Coronavirus, Diabetes
Conditions
Brief summary
COVID-19 (Coronavirus Disease-2019) is a life-threatening infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that appeared in December 2019 in the Wuhan district. COVID-19 has since affected more than 150 countries across the world and especially France. The first epidemiological data, mostly from Chinese studies, indicate that diabetes is one of the most common comorbidities, with high blood pressure, in patients with COVID-19. Moreover, the presence of diabetes at admission would be a risk factor for both ICU hospitalization and death. Nevertheless, specific data on people with diabetes and COVID-19 are fragmentary, justifying the achievement of a dedicated prospective observational study. The French nationwide CORONADO study aims to specifically describe the phenotypic characteristics of patients with diabetes admitted to hospital with COVID-19 infection. Particular attention will be devoted to glycemic control at admission (i.e. the level of HbA1c), the diabetic complications, as well as anti-diabetic and antihypertensive therapies. This study will provide answers to caregivers and patients with diabetes regarding the risk factors related to diabetes for COVID-19 prognosis. This pilot study will be used for the development of new studies and for the establishment of recommendations for the cost of care in patients with diabetes and COVID-19.
Interventions
no interventional study
Sponsors
Nantes University Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients admitted in a hospital center since 10th march 2020 * Patients with COVID19 with biological proof (specific PCR) or with clinical and radiological diagnosis. * Patient with diabetes known before the admission * New onset diabetes discovered at admission (HbA1c value strictly greater than 6.5%)
Exclusion criteria
* subjects opposed to the use of their data * minors, adults under guardianship, protected persons * subject having already been included in the CORONADO study (subject readmitted after discharge following the initial stay). Only the data of the first stay will be maintained.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assess the prevalence of severe forms among hospitalized patients with diabètes and COVID-19 | 1 month | Prevalence of severe forms among all COVID-19 patients with diabetes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| describe the clinical and biological characteristics of hospitalized subjects with diabetes and COVID-19 | 1 month | Use the body weight, type of diabetes, tglycemic control (HbA1C at admission), the comorbidities and complications associated with diabetes and finally the usual therapies. |
| describe the prognosis of hospitalized subjects with diabetes and COVID-19 | 1 month | death at 7 days after admission, hospital death and date of death, total length of hospitalization and discharge procedures, serious form requiring the use of artificial ventilation with tracheal intubation and date of use of this treatment, decision to limit |
| describe the care management of hospitalized subjects with diabetes and COVID-19 | 1 month | care service where the patient is taken care of, insulin therapy (IVSE or multi-injection) and dose of insulin required on D2 and D7 |
Countries
France
Outcome results
None listed