Long term health outcomes in people with diabetes 12 months after hospitalisation with COVID-19 in the UK: a prospective cohort study
Year: 2024
Type: article
Study design: Observational Study
Abstract: Background: People with diabetes are at increased risk of hospitalisation, morbidity, and mortality following SARS-CoV-2 infection. Long-term outcomes for people with diabetes previously hospitalised with COVID-19 are, however, unknown. This study aimed to determine the longer-term physical and mental health effects of COVID-19 in people with and without diabetes. Methods: The PHOSP-COVID study is a multicentre, long-term follow-up study of adults discharged from hospital between 1 February 2020 and 31 March 2021 in the UK following COVID-19, involving detailed assessment at 5 and 12 months after discharge. The association between diabetes status and outcomes were explored using multivariable linear and logistic regressions. Findings: People with diabetes who survived hospital admission with COVID-19 display worse physical outcomes compared to those without diabetes at 5- and 12-month follow-up. People with diabetes displayed higher fatigue (only at 5 months), frailty, lower physical performance, and health-related quality of life and poorer cognitive function. Differences in outcomes between diabetes status groups were largely consistent from 5 to 12-months. In regression models, differences at 5 and 12 months were attenuated after adjustment for BMI and presence of other long-term conditions. Interpretation: People with diabetes reported worse physical outcomes up to 12 months after hospital discharge with COVID-19 compared to those without diabetes. These data support the need to reduce inequalities in long-term physical and mental health effects of SARS-CoV-2 infection in people with diabetes. Funding: UK Research and Innovation and National Institute for Health Research. The study was approved by the Leeds West Research Ethics Committee (20/YH/0225) and is registered on the ISRCTN Registry (ISRCTN10980107).
Source: EClinicalMedicine
Authors: Safoora Gharibzadeh, Ash Routen, Cameron Razieh, Francesco Zaccardi, Claire Lawson, Clare Gillies, Simon Heller, Melanie Davies, Helen Atkins, Stephen C. Bain, Nazir L. Lone, Krisnah Poinasamy, Tunde Peto, Elizabeth Robertson, Bob Young, Desmond Johnston, Jennifer Quint, Jonathan Valabhji, Khalida Ismail, Michael Marks, Alex Horsley, Annemarie Docherty, Ewen Harrison, James Chalmers, Ling-Pei Ho, Betty Raman, Chris Brightling, Omer Elneima, Rachel Evans, Neil Greening, Victoria C. Harris, Linzy Houchen-Wolloff, Marco Sereno, Aarti Shikotra, Amisha Singapuri, Louise Wain, Claudia Langenberg, John Dennis, John Petrie, Naveed Sattar, Olivia Leavy, Mattew Richardson, Ruth M. Saunders, Anne McArdle, Hamish McASuley, Tom Yates, Kamlesh Khunti, C.E. Brightling, R.A. Evans, L.V. Wain, J.D. Chalmers, V.C. Harris, L.P. Ho, A. Horsley, M. Marks, K. Poinasamy, B. Raman, A. Shikotra, A. Singapuri, C.E. Brightling, R.A. Evans, L.V. Wain, R. Dowling, C. Edwardson, O. Elneima, S. Finney, N.J. Greening, B. Hargadon, V.C. Harris, L. Houchen--Wolloff, O.C. Leavy, H.J.C. McAuley, C. Overton, T. Plekhanova, R.M. Saunders, M. Sereno, A. Singapuri, A. Shikotra, C. Taylor, S. Terry, C. Tong, B. Zhao, D. Lomas, E. Sapey, C. Berry, C.E. Bolton, N. Brunskill, E.R. Chilvers, R. Djukanovic, Y. Ellis, D. Forton, N. French, J. George, N.A. Hanley, N. Hart, L. McGarvey, N. Maskell, H. McShane, M. Parkes, D. Peckham, P. Pfeffer, A. Sayer, A. Sheikh, A.A.R. Thompson, N. Williams, C.E. Brightling, W. Greenhalf, M.G. Semple, M. Ashworth, H.E. Hardwick, L. Lavelle-Langham, W. Reynolds, M. Sereno, R.M. Saunders, A. Singapuri, V. Shaw, A. Shikotra, B. Venson, L.V. Wain, A.B. Docherty, E.M. Harrison, A. Sheikh, J.K. Baillie, C.E. Brightling, L. Daines, R. Free, R.A. Evans, S. Kerr, O.C. Leavy, N.I. Lone, D. Lozano-Rojas, H.J.C. McAuley, K. Ntotsis, R. Pius, J. Quint, M. Richardson, M. Sereno, M. Thorpe, L.V. Wain, M. Halling-Brown, F. Gleeson, J. Jacob, S. Neubauer, B. Raman, S. 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Institutions: University of Leicester, Leicester General Hospital, Office for National Statistics, University Hospitals of Leicester NHS Trust, National Institute for Health and Care Research, NIHR Leicester Biomedical Research Centre, University of Sheffield, Swansea Bay University Health Board, Swansea University, University of Edinburgh, Asthma + Lung UK, University of London, University College London, Diabetes UK, Imperial College London, King's College London, Chelsea and Westminster Hospital NHS Foundation Trust, Chelsea and Westminster Hospital, London School of Hygiene & Tropical Medicine, University College Hospital, University of Manchester, Hospital for Tropical Diseases, University of Dundee, Ninewells Hospital, Manchester University NHS Foundation Trust, University of Oxford, NIHR Oxford Biomedical Research Centre, MRC Human Immunology Unit, Oxford University Hospitals NHS Trust, University of Cambridge, Wellcome/MRC Institute of Metabolic Science, MRC Epidemiology Unit, Queen Mary University of London, Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Queen's University Belfast, University of Glasgow, University of Liverpool, Arthritis Research UK
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $5,000
Funders: Muscular Dystrophy UK, UK Research and Innovation, National Institute for Health and Care Research, British Heart Foundation, Department of Health and Social Care, Kidney Research UK, Cystic Fibrosis Trust, Diabetes UK, Asthma and Lung UK, Public Health England, Blood Cancer UK, Medical Research Council, NIHR Leicester Biomedical Research Centre, Association of the British Pharmaceutical Industry
Awards: G2306515209, G2371685815, PHOSP-COVID Post-hospitalisation COVID-19 study: a national consortium to understand and improve long-term health outcomes, G3343991030, G3662074923, G4411034795, G4976874386, G5460676972, G5918494183, G611400891, G6622843415, G6854445684, G699656635, G8067524069, G8415457339, G8653730329
OpenAlex ID: W4405866074