Evidence map›Paper›PMID 31291389›Full record

ArticleClinics (Sao Paulo, Brazil)2019

Lower long-term mortality in obese patients with community-acquired pneumonia: possible role of CRP.

Jin Chen, Jia Wang, Hui Jiang, Mao-Chun Li, Si-Yuan He, Xiao-Peng Li, Dantong Shen

Abstract read
In one paragraph

Article in Clinics (Sao Paulo, Brazil), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jin ChenDepartment of Critical Care Medicine, Xiehe Hospital of Dongxihu District, Wuhan People's Hospital of Dongxihu District, Wuhan, 430000, China.ORCID 0000-0003-4410-6547
Jia WangDepartment of Critical Care Medicine, Xiehe Hospital of Dongxihu District, Wuhan People's Hospital of Dongxihu District, Wuhan, 430000, China.
Hui JiangDepartment of Respiratory, Wanbei Coal-Electricity Group General Hospital, Suzhou 234011, Anhui Province, China.
Mao-Chun LiDepartment of Pharmacy, The Central Hospital of Wuhan affiliated to Tongji Medical College, Huazhong University of Science and Technology, 430024, Wuhan, China.
Si-Yuan HeDepartment of Nephrology, Tongji Hospital affiliated to Huazhong University of Science and Technology, Wuhan, 430030, China.
Xiao-Peng LiDepartment of Neurosurgery, Tongji Hospital affiliated to Huazhong University of Science and Technology, Wuhan, 430030, China.
Dantong ShenDepartment of Neurologic Rehabilitation, Neurologic Specialized Hospital, General Hospital of Southern Theater Command, Guangzhou, 510010, China.ORCID 0000-0002-9650-8508

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe present study aimed to investigate the relationship between obesity and mortality in patients with community-acquired pneumonia (CAP) in China.

methodsIn total, 909 patients with CAP were recruited for this study from January 2010 to June 2015. All patients were selected and divided into 4 groups according to their body mass index (BMI) values. All patients' clinical information was recorded. The associations among mortality; BMI; the 30-day, 6-month and 1-year survival rates for different BMI classes; the etiology of pneumonia in each BMI group; and the risk factors for 1-year mortality in CAP patients were analyzed.

resultWith the exception of the level of C-reactive protein (CRP), no other clinical indexes showed significant differences among the different BMI groups. No significant differences were observed among all groups in terms of the 30-d and 6-month mortality rates (p>0.05). There was a significantly lower risk of 1-year mortality in the obese group than in the nonobese group, (p<0.05). Logistic regression analysis showed that there were seven independent risk factors for 1-year mortality in CAP patients, namely, age, cardiovascular disease, cerebrovascular disease, obesity, APACHE II score, level of CRP and CAP severity.

conclusionCompared with nonobese patients with CAP, obese CAP patients may have a lower mortality rate, especially with regard to 1-year mortality, and CRP may be associated with the lower mortality rate in obese individuals than in nonobese individuals.

Indexed as

AgedAged, 80 and overBody Mass IndexChinaCommunity-Acquired InfectionsC-Reactive ProteinFemaleHumansMaleMiddle AgedObesityPneumoniaRetrospective StudiesRisk FactorsSeverity of Illness IndexC-Reactive Protein

Identifiers

PMID31291389
PMCPMC6607938

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.