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Article ; Online: Atherogenic Dyslipidemia on Admission Is Associated With Poorer Outcome in People With and Without Diabetes Hospitalized for COVID-19.

Bellia, Alfonso / Andreadi, Aikaterini / Giudice, Luca / De Taddeo, Sofia / Maiorino, Alessio / D'Ippolito, Ilenia / Giorgino, Federica Maria / Ruotolo, Valeria / Romano, Maria / Magrini, Andrea / Di Daniele, Nicola / Rogliani, Paola / Lauro, Davide

Diabetes care

2021  Volume 44, Issue 9, Page(s) 2149–2157

Abstract: ... We examined associations of atherogenic dyslipidemia detected on admission with outcome of COVID-19 during ... levels characterize the atherogenic dyslipidemia closely related to insulin resistance and diabetes ... logistic regression analysis.: Results: Patients with critical COVID-19 (: Conclusions: Atherogenic dyslipidemia ...

Abstract Objective: Identifying metabolic factors associated with critical disease can help to improve management of patients hospitalized for coronavirus disease 2019 (COVID-19). High triglycerides and low HDL levels characterize the atherogenic dyslipidemia closely related to insulin resistance and diabetes. We examined associations of atherogenic dyslipidemia detected on admission with outcome of COVID-19 during hospitalization.
Research design and methods: We retrospectively analyzed clinical reports of 118 consecutive patients hospitalized for COVID-19 in Rome, Italy, between March and May 2020. Clinical characteristics, inflammation markers, and glucose and lipid metabolism parameters at admission were collected. Critical disease was defined as in-hospital death or need for endotracheal intubation. Associations were tested using logistic regression analysis.
Results: Patients with critical COVID-19 (
Conclusions: Atherogenic dyslipidemia detected on admission can be associated with critical in-hospital course of COVID-19. Further investigations are needed to elucidate the hypothetical role of insulin resistance and related lipid abnormalities in severe acute respiratory syndrome coronavirus 2 pathogenesis. Assessment of lipid profile should be encouraged in patients hospitalized for COVID-19.
MeSH term(s) COVID-19 ; Diabetes Mellitus ; Dyslipidemias/complications ; Dyslipidemias/epidemiology ; Hospital Mortality ; Hospitalization ; Humans ; Retrospective Studies ; Risk Factors ; SARS-CoV-2
Language English
Publishing date 2021-07-12
Publishing country United States
Document type Journal Article
ZDB-ID 441231-x
ISSN 1935-5548 ; 0149-5992
ISSN (online) 1935-5548
ISSN 0149-5992
DOI 10.2337/dc20-2838
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Zs.A 1434: Show issues Location:
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