Articles Tập 67 Số CĐ15 24/09/2026

STUDY ON CLINICAL AND PARACLINICAL CHARACTERISTICS OF PNEUMONIA IN PATIENTS WITH TYPE 2 DIABETES AT THANH HOA ENDOCRINOLOGY HOSPITAL IN 2023

Nguyen Thi Khuyen
DOI: 10.52163/yhc.v67iCD15.6678
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Abstract

Objectives: (1) Describe some clinical and paraclinical characteristics of pneumonia in patients with type 2 diabetes at Thanh Hoa Endocrinology Hospital; (2) The relationship between type 2 diabetes and the severity of pneumonia in the target group study.

Subjects and methods: Cross-sectional descriptive study of 78 patients with type 2 diabetes treated as inpatients at Thanh Hoa Endocrinology Hospital from April 1, 2023 to September 25, 2023.

Results: The mean age of the patients was 69.04 ± 11.05 years. Reason for admission: difficulty breathing (47.4%), fever (48.7%), cough with phlegm (34.6%). Clinical symptoms: cough with phlegm (64%), difficulty breathing (64%), fever (66.7%), fatigue (44%), chest pain (34.7%); crackles (77.3%), moist crackles (25.3%). Chest X-ray: 53.8% of CURB-65 group (2-5 points) had multiple lobe lesions. The percentage of neutrophils was significantly higher in the CURB-65 (2-5 points) group compared with the CURB-65 (0-1 point) group (p < 0.05). Average hospital stay is 13.41 ± 7.5 days. Treatment results: 83.3% of patients recovered/improved; 16.7% of seriously ill patients asked to return/transfer. HbA1c upon admission in the CURB 65 (2-5 points) group was higher than the CURB 65(0-1 point) group.

Conclusion: Poor long-term glycemic control, reflected by elevated HbA1c levels, was associated with greater severity of pneumonia in patients with type 2 diabetes. Higher HbA1c values were significantly associated with higher CURB-65 scores.

Keywords
Pneumonia, type 2 diabetes.
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