Evidence map›Paper›PMID 34795494›Full record

ArticleDiabetes, metabolic syndrome and obesity : targets and therapy2021

Newly-Diagnosed Diabetes and Sustained Hyperglycemia are Associated with Poorer Outcomes in COVID-19 Inpatients Without Pre-Existing Diabetes.

Lijin Lin, Ze Chen, Ting Ding, Hui Liu, Feng Zhou, Xuewei Huang, Xingyuan Zhang, Weifang Liu, Bing-Hong Zhang, Yufeng Yuan and 6 more

Open access · goldAbstract read
In one paragraph

Article in Diabetes, metabolic syndrome and obesity : targets and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

16 authors at 3 institutions in 1 country.

Lijin Lin *Department of Endocrinology, Huanggang Central Hospital, Huanggang, People's Republic of China.
Ze Chen *Institute of Model Animal of Wuhan University, Wuhan, People's Republic of China.
Ting Ding *Department of Endocrinology, Huanggang Central Hospital, Huanggang, People's Republic of China.
Hui Liu *Institute of Model Animal of Wuhan University, Wuhan, People's Republic of China.
Feng ZhouInstitute of Model Animal of Wuhan University, Wuhan, People's Republic of China.
Xuewei HuangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, People's Republic of China.
Xingyuan ZhangInstitute of Model Animal of Wuhan University, Wuhan, People's Republic of China.
Weifang LiuInstitute of Model Animal of Wuhan University, Wuhan, People's Republic of China.
Bing-Hong ZhangNeonatology Department, Renmin Hospital of Wuhan University, Wuhan, People's Republic of China.
Yufeng YuanDepartment of Hepatobiliary and Pancreatic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, People's Republic of China.
Peng ZhangInstitute of Model Animal of Wuhan University, Wuhan, People's Republic of China.
Xiao-Jing ZhangInstitute of Model Animal of Wuhan University, Wuhan, People's Republic of China.
Zhi-Gang SheDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, People's Republic of China.ORCID 0000-0001-9402-4166
Jingjing CaiInstitute of Model Animal of Wuhan University, Wuhan, People's Republic of China.
Wenping ChenDepartment of Endocrinology, Huanggang Central Hospital, Huanggang, People's Republic of China.
Hongliang LiHuanggang Institute of Translational Medicine, Huanggang, People's Republic of China.
Wuhan University · CNHuanggang Central Hospital · CNCentral South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the impact of hyperglycemia on the clinical outcome of COVID-19 in patients with newly diagnosed diabetes (NDD). PATIENTS AND

methodsWe performed a retrospective study of 3114 cases of COVID-19 without pre-existing diabetes, 351 of which had NDD, in Hubei Province, China. The Cox regression model was used to calculate the risk of adverse clinical outcomes comparing the NDD vs non-NDD group before and after propensity score-matched (PSM) analysis. Patients with NDD were further divided into a sustained hyperglycemia group, a fluctuating group, and a remitted group based on their blood glucose levels during hospitalization as well as into hypoglycemic agent users and nonusers.

resultsCompared to the non-NDD individuals, individuals with NDD had a significantly increased risk of all-cause mortality (adjusted HR after PSM, 2.65; 95% CI, 1.49-4.72;

conclusionOur study reinforces the clinical message that NDD is strongly associated with poor outcomes in COVID-19 patients. Furthermore, resolved hyperglycemia in the later phase of the disease and the use of hypoglycemic agents were associated with improved prognosis in patients with NDD.

Indexed as

blood glucoseCOVID-19hyperglycemianewly diagnosed diabetesprognosis

Identifiers

PMID34795494
PMCPMC8593357
OpenAlexW3211988482

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.