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. 2023 May 24;2023(5):CD015201. doi: 10.1002/14651858.CD015201

Ahlstrom 2021.

Study characteristics
Notes English title
The Swedish Covid‐19 intensive care cohort: risk factors of ICU admission and ICU mortality
Study setting
Start of study recruitment (MM/YYYY): NR
End of study recruitment (MM/YYYY): 05/2020
Study design: Case‐control
Study centre(s): Multiple centres/clinics/areas within a country
Number of centres, clinics or areas: NR
Study setting: Inpatient
Number of participants recruited: 1981
Sampling method: Consecutive participants
Participants
Female participants (absolute number): 516
Age measure, value: Median (IQR), 61 (52‐69)
Inclusion criteria: The study population was defined by at least one COVID‐19 registration in the SIRI until data acquisition on 27 May 2020. From RTB, four age‐ and sex‐matched controls per patient were drawn. Age matching was performed as close to ICU admission as possible, on the age at 31 January 2020. Cases could not become controls and controls could not be selected twice.
Exclusion criteria: Exclusion criteria were aged < 18 years or the absence of a Swedish personal identification number (PIN)
Smoking frequency: NR
Diabetes frequency: 522
Hypertension frequency: 982
Cardiovascular disease frequency: 317
Asthma frequency: 133
Chronic obstructive pulmonary disease frequency: 75
Other pulmonary disease frequency: NR
Immunosuppression frequency: 236
Chronic kidney disease frequency: 75
Cancer frequency: 94
Steroid administration frequency: NR
Supplemental oxygen administration frequency: NR
Other treatments (frequency): NR
Prognostic factor(s)
Study’s definition for obesity: Obesity was defined based on ICD‐10 coding E66
The time when obesity has been measured: Before disease or right at presentation
Main variable used for determination of obesity: BMI
Threshold used for definition: 30
Obesity frequency (absolute number): 123
Prognostic factor(s): BMI > 30 kg/m2
Outcome(s)
Mortality
Outcome (prognostic factor)
Mortality (BMI > 30 kg/m2)
Follow‐up
Number of patients followed completely for the outcome: 1981
Number of obese patients followed completely for the outcome: 123
Number of non‐obese patients followed completely for the outcome: 1858
Univariable unadjusted analysis for obesity
Effect measure for obesity: NR
Effect measure value (95% CI), P value: NR
Multivariable analysis for obesity
Modelling method: Cox regression
The set of prognostic factors used for adjustment: Age, gender, simplified acute physiology score 3 (SAPS3)
Effect measure for obesity: Hazard ratio
Effect measure value (95% CI), P value: 0.87 (0.51, 1.48), 0.61
 
Item Authors' judgement Support for judgement
Study Participation Yes Appendix 3
Study Attrition
Mortality Yes Appendix 3
Prognostic Factor Measurement Yes Appendix 3
Outcome Measurement
Mortality Yes Appendix 3
Confounding Bias
Mortality Unclear Appendix 3
Statistical Analysis Bias Yes Appendix 3