Title COVID-19 AND RHEUMATOLOGIC DISEASE IN DALMATIA IN COMPARISON TO DIABETES MELLITUS
Title (croatian) COVID-19 I REUMATSKE BOLESTI U DALMACIJI U USPOREDBI S DIABETES MELLITUS
Author Lucija Marković
Mentor Dijana Perković (mentor)
Committee member Ivana Pavlinac Dodig (predsjednik povjerenstva)
Committee member Joško Božić (član povjerenstva)
Committee member Tina Tičinović Kurir (član povjerenstva)
Granter University of Split School of Medicine Split
Defense date and country 2021-09-16, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Infectology
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Basic Medical Sciences Immunology
Abstract Objectives: To evaluate the clinical manifestations, course, and outcomes of COVID-19 amongst patients with RAD and DM and compare these two groups concerning SARS-CoV2 infection.
Materials and methods: A cross-sectional study was done in the Department of Rheumatology and Clinical Immunology and Clinic of Infectiology medicine of the University Hospital Split (KBC Split) of the University of Split. Of the 148 patients selected, 74 were diagnosed with rheumatologic disease, and 74 were diagnosed with diabetes mellitus. The EULAR-COVID-19 Survey Checklist categorized the medical data of eligible patients. The following variables were included: Age, sex, diagnosis, symptoms, treatment, complications, outcome, laboratory parameters (CRP).
Results: Patients with DM were statistically significantly more inpatients comparing to patients with RAD (P<0.01). There was a statistically significant difference between the studied groups regarding the test methods used (P<0.01). Rheumatologic patients were treated to a lesser extent for COVID-19 than patients with diabetes, where a combination of treatments was used the most (P<0.01). Rheumatologic patients had statistically fewer respiratory COVID-19 complications than patients with diabetes mellitus (P<0.01). There was a statistically significant difference in the disease outcome of COVID-19 between the two studied groups. Patients with diabetes mellitus had a worse outcome than patients with rheumatologic disease, which was statistically significant (P<0.01). The patients from the RAD group had lower CRP values that averaged 3.60 with a 95% CI of 1.93 to 5.02. In contrast, the patients from the DM group had higher CRP values with a median of 83.1 and a 95% CI of 44.78 to 125. 73.
Conclusion: Our results showed that patients with rheumatic autoimmune disease tend to have a better disease outcome than patients with diabetes mellitus. Patients with diabetes mellitus had more complications, mainly respiratory, and needed more extensive treatment than the compared RAD group.
Abstract (croatian) Cilj: Procijeniti kliničke manifestacije, tijek i ishode COVID-19 infekcije u bolesnika sa sistemskim upalnim bolestima te usporediti s kliničkim manifestacijama, tijekom i ishodom u bolesnika s šećernom bolešću.
Materijali i metode: Presječna studija provedena je na Zavodu za reumatologiju i kliničku imunologiju i Klinici za infektivne bolesti KBC-a Split i Sveučilišta u Splitu. U istraživanje je uključeno 148 bolesnika od kojih je 74 s upalnim reumatskim bolestima, a 74 sa šećernom bolesti. Za dobivanje podataka je korišten EULAR-COVID-19 upitnik. Uključene su sljedeće varijable: dob, spol, dijagnoza, simptomi, liječenje, komplikacije, ishod, laboratorijski parametri (CRP).
Rezultati: Bolesnici s šećernom bolešću su bili značajno češće hospitalizirani te im je češće rađen brzi antigenski test za dokazivanje COVID-19 infekcije u odnosu na bolesnike s upalnim reumatskim bolestima (P <0.01). Reumatološki bolesnici su liječeni blažim terapijskim mjerama zbog COVID-19 infekcije nego bolesnici sa šećernom bolešću u kojih se najčešće primjenjivalo kombinirano liječenje (P <0.01). Reumatološki bolesnici imali su značajno manje respiratornih komplikacija COVID-19 infekcije u odnosu na bolesnike s šećernom bolešću (P <0.01). Utvrđena je statistički značajna razlika u ishodu bolesti COVID-19 između dvije ispitivane skupine. Bolesnici sa šećernom bolešću imali su lošiji ishod od bolesnika s upalnom reumatološkom bolešću, (P <0.01). Bolesnici s upalnom reumatskom bolešću su imala niže vrijednosti CRP -a koje su u prosjeku bile 3.60 s 95% CI od 1.93 do 5.02 , dok su bolesnici sa šećernom bolešću imali veće vrijednosti CRP -a s medijanom od 83.1 i 95% CI od 44.78 do 125. 73.
Zaključak: Naši su rezultati pokazali da bolesnici s reumatskom upalnom bolešću imaju bolji ishod bolesti od bolesnika sa šećernom bolešću. Ovi bolesnici su imali učestalije komplikacije, uglavnom respiratorne, i trebali su intenzivnije liječenje u odnosu na bolesnike s upalnim reumatskim bolestima.
Keywords
COVID-19
Rheumatic Diseases
Diabetes Mellitus
Treatment Outcome
Keywords (croatian)
COVID-19
Reumatske bolesti
Šećerna bolest
Ishod liječenja
Language english
URN:NBN urn:nbn:hr:171:175093
Study programme Title: Medical Studies in English Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2021-09-21 10:14:06