Association between COVID-19 and incidence of cardiovascular disease and all-cause mortality among patients with diabetes

Frontiers in Endocrinology

Endocrinology

Hee Sun Jung¹  Jae Woo Choi² 

[1] Big Data Department, Health Insurance Review and Assessment, Won-ju, Gangwon, Republic of Korea;Community Care Research Center, Health Insurance Research Institute, National Health Insurance Service, Won-ju, Gangwon, Republic of Korea;

关键词: diabetes;    COVID-19;    cardiovascular disease;    coronary heart disease;    stroke;    mortality;   

DOI  :  10.3389/fendo.2023.1230176

 received in 2023-05-28, accepted in 2023-07-05,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionAlthough the risk of coronavirus disease 2019 (COVID-19) infection is higher in patients who are diagnosed with diabetes than in those who are not, research on the risk of cardiovascular disease (CVD) in COVID-19 infected patients diagnosed with diabetes compared to those who are not infected by COVID-19 is lacking. This study aimed to examine the association between COVID-19, incidence of CVD, and all-cause mortality in patients with diabetes.MethodsThis study used data from the Health Insurance Review and Assessment, and included 16,779 patients with COVID-19 and 16,779 matched controls between January 2017 and June 2021. The outcomes included cardiovascular disease (CVD), coronary heart disease, stroke, and all-cause mortality. Cox proportional hazards regression models were used to evaluate these associations.ResultsPatients with diabetes hospitalized because of COVID-19 had a significantly increased risk of CVD (adjusted hazard ratio [AHR], 2.12; 95% confidence interval [CI]: 1.97, 2.27) than those without COVID-19. The risks of coronary heart disease (AHR, 2.00; 95% CI: 1.85, 2.17) and stroke (AHR, 2.21; 95% CI: 1.90, 2.57) were higher in the intervention group than in the control group. In the case of all-cause mortality for middle-aged adults, we observed a higher risk in diabetes patients hospitalized due to COVID-19 than in patients without COVID-19 (AHR, 1.37; 95% CI: 1.18, 1.59).ConclusionsThis study showed that patients with diabetes hospitalized due to COVID-19 had an increased risk of CVD, coronary heart disease, stroke incidence, and mortality than those who were not COVID-19 infected, suggesting more careful prevention and management among patients with COVID-19.

【 授权许可】

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Copyright © 2023 Jung and Choi