Evidence map›Paper›PMID 35093158›Full record

ArticleGut pathogens2022

Obesity is not associated with adverse outcomes among hospitalized patients with Clostridioides difficile infection.

Alyyah Malick, Ying Wang, Jordan Axelrad, Hojjat Salmasian, Daniel Freedberg

Open access · goldAbstract read
In one paragraph

Article in Gut pathogens, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 42% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Metabolic Syndrome Is Associated With Increased Risk ofOpen forum infectious diseases · 2026
    Article
  2. The Impact of Obesity onJournal of clinical medicine · 2025
    Article
  3. Antibiotics (Basel, Switzerland) · 2024
    Article
  4. Review
  5. Le infezioni in medicina · 2024
    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

5 authors at 4 institutions in 1 country.

Alyyah MalickDivision of Digestive and Liver Diseases, Columbia University Irving Medical Center, New York, USA. am5106@cumc.columbia.edu.ORCID http://orcid.org/0000-0002-9000-5213
Ying WangDivision of Gastroenterology and Hepatology, Robert Wood Johnson University Hospital, New Brunswick, USA.
Jordan AxelradInflammatory Bowel Disease Center, Division of Gastroenterology, New York Grossman School of Medicine, New York, USA.
Hojjat SalmasianDivision of General Internal Medicine, Brigham and Women's Hospital, Boston, USA.
Daniel FreedbergDivision of Digestive and Liver Diseases, Columbia University Irving Medical Center, New York, USA.
Columbia University Irving Medical Center · USBrigham and Women's Hospital · USNew York University · USRobert Wood Johnson University Hospital · US

Funding

The Role of Enteric Infection in Flares of Inflammatory Bowel DiseaseK23DK124570 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI AXELRAD, JORDAN ERIC · 2021 to 2025
$998k
Irving Medical Center, Columbia University Scholar AwardNIDDK NIH HHS K23 DK124570NIDDK NIH HHS K23DK124570U.S. Department of Defense PR181960
6 · The paper itself

Abstract

backgroundObesity is associated with increased risk for death in most infections but has not been studied as a risk factor for mortality in Clostridioides difficile infection (CDI). This study tested obesity as a risk factor for death in patients hospitalized with CDI. This was a three-center retrospective study that included hospitalized adults with CDI at Columbia University Irving Medical Center, Brigham and Women's Hospital, and NYU Langone from 2010 to 2018. Multivariate logistic regression was used to assess the relationship between obesity, measured by body mass index, and death from any cause within 30 days after the index CDI test.

resultsData for 3851 patients were analyzed, including 373 (9.7%) who died within 30 days following a diagnosis of CDI. After adjusting for other factors, BMI was not associated with increased risk for death in any BMI category [adjusted OR (aOR) 0.96, 95% CI 0.69 to 1.34 for BMI > 30 vs BMI 20-30; aOR 1.02, 95% CI 0.53 to 1.87 for BMI > 40 vs BMI 20-30]. After stratifying into three groups by age, there were trends towards increased mortality with obesity in the middle-aged (56-75 vs ≤ 55 years old) yet decreased mortality with obesity in the old (> 75 vs ≤ 55) (p = NS for all). Advanced age and low albumin were the factors most strongly associated with death.

conclusionsWe found no association between obesity and death among patients with CDI, in contrast to most other infections. Obesity is not likely to be useful for risk-stratifying hospitalized patients with CDI.

Indexed as

AgeBody mass indexClostridioides difficileMortalityObesity

Identifiers

PMID35093158
PMCPMC8799984
OpenAlexW4210664057

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.