Research Article

Clinical Features and Risk Factors of ICU Admission for COVID-19 Patients with Diabetes

Table 1

Clinical features of COVID-19 patients with non-DM or DM.

ParametersTotal ()Non-DM ()DM () value

Clinical characteristics
Age, median (IOR), years48.5 (34.3-62.0)47.0 (33.0-61.0)62.5 (55.50-64.75)<0.0001
Age groups (years)
 ≤3044 (15.3%)44 (16.7%)0 (0.0%)<0.0001
 30-4587 (30.2%)85 (32.2%)2 (8.3%)
 45-65116 (40.3%)97 (36.7%)19 (79.2%)
 >6541 (14.2%)38 (14.4%)3 (12.5%)
Female, (%)157 (54.5%)143 (54.2%)14 (58.3%)0.695
Diabetes duration (years)NANA10.8 (6.5-15.6)NA
Types of diabetes
 Type 1NANA2 (8.3%)NA
 Type 2NANA22 (91.7%)NA
Comorbidities
Hypertension84 (29.2%)68 (25.8%)16 (66.7%)<0.0001
CVD85 (29.5%)69 (26.1%)16 (66.7%)<0.0001
COPD5 (1.7%)4 (1.5%)1 (4.2%)0.343
Chronic kidney disease8 (2.8%)6 (2.3%)2 (8.3%)0.084
Chronic liver disease10 (3.5%)8 (3.0%)2 (8.3%)0.174
Signs and symptoms
Fever201 (69.8%)181 (68.6%)20 (83.3%)0.131
Chill55 (19.1%)52 (19.7%)3 (12.5%)0.390
Cough163 (56.6%)148 (56.1%)15 (62.5%)0.542
Expectoration58 (20.1%)52 (19.7%)6 (25.0%)0.535
Myalgia35 (12.2%)31 (11.7%)4 (16.7%)0.480
Fatigue43 (14.9%)40 (15.2%)3 (12.5%)0.727
Sore throat67 (23.3%)64 (24.2%)3 (12.5%)0.192
Headache26 (9.0%)24 (9.1%)2 (8.3%)0.901
Nausea or vomiting29 (10.1%)28 (10.6%)1 (4.2%)0.316
Diarrhea11 (3.8%)10 (3.8%)1(4.2%)0.926
Respiratory breaths per min19 (6.6%)14 (5.3%)5 (20.8%)0.003
Unilateral pneumonia31 (10.8%)30 (11.4%)1 (4.2%)0.274
Bilateral pneumonia241 (83.7%)219 (83.0%)22 (91.7%)0.269
Laboratory variables
White blood cell (×109/L)5.20 (4.14-6.44)5.20 (4.10-6.40)5.39 (4.62-7.12)0.840
White blood cell count, ×109/L (No. (%))
 ≤462 (21.5%)58 (22.0%)4 (16.7%)0.825
 4-10216 (75.0%)197 (74.6%)19 (79.2%)
 >1010 (3.5%)9 (3.4%)1 (4.2%)
Lymphocyte count (×109/L)1.42 (1.04-1.96)1.42 (1.04-1.95)1.40 (1.07-2.16)0.314
Lymphocyte count, ×109/L (No. (%))
 <1.191 (31.6%)83 (31.4%)8 (33.3%)0.848
Platelet count (×109/L)194.5 (158-247)196.0 (160-247)186.5 (142-228.5)0.679
Hemoglobin (g/L)135.5 (123-147)136.0 (123-147)133.5 (121-145.8)0.656
Blood glucose (mmol/L)4.97 (4.39-5.76)4.56 (4.16-5.52)7.95 (6.57-11.85)0.001
HbA1c (%)NANA6.81 (5.91-7.95)NA
HbA1c (No. (%))
 <7%NANA9 (37.5%)NA
 ≥7%NANA15 (62.5%)
Serum insulin (mIU/L)NANA20.68 (11.82-36.55)NA
Procalcitonin (ng/mL)0.13 (0.04-32.60)0.13 (0.04-33.55)0.097 (0.038-20.20)0.733
C-reactive protein (mg/L)9.00 (8.00-22.72)9.00 (8.00-21.50)21.15 (8.25-47.09)0.039
C-reactive protein, mg/L (No. (%))
 ≤10175 (60.8%)167 (63.3%)8 (33.3%)0.004
 >10113 (39.2%)97 (36.7%)16 (66.7%)
D-dimer (μg/L)1100 (700-1700)1090 (680-1700)1190 (850-1770)0.198
D-dimer (No. (%))
 <1000125 (43.9%)116 (44.3%)9 (39.1%)0.634
 ≥1000160 (56.1%)146 (55.7%)14 (60.9%)
Myoglobin (μg/L)15.00 (8.85-22.46)14.75 (8.70-22.25)19.00 (9.20-32.40)0.003
Myoglobin, μg/L (No. (%))
 <106269 (97.1%)247 (97.2%)22 (95.7%)0.662
 ≥1068 (2.9%)7 (2.8%)1 (4.3%)
Troponin I (μg/L)0.004 (0.001-0.009)0.003 (0.001-0.009)0.008 (0.002-0.017)0.784
Creatine kinase (U/L)52.00 (36.00-80.00)52.00 (36.00-80.75)51.00 (38.00-78.00)0.351
Creatine kinase, U/L (No. (%))
 ≤310283 (98.6%)261 (98.9%)22 (95.7%)0.208
 >3104 (1.4%)3 (1.1%)1 (4.3%)
Creatinine (μmol/L)61.80 (50.25-76.58)62.05 (50.05-76.68)60.00 (51.63-73.95)0.616
ALT (U/L)22.45 (14.30-34.50)22.40 (14.30-34.15)24.25 (14.50-52.27)0.889
ALT, U/L (No. (%))
 ≤50254 (88.2%)237 (89.8%)17 (70.8%)0.006
 >5034 (11.8%)27 (10.2%))7 (29.2%)
AST (U/L)18.35(14.9-25.63)18.20 (14.53-24.48)24.75 (16.88-44.50)<0.0001
AST, U/L (No. (%))
 ≤40256 (88.9%)240 (90.9%)16 (66.7%)<0.0001
 >4032 (11.1%)24 (9.1%)8 (33.3%)

Data are presented as median (interquartile range) or number (percent). Abbreviation: IQR: interquartile range; NA: not applicable; CVD: cardiovascular disease; COPD: chronic obstructive pulmonary disease; HbA1c: hemoglobin A1c; ALT: alanine transaminase; AST: aspartate aminotransferase.