The Proportion and Associated Factors for Mortality among COVID-19 Infection with Diabetes in Iraq

Abstract

Objective: The study aims to determine the proportion, clinical characteristics, and associated factors for the mortality among hospitalised COVID-19 patients with diabetes in Ramadi, Iraq. Methods: This retrospective cohort study included all adult diabetic patients with laboratory-confirmed COVID-19 who were hospitalised between January 2020 and December 2020 in Ramadi Province, Iraq. Data on demographics, medical history, and laboratory investigations were obtained from medical records. The poor outcomes were mortality during hospitalisation. Multivariate logistic regression was used to analyse for the associated factors for mortality. Results: A total of 545 health records of diabetic patients were reviewed. There were 340 males (62.4%) and 205 females (37.6%). The mean age was 64.54±10.86 years. The proportion of mortality was 32.84%. The protective factors for mortality were rural residency, duration of hospitalisation, and diabetic medication (SGLT inhibitors, DPP4 inhibitors and metformin). Cardiac disease, liver disease, temperature, CRP and D-dimer level were found to be predictive factors for mortality. Conclusion: The study revealed that the proportion of mortality among diabetic patients with COVID-19 infection was high in Iraq. The findings highlighted the predictive and protective factors among this vulnerable group for poor outcomes.