolas KackiPatricia CharrierAmélie Ducet-BoiffardFrançoise Desroys Du RoureOlivier BourronDominique Bonnefont-RousselotSuzanne LarocheFranck PhanAgnès HartemannCyrielle CaussyEmmanuel DisseEmilie BlondClaude GuerinThomas PerpointPhilippe MoulinRégine CartierGeoffroy HaririDorothée ChopinCamille VatierNathalie BourcigauxEmmanuelle ChaigneauSophie Christin-MaitreBruno DonadilleBruno FèveSophie LamotheJulie SarfatiPascal PernetAnne ChambonDelphine DemarsyHugo CampagneFrançoise Latil-PlatMonica BerneMarilyne GrinandMarion TouzetAydrey ZabulonJocelyne CraspagCatherine LedouxCédric ContaretBlandine Janand-DelenneAnaïs GiraudMarie Lou LacriminiJoëlle ArrivieDeborah AncelleCarine GuilloisBénédicte FremyAmina ChaalalGaëlle BarrandeAnne DorangeEglantine RouanetDominique Seret-BegueAudrey SaoudAnne-Marie GuedjNathalie BedosFritz-Line VelayoudomMarie DumasBenoite GondaChristine CoffinStéphanie GibiatMyriam LungoChantal BullyPierre SerusclatStella BullyPatricia CarreJean-Philippe LeberreCarlos ElkhouryMarine ThieuxLaetitia Paradisi-PrieurEmma WilmotSarah WildBen FieldParth NarendranRajiv GandhiSophie HarrisDinesh NagiRobert RyderJim DaviesSteve HarrisOliver FreemanBen MaylorKinga VárnaiGail RoadknightMelissa CulAmy EdwardsSusan GeldingKirun GunganahPyei AungMoulinath BanerjeeAli ChakeraDominique RouseSyed Haris AhmedHo Yee CheungHywel RobertsSusan SealSyed Saah ShahAmir HayatCynthia MohandasHtet Htet AungSu Khant ChelNyan LinKavitia NarulaFurruq QuadriSu Lei YinYin YinAlamin AlkundiAbdelmajid MusaEmma BirbeckCharles BodmerIrene BossmanSathis KumarUmesh DashoraElizabeth ToubiMansoor ZafarVinod PatelAmitha GopinathBelinda AllanRemat KarimDharshana AppuhamillageKhubaib AyoubSophie HarrisCharmaine IlangaratneMaliha IqbalRory MacleanOmar MustafaSusan BaxterMalgorzata AdamusKevin BaynesSiva SivappriyanRyan D’costaDinesh NagiVernon ParfittMazharul IslamSadia NasirGail RoadknightKinga VárnaiSenthil VasanVilashini Arul DevahFoteini KavvouraLina FickenJames GilhamVincent SimpsonNeil WalkerUmaira AzizEfthimia KarraDipesh PatelMiranda RosenthalTracy CurranAngela PaisleyMelissa CullParijat de PMay Thin KhinePari QayyamRobert RyderPriscilla SarkarRajiv GandhiBen FieldJames ClarkVesna HoganLauren JacksonJamie-Leigh WilliamsonR. YounesLucy RobinLydia GrixtiSuann TeeAbilash SathyaEmma WilmotMayank PatelCatherine HolmesWasim HanifSandip GhoshParth NarendranEhtasham AhmadEjaz AhmedMelanie DaviesSteven HartshornKamlesh KhuntiLee SimonsDavid WebbBen MaylorJim DaviesOliver FreemanSteve HarrisAnupam BrahmaSeshadri PramodhKaty FrewAlison MackenzieAbigail WildHelen CaseyDeborah MorrisonConor MckeagAnne SillarsAngus StirlingFiona SmeetonSyed MuhammadKofi ObuobieWin YinNeera AgarwalMike AtkinsonSai AmbatiRahim KhanPreethi NallaArshiya TabasumStamatios ZourasAkhila MallipedhiRichard ChudleighDavid WilliamsMallory CianferaniLisa LudwigCaroline PaulHamoud Lachgar
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Organismes :
IMIM-Hospital del Mar
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas
Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina
Institut de Recerca Sant Pau [Barcelona] = Institut de Recerca de L’hospital de La Santa Creu i de Sant Pau [Barcelona] = Sant Pau Institute for Biomedical Research [Barcelona]
Institut du Thorax [CHU Nantes]
Centre d’Investigation Clinique de Nantes
Oxford Centre for Diabetes, Endocrinology and Metabolism
NIHR Oxford Biomedical Research Centre [Oxford, UK]
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas
Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina
Institut Català de la Salut
Institut de Recerca Sant Pau [Barcelona] = Institut de Recerca de L’hospital de La Santa Creu i de Sant Pau [Barcelona] = Sant Pau Institute for Biomedical Research [Barcelona]
Institut des Maladies Métaboliques et Casdiovasculaires
CIC de Poitiers – Centre d'investigation clinique de Poitiers (CIC 1402)
Institut du Thorax [CHU Nantes]
Usher Institute [Edinburgh]
Oxford Centre for Diabetes, Endocrinology and Metabolism
NIHR Oxford Biomedical Research Centre [Oxford, UK]
Centre d’Investigation Clinique de Nantes
University Hospitals of Leicester NHS Trust [Leicester]
Pôle Anesthésie Réanimation [CHU de Toulouse]
Centre Hospitalier Universitaire de Toulouse
Service Maladies infectieuses et tropicales [CHU Toulouse]
Centre Hospitalier Universitaire de Toulouse
Centre Hospitalier Universitaire de Toulouse
Service Diabétologie [CHU Toulouse]
Laboratoire Virologie [CHU Toulouse]
Centre Hospitalier Universitaire de Toulouse
Centre Hospitalier Universitaire de Toulouse
Centre Hospitalier Universitaire de Toulouse
Centre Hospitalier Universitaire de Toulouse
Centre Hospitalier Universitaire de Toulouse
Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046]
Centre Hospitalier Régional Universitaire [Montpellier]
Centre Hospitalier Régional Universitaire [Montpellier]
CIC Montpellier
Modélisation et Évaluation des données complexes en Santé Publique
Centre Hospitalier Universitaire de Toulouse
- Publié dans Cardiovascular Diabetology le 23/10/2020
Résumé : Background: It is not clear whether pre-existing macrovascular complications (ischemic heart disease, stroke or peripheral artery disease) are associated with health outcomes in people with diabetes mellitus hospitalized for COVID-19.
Methods: We conducted cohort studies of adults with pre-existing diabetes hospitalized for COVID-19 infection in the UK, France, and Spain during the early phase of the pandemic (between March 2020-October 2020). Logistic regression models adjusted for demographic factors and other comorbidities were used to determine associations between previous macrovascular disease and relevant clinical outcomes: mortality, intensive care unit (ICU) admission and use of invasive mechanical ventilation (IMV) during the hospitalization. Output from individual logistic regression models for each cohort was combined in a meta-analysis.
Results: Complete data were available for 4,106 (60.4%) individuals. Of these, 1,652 (40.2%) had any prior macrovascular disease of whom 28.5% of patients died. Mortality was higher for people with compared to those without previous macrovascular disease (37.7% vs 22.4%). The combined crude odds ratio (OR) for previous macrovascular disease and mortality for all four cohorts was 2.12 (95% CI 1.83-2.45 with an I2 of 60%, reduced after adjustments for age, sex, type of diabetes, hypertension, microvascular disease, ethnicity, and BMI to adjusted OR 1.53 [95% CI 1.29-1.81]) for the three cohorts. Further analysis revealed that ischemic heart disease and cerebrovascular disease were the main contributors of adverse outcomes. However, proportions of people admitted to ICU (adjOR 0.48 [95% CI 0.31-0.75], I2 60%) and the use of IMV during hospitalization (adjOR 0.52 [95% CI 0.40-0.68], I2 37%) were significantly lower for people with previous macrovascular disease.
Conclusions: This large multinational study of people with diabetes mellitus hospitalized for COVID-19 demonstrates that previous macrovascular disease is associated with higher mortality and lower proportions admitted to ICU and treated with IMV during hospitalization suggesting selective admission criteria. Our findings highlight the importance correctly assess the prognosis and intensive monitoring in this high-risk group of patients and emphasize the need to design specific public health programs aimed to prevent SARS-CoV-2 infection in this subgroup.
Fichiers liés :
2022 Llaurado et al., The association.pdf
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