Insulin Regulation and Severity of Severe Acute Respiratory Syndrome COVID-19 Infection
Impaired Insulin Regulation Determining Severity of Severe Acute Respiratory Syndrome COVID-19 Infection Confounded by Ethnicity
1 other identifier
observational
589
1 country
1
Brief Summary
The Coronavirus Disease of 2019 (COVID-19) pandemic has caused an international healthcare crisis and produced a large healthcare burden. Diabetes mellitus is a common disease that can be controlled via pharmacologic agents; however, many patients have poor glycemic control, leading to disease-related complications. Diabetes mellitus has been reported in the literature to be associated with increasing morbidity and mortality in COVID-19 patients, and some hypothesize that this is due to insulin dysregulation propagating a pro-inflammatory state. The investigators aim to contribute to the growing body of literature that assesses the associations between glucose homeostasis and COVID-19 disease severity and mortality.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2021
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 14, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2022
CompletedFirst Submitted
Initial submission to the registry
May 24, 2023
CompletedFirst Posted
Study publicly available on registry
June 9, 2023
CompletedJune 9, 2023
May 1, 2023
1.2 years
May 24, 2023
June 7, 2023
Conditions
Outcome Measures
Primary Outcomes (3)
Length of hospital stay
The time spent hospitalized in days.
Total time frame was 360 days
Length of time spent intubated on a ventilator
The time spent intubated on a ventilator in days.
30 days
Hospital Mortality
Survival within the first 30 days
30 days
Study Arms (2)
Diabetes Mellitus Positive Group
All patient that have a diagnosis of diabetes mellitus and COVID-19 Diagnosis
Diabetes Mellitus Negative Group
All patient that do not have a diagnosis of diabetes mellitus but do have a diagnosis of COVID-19.
Interventions
Difference in outcomes in patients with COVID-19 diagnosis and diabetes mellitus groups
Eligibility Criteria
To evaluate diabetes mellitus and the associations with COVID-19 disease severity in patients older than 18 years of age.
You may qualify if:
- At least 18 years of age
- COVID-19 confirmed by laboratory testing (ICD10 U07.1)
- Pneumonia due to COVID-19 (ICD10 J12.82)
- Diagnosis of Diabetes Mellitus
You may not qualify if:
- All patients under the age of 18
- COVID in pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Arrowhead Regional Medical Center
Colton, California, 92324, United States
Related Publications (4)
Kumar A, Arora A, Sharma P, Anikhindi SA, Bansal N, Singla V, Khare S, Srivastava A. Is diabetes mellitus associated with mortality and severity of COVID-19? A meta-analysis. Diabetes Metab Syndr. 2020 Jul-Aug;14(4):535-545. doi: 10.1016/j.dsx.2020.04.044. Epub 2020 May 6.
PMID: 32408118BACKGROUNDEspinosa OA, Zanetti ADS, Antunes EF, Longhi FG, Matos TA, Battaglini PF. Prevalence of comorbidities in patients and mortality cases affected by SARS-CoV2: a systematic review and meta-analysis. Rev Inst Med Trop Sao Paulo. 2020 Jun 22;62:e43. doi: 10.1590/S1678-9946202062043. eCollection 2020.
PMID: 32578683BACKGROUNDFox T, Ruddiman K, Lo KB, Peterson E, DeJoy R 3rd, Salacup G, Pelayo J, Bhargav R, Gul F, Albano J, Azmaiparashvili Z, Anastasopoulou C, Patarroyo-Aponte G. The relationship between diabetes and clinical outcomes in COVID-19: a single-center retrospective analysis. Acta Diabetol. 2021 Jan;58(1):33-38. doi: 10.1007/s00592-020-01592-8. Epub 2020 Aug 17.
PMID: 32804317BACKGROUNDApicella M, Campopiano MC, Mantuano M, Mazoni L, Coppelli A, Del Prato S. COVID-19 in people with diabetes: understanding the reasons for worse outcomes. Lancet Diabetes Endocrinol. 2020 Sep;8(9):782-792. doi: 10.1016/S2213-8587(20)30238-2. Epub 2020 Jul 17.
PMID: 32687793BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alexander Phan, MD
Arrowhead Regional Medical Center
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 24, 2023
First Posted
June 9, 2023
Study Start
October 14, 2021
Primary Completion
December 30, 2022
Study Completion
December 30, 2022
Last Updated
June 9, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will not share