Evidence map›Paper›PMID 39730662›Full record

ArticleScientific reports2024

Association between BMI and outcomes in critically ill patients: an analysis of the MIMIC-III database.

Wenbo Yu, Weiwei Jiang, Jihong Yuan, Tao Fan, Huiyan Xiao, Lizhu Sun, Yan Zhu, Wenfang Li, Shaoshuai Wu

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Observational
  6. Article
  7. Effectiveness of Nurse-led Interventions on Pain and Complications among Patients Admitted to Intensive Care Unit: A Quasi-experimental study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
    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

9 authors.

Wenbo Yu *Department of Emergency Medicine, PLA Marine Corps Hospital, No. 1 Xinyang Road, Chaozhou, 521021, China.
Weiwei Jiang *Department of Emergency and Critical Care Medicine, Changzheng Hospital, Naval Medical University, No. 415 Fengyang Road, Shanghai, 200003, China.
Jihong Yuan *Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine, No. 358 Datong Road, Shanghai, 200137, China.
Tao FanDepartment of Emergency Medicine, PLA Marine Corps Hospital, No. 1 Xinyang Road, Chaozhou, 521021, China.
Huiyan XiaoDepartment of Emergency Medicine, PLA Marine Corps Hospital, No. 1 Xinyang Road, Chaozhou, 521021, China.
Lizhu SunDepartment of Critical Care Medicine, PLA 96603 Unit Hospital, No. 65 Huaidong Road, Huaihua, 418000, China.
Yan ZhuDepartment of Emergency and Critical Care Medicine, Changzheng Hospital, Naval Medical University, No. 415 Fengyang Road, Shanghai, 200003, China. mise169@163.com.
Wenfang LiDepartment of Emergency and Critical Care Medicine, Changzheng Hospital, Naval Medical University, No. 415 Fengyang Road, Shanghai, 200003, China. chzhedlwf@163.com.
Shaoshuai WuDepartment of Neurosurgery, Minhang Hospital, Fudan University, No. 39 Xinling Road, Shanghai, 201100, China. wushaoshuai1999@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity is a significant public health challenge, yet the link between BMI and mortality in critical illness remains unclear. This study analyzed 19,311 patients from the MIMIC-III database, categorized into underweight, normal weight, overweight, and obese groups. Using Cox models and restricted cubic splines, we explored the complex association between BMI and mortality. Finally, multiple sensitivity analyses were performed to test the robustness of the results. The proportion of underweight patients (2.3%) was the lowest, while overweight (34.8%) and obese (34.5%) patients constituted a large proportion. Being underweight portended a greater risk, while being overweight or obese was associated with a lower risk of mortality, which is consistent with the sensitivity analysis. Moreover, we observed a typical L-shaped association between BMI and the risk of mortality with and without adjustment, with the lowest mortality occurring at approximately 32 kg/m

Indexed as

Body Mass IndexCritical IllnessDatabases, FactualObesityThinnessAgedFemaleHumansIntensive Care UnitsMaleMiddle AgedOverweightProportional Hazards ModelsRisk FactorsBMICritically illICUMortalityObesityRisk factor

Identifiers

PMID39730662
PMCPMC11680908

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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.