Survival analysis based on body mass index in patients with Covid-19 admitted to the intensive care unit of Amir Al-Momenin Hospital in Arak – 2021

Zangeneh, Morteza; Valeh, Touraj; Sharifi, Amrollah

doi:10.1016/j.obmed.2022.100420

Cited by 1 publication

(2 citation statements)

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“…These findings were similar to that of a large cohort study of Swedish ICU patients with COVID-19, where a high BMI was associated with an increased risk of death and a prolonged length of stay in the ICU [8]. In contrast, other studies have revealed that BMI is unrelated to the survival rate in COVID-19 patients admitted to the ICU [9].…”

Section: Discussionsupporting

confidence: 89%

“…A study investigated the risk of death among patients admitted to the ICU and found that a high BMI was associated with an increased risk of death [8]. However, a recent study with 193 COVID-19 patients showed that BMI was unrelated to the survival rate [9]. Currently, few studies on large, diverse patient populations are widely generalizable concerning hospitalization due to COVID-19.…”

Section: Introductionmentioning

confidence: 99%

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The Association of Body Mass Index with COVID-19 Complications and Survival Rate at a Tertiary Hospital

AlBahrani,

Al-Maqati,

Al Naam

et al. 2023

Life

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A high body mass index (BMI) is a known risk factor for coronavirus infection in hospitalized patients. Our study examined the association between BMI and complications and the survival rate among COVID-19 patients. This retrospective analysis used data from a tertiary hospital in the Eastern Region of Saudi Arabia during two waves of the COVID-19 pandemic. The study included 600 participants, with the majority being between 41 and 60 years old (41.3%) and men comprising 63.5% of the sample. Approximately 42.5% of patients were obese, and 31.3% were overweight. The results showed that BMI was significantly linked to respiratory diseases (p = 0.013); end-stage renal disease (p = 0.021); and cardiovascular disease (p = 0.003) but not diabetes mellitus (p = 0.064). Death occurred in 10.8% of patients; 33.8% were admitted to the ICU; 13.8% needed mechanical ventilation; and 60.7% had lung infiltration. Obese patients with oxygen saturation levels below 93% were 2.45 times more likely to require mechanical ventilation than those in the normal-weight group. Overweight and obese patients were also more likely to require mechanical ventilation than normal-weight patients, with odds ratios of 3.66 and 2.81, respectively. The BMI categorized was not associated with survival rate in COVID-19-hospitalized patients using Kaplan-Meier survival plots (p = 0.061). However, the BMI categorized was associated with survival rate in COVID-19 ICU patients (p < 0.001). In addition, the overweight showed a statistically significant higher hazard ratio of 2.22 (p = 0.01) compared to normal-weight patients using a Cox regression model. A high BMI was identified as an independent risk factor for reduced oxygen saturation (<93%), the need for mechanical ventilation, lung infiltration, mortality, and longer ICU stays in COVID-19 patients.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%