Evidence map›Paper›PMID 33966090›Full record

ArticleDiabetologia2021

A UK nationwide study of people with type 1 diabetes admitted to hospital with COVID-19 infection.

Yue Ruan, Robert E J Ryder, Parijat De, Benjamin C T Field, Parth Narendran, Ahmed Iqbal, Rajiv Gandhi, Sophie Harris, Dinesh Nagi, Umaira Aziz and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Article
  6. Lip Seal Strength and Tongue Pressure among Japanese Male Workers: Comparison of Different Age Groups.International journal of environmental research and public health · 2023
    Article
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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

24 authors at 15 institutions in 1 country.

Yue RuanOxford Centre for Diabetes, Endocrinology and Metabolism, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Robert E J RyderSandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
Parijat DeSandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
Benjamin C T FieldDepartment of Clinical & Experimental Medicine, Faculty of Health & Medical Sciences, University of Surrey, Guildford, UK.
Parth NarendranMedical and Dental Sciences, University of Birmingham, Birmingham, UK.
Ahmed IqbalDepartment of Diabetes & Endocrinology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Rajiv GandhiDepartment of Diabetes & Endocrinology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Sophie HarrisDiabetes and Endocrinology Department, King's College Hospital, London, UK.
Dinesh NagiMid Yorkshire Hospitals NHS Trust, Pinderfields Hospital, Wakefield, UK.
Umaira AzizRoyal Free Hospital, London, UK.
Efthimia KarraRoyal Free Hospital, London, UK.
Sandip GhoshDiabetes Centre, The Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Wasim HanifDiabetes Centre, The Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Amy E EdwardsDepartment of Diabetes and Endocrinology, Newham University Hospital, Barts Health NHS Trust, London, UK.
Mansoor ZafarConquest Hospital, Hastings, UK.
Umesh DashoraConquest Hospital, Hastings, UK.
Kinga A VárnaiOxford NIHR Biomedical Research Centre, Oxford, UK.
Jim DaviesOxford NIHR Biomedical Research Centre, Oxford, UK.
Sarah H WildUsher Institute, University of Edinburgh, Edinburgh, UK.
Emma G WilmotDiabetes Department, University Hospitals of Derby and Burton NHS FT, Derby, UK.
David WebbDiabetes Research Centre, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester, UK.
Kamlesh KhuntiDiabetes Research Centre, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester, UK.
Rustam ReaOxford Centre for Diabetes, Endocrinology and Metabolism, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. Rustam.rea@nhs.net.ORCID https://orcid.org/0000-0001-6515-8325
ABCD Covid-19 audit group
University Hospitals Birmingham NHS Foundation Trust · GBConquest Hospital · GBLeicester General Hospital · GBOxford BioMedica (United Kingdom) · GBSandwell & West Birmingham Hospitals NHS Trust · GBSheffield Teaching Hospitals NHS Foundation Trust · GBThe Royal Free Hospital · GBBarts Health NHS Trust · GBKing's College Hospital · GBMid Yorkshire Hospitals NHS Trust · GBOxford Centre for Diabetes, Endocrinology and Metabolism · GBUniversity of Edinburgh · GBUniversity of Nottingham · GBUniversity of Oxford · GBUniversity of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisThe aim of this work was to describe the clinical characteristics of adults with type 1 diabetes admitted to hospital and the risk factors associated with severe coronavirus disease-2019 (COVID-19) in the UK.

methodsA retrospective cohort study was performed using data collected through a nationwide audit of people admitted to hospital with diabetes and COVID-19, conducted by the Association of British Clinical Diabetologists from March to October 2020. Prespecified demographic, clinical, medication and laboratory data were collected from the electronic and paper medical record systems of the participating hospitals by local clinicians. The primary outcome of the study, severe COVID-19, was defined as death in hospital and/or admission to the adult intensive care unit (AICU). Logistic regression models were used to generate age-adjusted ORs.

resultsForty UK centres submitted data. The final dataset included 196 adults who were admitted to hospital and had both type 1 diabetes and COVID-19 on admission (male sex 55%, white 70%, with mean [SD] age 62 [19] years, BMI 28.3 [7.3] kg/m CONCLUSIONS/

interpretationIn people with type 1 diabetes and COVID-19 who were admitted to hospital in the UK, higher BMI, poorer renal function and presence of microvascular complications were associated with greater risk of death and/or admission to AICU. Risk of severe COVID-19 is reassuringly very low in people with type 1 diabetes who are under 55 years of age without microvascular or macrovascular disease. IN PEOPLE WITH TYPE 1 DIABETES AND COVID-19 ADMITTED TO HOSPITAL IN THE UK, BMI AND ONE OR MORE MICROVASCULAR COMPLICATIONS HAD A POSITIVE ASSOCIATION AND LOW SERUM CREATINE LEVELS HAD A NEGATIVE ASSOCIATION WITH DEATH/ADMISSION TO INTENSIVE CARE UNIT AFTER ADJUSTING FOR AGE.

Indexed as

AdultAgedAged, 80 and overCOVID-19Diabetes Mellitus, Type 1FemaleHospitalsHumansMaleMiddle AgedPatient AdmissionRetrospective StudiesRisk FactorsSARS-CoV-2Severity of Illness IndexUnited KingdomCOVID-19InpatientsMortalityNational auditType 1 diabetes

Identifiers

PMID33966090
PMCPMC8106514
OpenAlexW3161221668

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.