Diabetic eye disease is associated with a fivefold risk of severe covid-19

Diabetic eye disease is associated with a fivefold risk of severe covid-19

LONDON (Reuters) – People with diabetes and eye disease are five times more likely to need intubation if they are hospitalized with covid-19, a new study finds.
The study, published today by King’s College London in Diabetes Research and Clinical Practice, states for the first time that there is a risk associated with diabetic retinopathy and covid-19.
Diabetic eye disease is a common complication of diabetes and is caused by damage to small blood vessels in the eye. In 2014, the prevalence of diabetic retinopathy was 54.6% in people with type 1 diabetes and 30.0% in people with type 2 diabetes.
In this study, 187 people with diabetes (179 with type 2 diabetes and 8 with type 1 diabetes) were hospitalized with covid-19 in the village and at the NHS Foundation Trust in St. Thomas between March 12 and April 7, 2020. ۔
Diabetic retinopathy is found in 67 (36%) patients, the majority of whom are from retinal retinopathy. Out of 187 patients admitted to the hospital with acute covid 19, 26% were undergoing treatment and 45% of these patients. Had retinopathy. Retinopathy was associated with a five-fold increased risk of intubation, in which 32 patients died, and no association between retinopathy and mortality was found.
The first author of the study, Dr Antonella Corsillo of the King’s College London School of Cardiovascular Medicine and Sciences, said: “This is the first time that retinopathy in people with diabetes has been strongly linked to covid 19. Damage to the blood vessels and our results suggest that such pre-existing damage to the blood vessels can lead to severe Covid 19 infections that require intensive care. Is.
Dr Janaka Carlyleda, a senior author at King’s College London, said: “There is growing evidence that patients undergoing acute covid 19 have significant damage to blood vessels in the lungs and other organs. People with Alzheimer’s have a higher risk of vascular complications that affect the large and small ducts.
“We hypothesize that the presence of diabetic-related vascular disease such as retinopathy may increase the risk and sensitivity to acute respiratory failure in acute covid. Healthcare can help. Professionals identify patients at high risk of covid 19. Further studies are needed to examine the possible mechanism that can be used to differentiate between markers and manifestations of diabetic vascular disease. Explain links such as retinopathy and acute covid 19.
Dr Louise Go, RNIB’s ophthalmologist, said: “The RNIB hopes that this research will lead to greater awareness of those who have severe complications from Code 19. Vaccines are being planned, so people should consider giving preference to those with diabetes retinopathy. I am available to people with disabilities so that they know how to protect themselves. ”
The limitations of this study include its relatively small sample size and, since it is a cross-sectional study, it is unable to identify the established relationship between the results of retinopathy and severe covid-19.

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