Evidence map›Paper›PMID 33549439›Full record

ArticleNutrition, metabolism, and cardiovascular diseases : NMCD2021

Obesity as a risk factor for unfavourable outcomes in critically ill patients affected by Covid 19.

Andrea P Rossi, Leonardo Gottin, Katia Donadello, Vittorio Schweiger, Riccardo Nocini, Matteo Taiana, Mauro Zamboni, Enrico Polati

Abstract read
In one paragraph

Article in Nutrition, metabolism, and cardiovascular diseases : NMCD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Obesity as an independent risk factor for COVID-19 severity and mortality.The Cochrane database of systematic reviews · 2023
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  7. Temporal Trends in Pulmonary Embolism Mortality Associated with COVID-19 in the United States: A 5-Year Retrospective Analysis.The International journal of angiology : official publication of the International College of Angiology, Inc · 2025
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  15. COVID-19: Using high-throughput flow cytometry to dissect clinical heterogeneity.Cytometry. Part A : the journal of the International Society for Analytical Cytology · 2023
    Review
  16. Article
  17. Article
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  19. Leptin as a potential prognostic marker of the severity of COVID-19 infection in obese patients.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2022
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Andrea P RossiDepartment of Medicine, Geriatrics Division, University of Verona, Verona, Italy. Electronic address: andrea.rossi@hotmail.it.
Leonardo GottinDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, Section of Anesthesiology, University of Verona, Verona, Italy.
Katia DonadelloDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, Section of Anesthesiology, University of Verona, Verona, Italy.
Vittorio SchweigerDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, Section of Anesthesiology, University of Verona, Verona, Italy.
Riccardo NociniDepartment of Otorhinolaryngology - Head and Neck Surgery, University of Verona, AOUI-University Hospital Integrated Trust, Verona, Italy.
Matteo TaianaDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, Section of Anesthesiology, University of Verona, Verona, Italy.
Mauro ZamboniDepartment of Medicine, Geriatrics Division, University of Verona, Verona, Italy.
Enrico PolatiDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, Section of Anesthesiology, University of Verona, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsRecent studies show that obesity is a risk factor for hospital admission and for critical care need in patients with coronavirus disease 2019 (COVID-19). The aim was to determine whether obesity is a risk factor for unfavourable health outcomes in patients affected by COVID-19 admitted to ICU. METHODS AND

results95 consecutive patients with COVID-19 (78 males and 18 females) were admitted to ICU and included in the study. Height, weight, BMI, Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores, CRP, CPK, ICU and hospital length of stay and comorbidities were evaluated. Participants with obesity had a lower 28 day survival rate from ICU admission than normal weight subjects. Cox proportional hazard model-derived estimates, adjusted for age, gender and comorbidity, confirmed the results of the survival analysis (HR:5.30,95%C.I.1.26-22.34). Obese subjects showed longer hospital and ICU stay as compared with normal weight counterpart.Subjects with obesity showed significantly higher CRP and CPK levels than normal weight subjects.

conclusionIn individuals with obesity, careful management and prompt intervention in case of suspected SARS-CoV-2 infection is necessary to prevent the progression of the disease towards severe outcomes and the increase of hospital treatment costs.

Indexed as

AdultAgedAged, 80 and overAPACHEBody Mass IndexCOVID-19Critical IllnessFemaleHospitalizationHumansIntensive Care UnitsLength of StayMaleMiddle AgedObesityProportional Hazards ModelsBody mass indexCOVID-19Intensive care unitObesitySARS-CoV-2

Identifiers

PMID33549439
PMCPMC7677044

What OpenQuestion holds

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Registered trials

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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.