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COVID-19 breakthrough infections in type 1 diabetes mellitus: a cross-sectional study by the COVID-19 Vaccination in Autoimmune Diseases (COVAD) Group

  • COVAD study group
  • Smt. Kashibai Navale Medical College and General Hospital
  • Sanjay Gandhi Postgraduate Institute of Medical Sciences
  • Ministry of Health and Family Welfare
  • Southport and Ormskirk Hospital NHS Trust
  • Aga Khan University
  • Instituto Mexicano del Seguro Social
  • Royal Melbourne Hospital
  • Walter and Eliza Hall Institute of Medical Research
  • University of Melbourne
  • Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals
  • Nippon Medical School
  • Mymensingh Medical College Hospital
  • LEDTC Clinic
  • Universidad del Norte
  • Sofia University St. Kliment Ohridski
  • Karolinska Institutet
  • Örebro University
  • Friedrich-Alexander University Erlangen-Nürnberg
  • Seth GS Medical College and KEM Hospital
  • NIHR Leeds Biomedical Research Centre
  • University of Leeds
  • Universidade de São Paulo
  • All India Institute of Medical Sciences, New Delhi
  • University of Pittsburgh
  • University of Illinois at Chicago
  • Royal Wolverhampton Hospitals NHS Trust
  • University of Manchester
  • Sandwell and West Birmingham Hospitals NHS Trust

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

To investigate the frequency, profile, and severity of COVID-19 breakthrough infections (BI) in patients with type I diabetes mellitus (T1DM) compared to healthy controls (HC) after vaccination. The second COVID-19 Vaccination in Autoimmune Diseases (COVAD-2) survey is a multinational cross-sectional electronic survey which has collected data on patients suffering from various autoimmune diseases including T1DM. We performed a subgroup analysis on this cohort to investigate COVID-19 BI characteristics in patients with T1DM. Logistic regression with propensity score matching analysis was performed. A total of 9595 individuals were included in the analysis, with 100 patients having T1DM. Among the fully vaccinated cohort, 16 (16%) T1DM patients had one BI and 2 (2%) had two BIs. No morbidities or deaths were reported, except for one patient who required hospitalization with oxygen without admission to intensive care. The frequency, clinical features, and severity of BIs were not significantly different between T1DM patients and HCs after adjustment for confounding factors. Our study did not show any statistically significant differences in the frequency, symptoms, duration, or critical care requirements between T1DM and HCs after COVID-19 vaccination. Further research is needed to identify factors associated with inadequate vaccine response in patients with BIs, especially in patients with autoimmune diseases.

Original languageEnglish
Pages (from-to)73-80
Number of pages8
JournalRheumatology International
Volume44
Issue number1
DOIs
StatePublished - Jan 2024

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Breakthrough infections
  • COVID-19
  • Survey
  • Type 1 diabetes mellitus
  • Vaccine

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