Predictive Value of Nutrition and Inflammation-Related Indices on Prognosis in Type 2 Diabetes Mellitus Patients with Coronavirus Disease-2019

This study aimed to demonstrate how the prognostic nutritional index (PNI) and systemic immune-inflammatory index (SII) help predict the severity and prognosis of patients with type 2 diabetes (T2DM) and coronavirus disease (COVID-19). This retrospective cohort study included 501 T2DM patients (male...

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Veröffentlicht in:Şişli Etfal Hastanesi tıp bülteni 2024-01, Vol.58 (1), p.55-61
Hauptverfasser: Batman, Adnan, Ekici, Mustafa, Menekse, Tugba Sanalp, Ciftciler, Rafiye, Yazici, Dilek
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container_title Şişli Etfal Hastanesi tıp bülteni
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creator Batman, Adnan
Ekici, Mustafa
Menekse, Tugba Sanalp
Ciftciler, Rafiye
Yazici, Dilek
description This study aimed to demonstrate how the prognostic nutritional index (PNI) and systemic immune-inflammatory index (SII) help predict the severity and prognosis of patients with type 2 diabetes (T2DM) and coronavirus disease (COVID-19). This retrospective cohort study included 501 T2DM patients (male, 42.1%; female, 57.9%) who were hospitalized due to COVID-19 between April 2020 and December 2020. The patients were divided into survivors and non-survivors. After comparing demographic and laboratory data between the groups, the correlation of PNI and SII with clinical and laboratory data was evaluated. The median (interquartile) ages of the non-survivor and survivor groups were 74 (15) and 69 (14) years, respectively, and the difference was significant (p
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This retrospective cohort study included 501 T2DM patients (male, 42.1%; female, 57.9%) who were hospitalized due to COVID-19 between April 2020 and December 2020. The patients were divided into survivors and non-survivors. After comparing demographic and laboratory data between the groups, the correlation of PNI and SII with clinical and laboratory data was evaluated. The median (interquartile) ages of the non-survivor and survivor groups were 74 (15) and 69 (14) years, respectively, and the difference was significant (p&lt;0.001). The PNI was significantly lower in the non-survivor group than in the survivor group (p&lt;0.001). The SII was significantly higher in the non-survivor group than in the survivor group (p&lt;0.001). PNI was negatively correlated with glucose levels (r=-0.115, p=0.011). If the cut-off PNI value of 29.1 was used, it had a sensitivity and specificity of 76.2% and 76.3%, respectively, in predicting the severity of the illness and the risk of death in T2DM patients. 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If the cut-off PNI value of 29.1 was used, it had a sensitivity and specificity of 76.2% and 76.3%, respectively, in predicting the severity of the illness and the risk of death in T2DM patients. Consequently, the PNI and SII levels are effective in predicting survival and disease severity in patients with COVID-19 and T2DM.</abstract><cop>Turkey</cop><pub>KARE Publishing</pub><pmid>38808055</pmid><doi>10.14744/SEMB.2023.36699</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects B cells
Cohort analysis
Coronaviruses
COVID-19
Dextrose
Diabetes
Diet therapy
Glucose
Hospital patients
Inflammation
Laboratories
Medical prognosis
Medical research
Medicine, Experimental
Original Research
Prognosis
Type 2 diabetes
title Predictive Value of Nutrition and Inflammation-Related Indices on Prognosis in Type 2 Diabetes Mellitus Patients with Coronavirus Disease-2019
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