PMID- 32781483 OWN - NLM STAT- MEDLINE DCOM- 20210818 LR - 20210818 IS - 1752-699X (Electronic) IS - 1752-6981 (Linking) VI - 14 IP - 12 DP - 2020 Dec TI - Impact of diabetes mellitus on the risk of severe exacerbation in patients with chronic obstructive pulmonary disease. PG - 1208-1211 LID - 10.1111/crj.13255 [doi] AB - INTRODUCTION: Suffering type 2 diabetes mellitus (T2DM) appears to promote the occurrence of respiratory infections. However, studies to evaluate the risk of hospital admission due to exacerbations in patients with chronic obstructive pulmonary disease (COPD) and concomitant T2DM are scarce. MATERIALS AND METHODS: Prospective, observational study with a maximum follow-up of 18 months. Information on lung function, body mass index, degree of dyspnea, number of exacerbations, comorbidities and pneumococcal vaccination was obtained. Patients were classified into the categories COPD with (COPD/+T2DM) and without T2DM (COPD/-T2DM). RESULTS: A total of 121 patients with COPD were enrolled. Forty-seven (38%) of the study participants were diabetic. The presence of T2DM increased the risk of hospital admission due to COPD exacerbation (OR 2.66; P = 0.031), but no significant difference in the total number of exacerbations was detected. CONCLUSIONS: The risk of hospital admission in the course of exacerbation seems to be higher in COPD/+T2DM patients than in COPD/-T2DM subjects. CI - (c) 2020 John Wiley & Sons Ltd. FAU - Figueira Goncalves, Juan Marco AU - Figueira Goncalves JM AD - Pneumology and Thoracic Surgery Service, University Hospital Nuestra Senora de la Candelaria (HUNSC), Santa Cruz de Tenerife, Spain. FAU - Garcia Bello, Miguel Angel AU - Garcia Bello MA AD - Division of Clinical Epidemiology and Biostatistics, Research Unit, University Hospital Nuestra Senora de la Candelaria (HUNSC) and Primary Care Management, Santa Cruz de Tenerife, Spain. FAU - Golpe, Rafael AU - Golpe R AUID- ORCID: 0000-0002-3759-5322 AD - Respiratory Medicine Service, University Hospital Lucus Augusti, Lugo, Spain. FAU - Alonso Jerez, Juan Luis AU - Alonso Jerez JL AD - General Practice, C.S Tejina, Servicio Canario de Salud, Santa Cruz de Tenerife, Spain. FAU - Garcia-Talavera, Ignacio AU - Garcia-Talavera I AD - Pneumology and Thoracic Surgery Service, University Hospital Nuestra Senora de la Candelaria (HUNSC), Santa Cruz de Tenerife, Spain. LA - eng PT - Journal Article PT - Observational Study DEP - 20200907 PL - England TA - Clin Respir J JT - The clinical respiratory journal JID - 101315570 SB - IM MH - Comorbidity MH - *Diabetes Mellitus, Type 2/complications/epidemiology MH - Disease Progression MH - Humans MH - Prospective Studies MH - *Pulmonary Disease, Chronic Obstructive/complications/epidemiology OTO - NOTNLM OT - chronic obstructive pulmonary disease OT - diabetes mellitus OT - exacerbation EDAT- 2020/08/12 06:00 MHDA- 2021/08/19 06:00 CRDT- 2020/08/12 06:00 PHST- 2020/04/18 00:00 [received] PHST- 2020/08/06 00:00 [accepted] PHST- 2020/08/12 06:00 [pubmed] PHST- 2021/08/19 06:00 [medline] PHST- 2020/08/12 06:00 [entrez] AID - 10.1111/crj.13255 [doi] PST - ppublish SO - Clin Respir J. 2020 Dec;14(12):1208-1211. doi: 10.1111/crj.13255. Epub 2020 Sep 7.