Evidence map›Paper›PMID 32946851›Full record

Trial reportDiabetes research and clinical practice2020

The associations between fasting plasma glucose levels and mortality of COVID-19 in patients without diabetes.

Yun Huang, Heming Guo, Yan Zhou, Jingjing Guo, Tiantian Wang, Xuming Zhao, Hui Li, Yihui Sun, Xuna Bian, Chen Fang

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Diabetes research and clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  9. J-shaped associations and joint effects of fasting glucose with inflammation and cytokines on COVID-19 mortality.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Yun HuangDepartment of Endocrinology, Second Affiliated Hospital of Soochow University, Suzhou, China.
Heming GuoDepartment of Endocrinology, Second Affiliated Hospital of Soochow University, Suzhou, China.
Yan ZhouDepartment of Endocrinology, Second Affiliated Hospital of Soochow University, Suzhou, China.
Jingjing GuoDepartment of Endocrinology, Second Affiliated Hospital of Soochow University, Suzhou, China.
Tiantian WangDepartment of Endocrinology, Second Affiliated Hospital of Soochow University, Suzhou, China.
Xuming ZhaoDepartment of Emergency Medicine, Second Affiliated Hospital of Soochow University, Suzhou, China.
Hui LiDepartment of Cardiology, Second Affiliated Hospital of Soochow University, Suzhou, China.
Yihui SunDepartment of General Surgery, Second Affiliated Hospital of Soochow University, Suzhou, China.
Xuna BianDivision of Endocrinology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: nkbxn@163.com.
Chen FangDepartment of Endocrinology, Second Affiliated Hospital of Soochow University, Suzhou, China; Department of Nutrition, Second Affiliated Hospital of Soochow University, Suzhou, China. Electronic address: afa9911@sina.com.
Soochow University · CNSecond Affiliated Hospital of Soochow University · CNTongji Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCoronavirus disease 2019 (COVID-19) which is a novel pneumonia can rapidly progress to acute respiratory distress syndrome, septic shock, and multiple organ dysfunction syndrome. It has appeared in 196 countries around the world. We aimed to clarify the associations between fasting plasma glucose levels and mortality of COVID-19 in patients without diabetes.

methodsWe performed a retrospective, single-center study of 151 patients without diabetes in Tongji Hospital from January 1, 2020 to February 28, 2020. Past medical histories, clinical features and laboratory parameters were collected in these patients.

resultsCompared with survivors, non-survivors were more likely to have underlying medical conditions including hypertension and chronic pulmonary diseases. Non-survivors had higher C-reactive protein (CRP), procalcitonin (PCT), interleukin (IL)-2R, IL-6, IL-8 and, tumor necrosis factor-α (TNF-α) levels, while lower lymphocyte counts as compared with those of survivors (all P<0.05). Besides, patients with higher fasting plasma glucose (FPG) had higher IL-6, IL-8, CRP levels and mortality; while lower lymphocyte counts. After adjusting for age and gender, each tertile increment of FPG levels conferred 3.54-fold higher risks of death (odds ratio, 3.54; 95% confidential interval, 1.25-10.06, P=0.018).

conclusionsNon-survivors combined with more comorbidities, more severe infection, and worse liver, kidney and cardiac function in patients without diabetes. Additionally, fasting plasma glucose levels were significantly associated with the risk of death in patients even with normal FPG and HbA1c levels.

Indexed as

Diabetes MellitusFastingAgedAged, 80 and overBlood GlucoseChinaCOVID-19FemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsSARS-CoV-2Survival RateBlood GlucoseCOVID-19MortalityPlasma glucose

Identifiers

PMID32946851
PMCPMC7492137
OpenAlexW3085691557

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.