Evidence map›Paper›PMID 36836153›Full record

ReviewJournal of clinical medicine2023

Association between Body Mass Index and Hospital Outcomes for COVID-19 Patients: A Nationwide Study.

Waleed Khokher, Saffa Iftikhar, Andrew Abrahamian, Azizullah Beran, Ziad Abuhelwa, Rakin Rashid, Hyder Ali, Sadik Khuder, Ragheb Assaly

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
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 5 institutions in 1 country.

Waleed KhokherDepartment of Internal Medicine, University of Toledo, Toledo, OH 43606, USA.ORCID 0000-0001-9539-5583
Saffa IftikharDepartment of Medicine, University of Kansas St Francis Health, Topeka, KS 66606, USA.
Andrew AbrahamianDepartment of Internal Medicine, University of Toledo, Toledo, OH 43606, USA.ORCID 0000-0002-8727-8034
Azizullah BeranDepartment of Gastroenterology, Indiana University, Indianapolis, IN 47405, USA.
Ziad AbuhelwaDepartment of Internal Medicine, University of Toledo, Toledo, OH 43606, USA.ORCID 0000-0002-0031-7150
Rakin RashidDepartment of Internal Medicine, Mercy Catholic Medical Center, Darby, PA 19153, USA.
Hyder AliDepartment of Internal Medicine, Rosalind Franklin University, McHenry Hospital, McHenry, IL 60050, USA.
Sadik KhuderDepartment of Statistics and Public Health, University of Toledo, Toledo, OH 43606, USA.
Ragheb AssalyDepartment of Internal Medicine, University of Toledo, Toledo, OH 43606, USA.
University of Toledo · USCatholic Medical Center · USFranklin University · USIndiana University – Purdue University Indianapolis · USUniversity of Kansas · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) caused significant morbidity and mortality worldwide. There is limited information describing the hospital outcomes of COVID-19 patients in regard to specific body mass index (BMI) categories.

methodsWe utilized the Healthcare Cost and Utilization Project Nationwide Inpatient Sample (NIS) 2020 database to collect information on patients hospitalized for COVID-19 in the United States. Using the International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM) coding system, adult patients (≥18 years of age) with a primary hospitalization for COVID-19 were identified. Adjusted analyses were performed to assess for mortality, morbidity, and resource utilization, and compare the outcomes among patients categorized according to BMI.

resultsA total of 305,284 patients were included in this study. Of them, 248,490 had underlying obesity, defined as BMI ≥ 30. The oldest patients were observed to have BMI < 19, while youngest patients were in the BMI > 50 category. BMI < 19 category had the highest crude in-hospital mortality rate. However, after adjusted regression, patients with BMI > 50 (adjusted odds ratio (aOR) 1.63, 95% CI 1.48-1.79,

conclusionAmong obese patients primarily hospitalized with COVID-19, those with BMI ≥ 40 had significantly increased rates of all-cause in-hospital mortality, need for IMV, mortality associated with IMV, and septic shock. Overall, obese patients had shorter average hospital LOS, however, did not have significantly higher hospitalization charges.

Indexed as

body mass indexCOVID-19hospital stayintubationmortalitynationwide study

Identifiers

PMID36836153
PMCPMC9967784
OpenAlexW4321375200

What OpenQuestion holds

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LicenceCC BY
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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.