Inflammation, Hyperglycemia, and Adverse Outcomes in Individuals With Diabetes Mellitus Hospitalized for COVID-19 Article Swipe
Alexi Vasbinder
,
Élizabeth Anderson
,
Husam Shadid
,
Hanna Berlin
,
Michael Pan
,
Tariq U. Azam
,
Ibrahim Khaleel
,
Kishan Padalia
,
Chelsea Meloche
,
Patrick O’Hayer
,
Erinleigh Michaud
,
Tonimarie Catalan
,
Rafey Feroze
,
Pennelope Blakely
,
Christopher Launius
,
Yiyuan Huang
,
Lili Zhao
,
Lynn Ang
,
Monica Mikhael
,
Kara Mizokami‐Stout
,
Subramaniam Pennathur
,
Matthias Kretzler
,
Sven H. Loosen
,
Athanasios Chalkias
,
Frank Tacke
,
Evangelos J. Giamarellos‐Bourboulis
,
Jochen Reiser
,
Jesper Eugen‐Olsen
,
Eva L. Feldman
,
Rodica Pop‐Busui
,
Salim S. Hayek
,
the ISIC group
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.2337/figshare.17383496
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.2337/figshare.17383496
Objective: Diabetes mellitus (DM) is a major risk factor for severe coronavirus disease 2019 (COVID-19) for reasons that are unclear. Research Design and Methods: We leveraged The International Study of Inflammation in COVID-19, a multicenter observational study of 2,044 patients hospitalized with COVID-19, to characterize the impact of DM on in-hospital outcomes and assess the contribution of inflammation and hyperglycemia to the risk attributed to DM. We measured biomarkers of inflammation collected at hospital admission and collected glucose levels and insulin data throughout hospitalization. The primary outcome was the composite of in-hospital death, need for mechanical ventilation, and need for renal replacement therapy. Results: Among participants (mean age, 60 years; 58.2% males), those with DM (n=686, 33.5%) had a significantly higher cumulative incidence of the primary outcome (37.8% vs. 28.6%) and higher levels of inflammatory biomarkers compared to those without DM. Amongst biomarkers, DM was only associated with higher soluble urokinase plasminogen activator receptor (suPAR) levels in multivariable analysis. Adjusting for suPAR levels abrogated the association between DM and the primary outcome (adjusted odds ratio 1.23[95%CI:0.78,1.37]). In mediation analysis, we estimated the proportion of the effect of DM on the primary outcome mediated by suPAR at 84.2%. Hyperglycemia and higher insulin doses were independent predictors of the primary outcome, with effect sizes unaffected by adjusting for suPAR levels. Conclusions: Our findings suggest that the association between DM and outcomes in COVID-19 is largely mediated by hyper-inflammation as assessed by suPAR levels, while the impact of hyperglycemia is independent of inflammation.
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Concepts
Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.2337/figshare.17383496
- OA Status
- gold
- Cited By
- 2
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4206508742
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4206508742Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.2337/figshare.17383496Digital Object Identifier
- Title
-
Inflammation, Hyperglycemia, and Adverse Outcomes in Individuals With Diabetes Mellitus Hospitalized for COVID-19Work title
- Type
-
preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-01-19Full publication date if available
- Authors
-
Alexi Vasbinder, Élizabeth Anderson, Husam Shadid, Hanna Berlin, Michael Pan, Tariq U. Azam, Ibrahim Khaleel, Kishan Padalia, Chelsea Meloche, Patrick O’Hayer, Erinleigh Michaud, Tonimarie Catalan, Rafey Feroze, Pennelope Blakely, Christopher Launius, Yiyuan Huang, Lili Zhao, Lynn Ang, Monica Mikhael, Kara Mizokami‐Stout, Subramaniam Pennathur, Matthias Kretzler, Sven H. Loosen, Athanasios Chalkias, Frank Tacke, Evangelos J. Giamarellos‐Bourboulis, Jochen Reiser, Jesper Eugen‐Olsen, Eva L. Feldman, Rodica Pop‐Busui, Salim S. Hayek, the ISIC groupList of authors in order
- Landing page
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https://doi.org/10.2337/figshare.17383496Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.2337/figshare.17383496Direct OA link when available
- Concepts
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SuPAR, Medicine, Internal medicine, Odds ratio, Diabetes mellitus, Inflammation, Gastroenterology, Urokinase receptor, Endocrinology, Plasminogen activatorTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2024: 1, 2022: 1Per-year citation counts (last 5 years)
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.receptor | 153 |
| abstract_inverted_index.unclear. | 19 |
| abstract_inverted_index.(adjusted | 172 |
| abstract_inverted_index.Adjusting | 159 |
| abstract_inverted_index.COVID-19, | 32, 42 |
| abstract_inverted_index.abrogated | 163 |
| abstract_inverted_index.activator | 152 |
| abstract_inverted_index.adjusting | 214 |
| abstract_inverted_index.admission | 74 |
| abstract_inverted_index.analysis, | 178 |
| abstract_inverted_index.analysis. | 158 |
| abstract_inverted_index.collected | 71, 76 |
| abstract_inverted_index.composite | 89 |
| abstract_inverted_index.estimated | 180 |
| abstract_inverted_index.incidence | 122 |
| abstract_inverted_index.leveraged | 25 |
| abstract_inverted_index.mediation | 177 |
| abstract_inverted_index.urokinase | 150 |
| abstract_inverted_index.</b> | 252 |
| abstract_inverted_index.</p> | 218 |
| abstract_inverted_index.(COVID-19) | 14 |
| abstract_inverted_index.associated | 146 |
| abstract_inverted_index.attributed | 63 |
| abstract_inverted_index.biomarkers | 68, 135 |
| abstract_inverted_index.cumulative | 121 |
| abstract_inverted_index.mechanical | 95 |
| abstract_inverted_index.predictors | 204 |
| abstract_inverted_index.proportion | 182 |
| abstract_inverted_index.throughout | 82 |
| abstract_inverted_index.unaffected | 212 |
| abstract_inverted_index.association | 165, 225 |
| abstract_inverted_index.biomarkers, | 142 |
| abstract_inverted_index.coronavirus | 11 |
| abstract_inverted_index.in-hospital | 50, 91 |
| abstract_inverted_index.independent | 203, 248 |
| abstract_inverted_index.multicenter | 34 |
| abstract_inverted_index.plasminogen | 151 |
| abstract_inverted_index.replacement | 101 |
| abstract_inverted_index.</b>We | 24 |
| abstract_inverted_index.Inflammation | 30 |
| abstract_inverted_index.characterize | 44 |
| abstract_inverted_index.contribution | 55 |
| abstract_inverted_index.hospitalized | 40 |
| abstract_inverted_index.inflammation | 57, 70 |
| abstract_inverted_index.inflammatory | 134 |
| abstract_inverted_index.participants | 105 |
| abstract_inverted_index.ventilation, | 96 |
| abstract_inverted_index.Hyperglycemia | 197 |
| abstract_inverted_index.International | 27 |
| abstract_inverted_index.hyperglycemia | 59, 246 |
| abstract_inverted_index.multivariable | 157 |
| abstract_inverted_index.observational | 35 |
| abstract_inverted_index.significantly | 119 |
| abstract_inverted_index.hospitalization. | 83 |
| abstract_inverted_index.</b>Diabetes | 1 |
| abstract_inverted_index.hyper-inflammation | 236 |
| abstract_inverted_index.therapy.</p> | 102 |
| abstract_inverted_index.<b><br> | 251 |
| abstract_inverted_index.<b>Objective: | 0 |
| abstract_inverted_index.1.23[95%CI:0.78,1.37]). | 175 |
| abstract_inverted_index.inflammation.</p> | 250 |
| abstract_inverted_index.<p><b>Research | 20 |
| abstract_inverted_index.<p><b>Results:</b> | 103 |
| abstract_inverted_index.<p><b>Conclusions:</b> | 219 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 89 |
| countries_distinct_count | 4 |
| institutions_distinct_count | 32 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.5400000214576721 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.48424842 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |