BMI and mortality in critically ill patients with COVID‐19: another brick in the wall of the obesity paradox
Authors' conclusion
Obesity was not associated with higher mortality rates in critically ill patients with COVID-19. Moreover, patients with BMI < 25 kg/m2 had a higher mortality rate compared with those in higher BMI categories.
Study context
- Population
- Adults aged ≥18 years admitted to the ICU with SARS-CoV-2, March 2020 to December 2021868 analysed
- Participants
- 977 adults
- Exposure
- Obesity vs no obesity
- Obesityn = 382
- Outcome
- In-hospital mortality
Methodological detailsmulticentre, Data from electronic medical records, Multiple logistic regression and restricted cubic splines analyses
- Multicentre
- Data from electronic medical records
- Multiple logistic regression and restricted cubic splines analyses
Main finding
As reported in the abstract
P = 0.06
- Overall in-hospital mortality
- 48%
Observational data: associations, not effects.
Further findings
Prone positioning
P < 0.001
Use of vasoactive medications
P < 0.001
Original publication
BMI and mortality in critically ill patients with COVID‐19: another brick in the wall of the obesity paradox. Obesity (Silver Spring). Published 30 June 2024. doi:10. 1002/ oby. 24069
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