Evidence map›Paper›PMID 33755331›Full record

ArticleObesity (Silver Spring, Md.)2021

Obesity, Ethnicity, and Risk of Critical Care, Mechanical Ventilation, and Mortality in Patients Admitted to Hospital with COVID-19: Analysis of the ISARIC CCP-UK Cohort.

Thomas Yates, Francesco Zaccardi, Nazrul Islam, Cameron Razieh, Clare L Gillies, Claire A Lawson, Yogini Chudasama, Alex Rowlands, Melanie J Davies, Annemarie B Docherty and 5 more

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Obesity as an independent risk factor for COVID-19 severity and mortality.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Pooled it
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  15. Reviving the mutual impact of SARS-COV-2 and obesity on patients: From morbidity to mortality.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2022
    Review
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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

15 authors.

Thomas YatesDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.
Francesco ZaccardiDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.
Nazrul IslamClinical Trial Service Unit and Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Cameron RaziehDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.ORCID 0000-0003-3597-2945
Clare L GilliesDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.
Claire A LawsonDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.
Yogini ChudasamaLeicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester, UK.
Alex RowlandsDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.
Melanie J DaviesDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.
Annemarie B DochertyCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, UK.
Peter J M OpenshawNational Heart and Lung Institute, Imperial College London, London, UK.
J Kenneth BaillieRoslin Institute, University of Edinburgh, Edinburgh, UK.
Malcolm G SempleNIHR Health Protection Research Unit in Emerging and Zoonotic Infections and Institute of Translational Medicine, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.ORCID 0000-0001-9700-0418
ISARIC4C investigators
Kamlesh KhuntiDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.

Funding

Medical Research Council MC_PC_15001Medical Research Council MC_PC_19025Medical Research Council MC_PC_19059Medical Research Council MR/R005982/1Medical Research Council MR/V020536/1NIHR CO-CIN-01UKRI-DHSC MR/V020536/1Wellcome Trust 109965/Z/15/Z
6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate the association of obesity with in-hospital coronavirus disease 2019 (COVID-19) outcomes in different ethnic groups.

methodsPatients admitted to hospital with COVID-19 in the United Kingdom through the Clinical Characterisation Protocol UK (CCP-UK) developed by the International Severe Acute Respiratory and emerging Infections Consortium (ISARIC) were included from February 6 to October 12, 2020. Ethnicity was classified as White, South Asian, Black, and other minority ethnic groups. Outcomes were admission to critical care, mechanical ventilation, and in-hospital mortality, adjusted for age, sex, and chronic diseases.

resultsOf the participants included, 54,254 (age = 76 years; 45.0% women) were White, 3,728 (57 years; 41.1% women) were South Asian, 2,523 (58 years; 44.9% women) were Black, and 5,427 (61 years; 40.8% women) were other ethnicities. Obesity was associated with all outcomes in all ethnic groups, with associations strongest for black ethnicities. When stratified by ethnicity and obesity status, the odds ratios for admission to critical care, mechanical ventilation, and mortality in black ethnicities with obesity were 3.91 (3.13-4.88), 5.03 (3.94-6.63), and 1.93 (1.49-2.51), respectively, compared with White ethnicities without obesity.

conclusionsObesity was associated with an elevated risk of in-hospital COVID-19 outcomes in all ethnic groups, with associations strongest in Black ethnicities.

Indexed as

AdultAgedCohort StudiesComorbidityCOVID-19Critical CareEthnicityFemaleHospitalizationHospital MortalityHumansMaleMiddle AgedMinority GroupsObesityOdds Ratio

Identifiers

PMID33755331
PMCPMC8251439

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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.