Evidence map›Paper›PMID 34970220›Full record

ArticleFrontiers in endocrinology2021

Overweight and Obesity Are Associated With Acute Kidney Injury and Acute Respiratory Distress Syndrome, but Not With Increased Mortality in Hospitalized COVID-19 Patients: A Retrospective Cohort Study.

Jamie van Son, Sabrina M Oussaada, Aydin Şekercan, Martijn Beudel, Dave A Dongelmans, Sander van Assen, Ingo A Eland, Hazra S Moeniralam, Tom P J Dormans, Colin A J van Kalkeren and 12 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 16% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Association of epicardial adipose tissue with the severity and adverse clinical outcomes of COVID-19: A meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Pooled it
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  4. Review
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  10. Deletion of thePulmonary circulation · 2023
    Article
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  13. Observational
  14. Review
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  16. Adipose Tissue Inflammation and Pulmonary Dysfunction in Obesity.International journal of molecular sciences · 2022
    Review
  17. Article
  18. Article
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

22 authors at 8 institutions in 1 country.

Jamie van SonDepartment of Endocrinology and Metabolism, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam University Medical Centre (UMC), University of Amsterdam, Amsterdam, Netherlands.
Sabrina M OussaadaDepartment of Endocrinology and Metabolism, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam University Medical Centre (UMC), University of Amsterdam, Amsterdam, Netherlands.
Aydin ŞekercanDepartment of Surgery, Amsterdam University Medical Centre (UMC), University of Amsterdam, Amsterdam, Netherlands.
Martijn BeudelDepartment of Neurology, Amsterdam University Medical Centre (UMC), Amsterdam Neuroscience, University of Amsterdam, Amsterdam, Netherlands.
Dave A DongelmansDepartment of Intensive Care, Amsterdam University Medical Centre (UMC), University of Amsterdam, Amsterdam, Netherlands.
Sander van AssenDepartment of Internal Medicine/Infectious Diseases, Treant Zorggroep, Emmen, Netherlands.
Ingo A ElandDepartment of Internal Medicine, St. Antonius Hospital, Nieuwegein, Netherlands.
Hazra S MoeniralamDepartment of Internal Medicine, St. Antonius Hospital, Nieuwegein, Netherlands.
Tom P J DormansDepartment of Intensive Care, Zuyderland Medical Center, Heerlen, Netherlands.
Colin A J van KalkerenDepartment of Intensive Care, Zuyderland Medical Center, Heerlen, Netherlands.
Renée A DoumaDepartment of Internal Medicine, Flevo Hospital, Almere, Netherlands.
Daisy RuschDepartment of Intensive Care Medicine, Martini Hospital, Groningen, Netherlands.
Suat SimsekDepartment of Internal Medicine, Noordwest Ziekenhuisgroep, Alkmaar, Netherlands.
Limmie LiuDepartment of Internal Medicine and Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre, Maastricht, Netherlands.
Ruud S KootteDepartment of Acute Internal Medicine, Amsterdam University Medical Centre (UMC), University of Amsterdam, Amsterdam, Netherlands.
Caroline E WyersDepartment of Internal Medicine, Viecuri Medical Center, Noord-Limburg, Venlo, Netherlands.
Richard G IJzermanDepartment of Internal Medicine, Amsterdam University Medical Centre (UMC), Diabetes Centre, Vrije Universiteit (VU) University Medical Centre, Amsterdam, Netherlands.
Joop P van den BerghDepartment of Internal Medicine, Viecuri Medical Center, Noord-Limburg, Venlo, Netherlands.
Coen D A StehouwerDepartment of Internal Medicine and Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre, Maastricht, Netherlands.
Max NieuwdorpDepartment of Vascular Medicine, Amsterdam University Medical Centre (UMC), University of Amsterdam, Amsterdam, Netherlands.
Kasper W Ter HorstDepartment of Endocrinology and Metabolism, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam University Medical Centre (UMC), University of Amsterdam, Amsterdam, Netherlands.
Mireille J SerlieDepartment of Endocrinology and Metabolism, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam University Medical Centre (UMC), University of Amsterdam, Amsterdam, Netherlands.
University of Amsterdam · NLMaastricht University Medical Centre · NLSt. Antonius Ziekenhuis · NLVieCuri Medisch Centrum · NLVrije Universiteit Amsterdam · NLZuyderland Medisch Centrum · NLMartini Ziekenhuis · NLTreant Zorggroep · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the association between overweight and obesity on the clinical course and outcomes in patients hospitalized with COVID-19. Design: Retrospective, observational cohort study. Methods: We performed a multicenter, retrospective, observational cohort study of hospitalized COVID-19 patients to evaluate the associations between overweight and obesity on the clinical course and outcomes. Results: Out of 1634 hospitalized COVID-19 patients, 473 (28.9%) had normal weight, 669 (40.9%) were overweight, and 492 (30.1%) were obese. Patients who were overweight or had obesity were younger, and there were more women in the obese group. Normal-weight patients more often had pre-existing conditions such as malignancy, or were organ recipients. During admission, patients who were overweight or had obesity had an increased probability of acute respiratory distress syndrome [OR 1.70 (1.26-2.30) and 1.40 (1.01-1.96)], respectively and acute kidney failure [OR 2.29 (1.28-3.76) and 1.92 (1.06-3.48)], respectively. Length of hospital stay was similar between groups. The overall in-hospital mortality rate was 27.7%, and multivariate logistic regression analyses showed that overweight and obesity were not associated with increased mortality compared to normal-weight patients. Conclusion: In this study, overweight and obesity were associated with acute respiratory distress syndrome and acute kidney injury, but not with in-hospital mortality nor length of hospital stay.

Indexed as

HospitalizationHospital MortalityAcute Kidney InjuryAgedCOVID-19FemaleHumansIntensive Care UnitsLength of StayMaleMiddle AgedObesityPatient DischargeRespiration, ArtificialRespiratory Distress SyndromeRetrospective StudiescomplicationsCOVID-19mortalityobesityoverweight

Identifiers

PMID34970220
PMCPMC8713548
OpenAlexW4200592601

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.