Evidence map›Paper›PMID 33326480›Full record

ArticlePloS one2020

Clinical outcomes and inflammatory marker levels in patients with Covid-19 and obesity at an inner-city safety net hospital.

Anahita Mostaghim, Pranay Sinha, Catherine Bielick, Selby Knudsen, Indeevar Beeram, Laura F White, Caroline Apovian, Manish Sagar, Natasha S Hochberg

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
0.8field-weighted citation impact, top 15% of its field
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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Obesity as an independent risk factor for COVID-19 severity and mortality.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Article
  5. COVID-19, obesity, and immune response 2 years after the pandemic: A timeline of scientific advances.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
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

9 authors at 1 institution in 1 country.

Anahita MostaghimDepartment of Internal Medicine, School of Medicine, Boston University, Boston, Massachusetts, United States of America.ORCID 0000-0002-5790-9288
Pranay SinhaSection of Infectious Diseases, Department of Internal Medicine, School of Medicine, Boston University, Boston, Massachusetts, United States of America.
Catherine BielickDepartment of Internal Medicine, School of Medicine, Boston University, Boston, Massachusetts, United States of America.ORCID 0000-0003-1871-3909
Selby KnudsenSection of Infectious Diseases, Department of Internal Medicine, School of Medicine, Boston University, Boston, Massachusetts, United States of America.
Indeevar BeeramSchool of Medicine, Boston University, Boston, Massachusetts, United States of America.
Laura F WhiteDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, United States of America.ORCID 0000-0002-0588-8235
Caroline ApovianSection of Endocrinology, Diabetes, Nutrition, and Weight Management, Department of Internal Medicine, School of Medicine, Boston University, Boston, Massachusetts, United States of America.
Manish SagarSection of Infectious Diseases, Department of Internal Medicine, School of Medicine, Boston University, Boston, Massachusetts, United States of America.
Natasha S HochbergSection of Infectious Diseases, Department of Internal Medicine, School of Medicine, Boston University, Boston, Massachusetts, United States of America.ORCID 0000-0002-5449-9973
Boston University · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
Transgenic CoreP30DK046200 · NIDDK · TUFTS MEDICAL CENTER · PI GREENBERG, ANDREW S, PERISSI, VALENTINA · 1992 to 2021
$25.0M
BU Clinical HIV/AIDS Research Training Program (BU-CHART)T32AI052074 · NIAID · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Benjamin P. Linas · 2003 to 2026
$6.7M
Resolving functional aggregates: A new perspective on innate immune controlDP1AI152074 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI HUR, SUN · 2019 to 2023
$6.2M
HIV-1 mucosal transmission and persistenceK24AI145661 · NIAID · BOSTON MEDICAL CENTER · PI SAGAR, MANISH · 2019 to 2023
$908k
NIAID NIH HHS DP1 AI152074NIAID NIH HHS K24 AI145661NIAID NIH HHS P30 AI042853NIAID NIH HHS T32 AI052074NIDDK NIH HHS P30 DK046200NIH HHS 5T32AI152074-13
6 · The paper itself

Abstract

objectivesPatients with Covid-19 and obesity have worse clinical outcomes which may be driven by increased inflammation. This study aimed to characterize the association between clinical outcomes in patients with obesity and inflammatory markers.

methodsWe analyzed data for patients aged ≥18 years admitted with a positive SARS-CoV-2 PCR test. We used multivariate logistic regression to determine the association between BMI and intensive care unit (ICU) transfer and all-cause mortality. Inflammatory markers (C-reactive protein [CRP], lactate dehydrogenase [LDH], ferritin, and D-dimer) were compared between patients with and without obesity (body mass index [BMI] ≥30 kg/m2).

resultsOf 791 patients with Covid-19, 361 (45.6%) had obesity. In multivariate analyses, BMI ≥35 was associated with a higher odds of ICU transfer (adjusted odds ratio [aOR] 2.388 (95% confidence interval [CI]: 1.074-5.310) and hospital mortality (aOR = 4.3, 95% CI: 1.69-10.82). Compared to those with BMI<30, patients with obesity had lower ferritin (444 vs 637 ng/mL; p<0.001) and lower D-dimer (293 vs 350 mcg/mL; p = 0.009), non-significant differences in CRP (72.8 vs 84.1 mg/L, p = 0.099), and higher LDH (375 vs 340, p = 0.009) on the first hospital day.

conclusionsPatients with obesity were more likely to have poor outcomes even without increased inflammation.

Indexed as

Safety-net ProvidersAdultAgedBiomarkersBody Mass IndexCOVID-19FemaleHospital MortalityHumansIntensive Care UnitsLogistic ModelsMaleMiddle AgedObesityOdds RatioRetrospective StudiesBiomarkers

Identifiers

PMID33326480
PMCPMC7744045
OpenAlexW3111747257

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.