Type 2 & other diabetes

Severe COVID-19 Infection in Type 1 and Type 2 Diabetes During the First Three Waves in Sweden

Diabetes CarePublished Nationwide registry-based cohort study

Main finding · COVID-19 hospitalizationResult — go to the resultMultiple-adjusted OR 1.38 95% CI 1.24–1.53

Authors' conclusion

Type 2 diabetes was associated with increased odds for all outcomes, whereas patients with type 1 diabetes had moderately increased odds of hospitalization but not ICU care and death.

Study context

Population
All adults aged ≥18 years in Sweden, with and without diabetes, first three COVID-19 waves until 30 June 2021
Participants
51,402 / 504,337 / 7,824,181
Exposure
T1D or T2D vs no diabetes
  • T1Dn = 51,402
  • T2Dn = 504,337
  • No diabetesn = 7,824,181reference
Outcome
Hospitalization, need for intensive care unit (ICU) care, or death from COVID-19 (odds ratios (ORs) adjusted for age, socioeconomic factors and coexisting conditions)
Follow-up
Until 30 June 2021
Methodological detailsnationwide health registries, multiple-adjusted, machine learning prediction models
  • Nationwide health registries
  • Multiple-adjusted
  • Machine learning prediction models

Main finding

COVID-19 hospitalization

Multiple-adjusted OR

1.38

95% CI 1.24–1.53

Events by group

T1Dvs No diabetes
multiple-adjusted OR 1.38 (95% CI 1.24–1.53)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeT1DT2DNo diabetesOR (95% CI)
ICU care · until 30 June 2021T1Dvs No diabetes0.13%0.56%0.11%1.21 (0.94–1.52)
Death · until 30 June 2021T1Dvs No diabetes0.13%0.80%0.13%1.13 (0.88–1.48)

Predictors of outcomes among patients with diabetes positive for COVID-19 (machine learning)

Age and socioeconomic factors were the dominating features for predicting hospitalization and death in both types of diabetes

Original publication

Severe COVID-19 Infection in Type 1 and Type 2 Diabetes During the First Three Waves in Sweden. Diabetes Care. Published 6 January 2023. doi:10.2337/dc22-1760

Composed by AI from the published abstract and checked against it. How Briefs are made →

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