Diabetes Mellitus in the context of COVID-19: Epidemiological analysis of the period before the start of the pandemic and during the pandemic period

Authors

DOI:

https://doi.org/10.52076/eacad-v4i3.508

Keywords:

Diabetes mellitus; SARS-CoV-2; Indicators of morbidity and mortality; Complications of diabetes.

Abstract

Introduction: Diabetes Mellitus (DM) is a metabolic syndrome of multiple origins, resulting from the lack of insulin or the inability to adequately exert its effects, characterizing high levels of glucose in the blood (hyperglycemia), which, if not managed, can generate large harm to the citizen. On the other hand, COVID-19 is related to important systemic impacts on human beings, especially those with DM, causing important complications for both the patient and the healthcare system. Objective: to evaluate existing data before and after the COVID-19 pandemic relating the morbidity of diabetes mellitus at the outpatient and hospital levels. Methodology: Data were collected via the platform of the IT department of the Unified Health System (DATASUS), corresponding to the period from January 2018 to January 2020, for data prior to the pandemic and from February 2020 to December 2022 for subsequent data. Data were analyzed regarding the number of hospitalizations, average cost per patient, number of deaths and mortality rate related to DM. Results: In relation to the number of hospitalized patients, there was a decrease during the pandemic period, however, the average cost per patient and the mortality rate increased significantly at the outpatient and hospital levels. Conclusion: The decrease in hospitalization numbers can be justified by social isolation measures, preventive measures to combat COVID-19 and the increase in the mortality rate combined with the average cost per patient, can be justified by a decrease in the management of these pathologies.

References

BENACON, G.S; JEZINI, D.L. Covid-19 e diabetes mellitus: Uma revisão sistemática acerca de complicações, marcadores inflamatórios e mortalidade. Revista HUGV. V:20. Pág: 03-09. Manaus. 2021.

BRASIL. Secretaria de Vigilância em Saúde. Guia de Vigilância em Saúde. Brasília: Ministério da Saúde, 2021.

GOLDMAN, L. et al. Medicina Interna Goldman, Cecil. 25 ed. Rio de Janeiro. Elsevier. 2018.

JAMESON, J.L. et al. Medicina Interna de Harrison. 20. Ed. Porto Alegre – RS. AMGH, 2020.

MARDONES, S.P; GOMEZ, P.C; SOTO, N. Diabetes mellitus y Covid-19. Epidemiologia, fisiopatologia, manejo ambulatório e intrahospitalario. Revista Chilena de Endocrinologia. Ed 13. Pág: 170-176. Dezembro de 2020

MARINHO, F.P. et al. Inter-relação entre COVID-19 e diabetes mellitus: uma revisão sistemática. Research, Society and Development. V:10. N°2. Fevereiro. 2021. http://dx.doi.org/10.33448/rsd-v10i2.12191.

MONTEIRO, A.R. et al. Diabetes mellitus, obesidade e maus hábitos de vida: sua relação com a COVID-19. Revista Científica da FMC. v.15. n.2. 2020. http://dx.doi.org/10.29184/1980-7813.rcfmc.377

MUZY, J. et al. Prevalência de diabetes mellitus e suas complicações e caracterização das lacunas na atenção à saúde a partir da triangulação de pesquisas. Cadernos de saúde pública. V:37. 2021.

NASSAR, M. et al. Diabetes Mellitus and Covid-19: Review article. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. V:15. N°6. 2021. https://doi.org/10.1016/j.dsx.2021.102268

OKAMOTO, I.J.S; JUSTINO, J.C.M; SOUZA, J.A.S. Complicações da Covid-19 em pacientes diabéticos: uma revisão da literatura. Revista Ibero-Americana de humanidades, ciências e educação – REASE. V:8. N°5. São Paulo. https://doi.org/10.51891/rease.v8i5.5586. Maio.2022

ROSA, M.R.S; GONÇALVES, A.C.O. A pandemia de Covid-19 e seus impactos em nos pacientes com Diabetes Mellitus. Research, Society and Development. V:11. N°3. Fevereiro. 2022. http://dx.doi.org/10.33448/rsd-v11i3.26512

SILVA, A.D.S. et al. Manifestações clínicas e laboratoriais da covid-19 em pessoas com diabetes: revisão integrativa. Revista Enfermagem Atual in Derme. Edição especial Covid-19. 2020

PEREIRA, Adriana Soares et al. Metodologia da pesquisa científica, Santa Maria/RS. Ed. 1 UAB/NTE/UFSM, 2018.

SOCIEDADE BRASILEIRA DE PATOLOGIA. Pandemia do COVID-19: o maior desafio do século XXI. 2020.

TSCHIEDEL, B. Complicações crônicas do diabetes. Sociedade brasileira de Endocrinologia. V:105. N°5. Setembro-Outubro. 2014

VELASCO, Irineu Tadeu et al. Medicina de emergência: abordagem prática. Barueri, SP: Manole. Ed 15. 2021

Published

14/10/2023

How to Cite

Fernandes, V., & Pescador, M. V. B. . (2023). Diabetes Mellitus in the context of COVID-19: Epidemiological analysis of the period before the start of the pandemic and during the pandemic period . E-Acadêmica, 4(3), e0543508. https://doi.org/10.52076/eacad-v4i3.508

Issue

Section

Health and Biological Sciences