Evidence map›Paper›PMID 39106284›Full record

ArticlePloS one2024

Impact of body mass index on mortality outcomes in intensive care patients with Staphylococcus aureus sepsis: A retrospective analysis.

Heping Xu, Yiqiao Liu, Huan Niu, Hong Wang, Feng Zhan

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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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

5 authors.

Heping XuDepartment of Emergency Medicine, Hainan General Hospital/ Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.ORCID 0000-0001-8298-4995
Yiqiao LiuDepartment of Emergency Medicine, Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.
Huan NiuDepartment of Emergency Medicine, Hainan General Hospital/ Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.
Hong WangDepartment of Emergency Medicine, Hainan General Hospital/ Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.
Feng ZhanDepartment of Emergency Medicine, Hainan General Hospital/ Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence associating body mass index (BMI) with the prognosis of Staphylococcus aureus sepsis remains scarce.

objectiveTo explore the association between BMI and clinical outcomes in intensive care units patients with Staphylococcus aureus sepsis.

methodsA retrospective analysis of patients with Staphylococcus aureus sepsis was conducted using the MIMIC-IV database from the Critical Care Medicine Information. Data were collected within the first 24 hours of intensive care units admission. The primary endpoint was 28-day mortality. The association between BMI and 28-day all-cause mortality was assessed using multivariable logistic regression, subgroup analyses, restricted cubic spline curves and Kaplan-Meier survival analysis.

resultsThe study included 2,295 patients with an average age of 63.5 (16.1) years, 60.2% of whom were male. Multivariate analysis revealed that each 1 kg/m2 increase in BMI was linked to a 2.8% decrease in the risk of 28-day mortality (adjusted OR = 0.972, 95% CI: 0.955-0.990, P = 0.002). Patients in the medium and high BMI categories had significantly lower risks of 28-day mortality compared to those in the low BMI group (OR [95% CI] 0.650 [0.474-0.891]; OR [95% CI] 0.516 [0.378-0.705]; P trend < 0.0001). The RCS model showed a non-linear association between BMI and 28-day mortality (P = 0.014). Kaplan-Meier analysis showed that patients with elevated BMI had lower 28-day mortality (P < 0.0001). Notably, significant interactions between AKI and SOFA with BMI were observed (P<0.05).

conclusionIncreased BMI is associated with a reduced risk of 28-day all-cause mortality in patients with Staphylococcus aureus sepsis.

Indexed as

Body Mass IndexIntensive Care UnitsSepsisStaphylococcal InfectionsStaphylococcus aureusAgedCritical CareFemaleHospital MortalityHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisRetrospective Studies

Identifiers

PMID39106284
PMCPMC11302852

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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.