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

Parikh 2020.

Study characteristics
Notes English title
ICU outcomes in Covid‐19 patients with obesity
Study setting
Start of study recruitment (MM/YYYY): 03/2020
End of study recruitment (MM/YYYY): 05/2020
Study design: Retrospective cohort
Study centre(s): Single centre/clinic/area within a country
Number of centres, clinics or areas: 1
Study setting: Inpatient
Number of participants recruited: 160
Sampling method: Consecutive participants
Participants
Female participants (absolute number): 55
Age measure, value: Mean (SD), 60.35 (16.48)
Inclusion criteria: Adult patients with laboratory‐confirmed SARS‐CoV‐2 who were admitted to the ICU
Exclusion criteria: NR
Smoking frequency: 61 (including ex‐smokers)
Diabetes frequency: 74
Hypertension frequency: 106
Cardiovascular disease frequency: 39
Asthma frequency: 19
Chronic obstructive pulmonary disease frequency: 15
Other pulmonary disease frequency: NR
Immunosuppression frequency: 6
Chronic kidney disease frequency: 39
Cancer frequency: 18
Steroid administration frequency: NR
Supplemental oxygen administration frequency: NR
Other treatments (frequency): Tocilizumab (40), anakinra (16), sarilumab (32), remdesivir (2), self‐prone (spontaneously breathing) (67), vasopressors (74), tracheostomy (7)
Prognostic factor(s)
Study’s definition for obesity: BMI ≥ 30
The time when obesity has been measured: NR
Main variable used for determination of obesity: BMI
Threshold used for definition: 30
Obesity frequency (absolute number): 83
Prognostic factor(s): BMI ≥ 30
Outcome(s)
In‐hospital death
Length of stay
Length of ICU stay
Mechanical ventilation
Outcome (prognostic factor)
In‐hospital death (BMI ≥ 30)
Follow‐up
Number of patients followed completely for the outcome: 160
Number of obese patients followed completely for the outcome: 83
Number of non‐obese patients followed completely for the outcome: 77
Univariable unadjusted analysis for obesity
Effect measure for obesity: Odds ratio
Effect measure value (95% CI), P value: 0.8 (0.4, 2.5), 0.501
Multivariable analysis for obesity
Modelling method: Logistic regression
The set of prognostic factors used for adjustment: Age, asthma, sex
Effect measure for obesity: odds ratio
Effect measure value (95% CI), P value: 1.2 (0.6, 2.6), 0.637
Outcome (prognostic factor)
Length of stay (BMI ≥ 30)
Follow‐up
Number of patients followed completely for the outcome: 160
Number of obese patients followed completely for the outcome: 83
Number of non‐obese patients followed completely for the outcome: 77
Univariable unadjusted analysis for obesity
Effect measure for obesity: Hazard ratio
Effect measure value (95% CI), P value: 0.8 (0.5, 1.4), 0.391
Multivariable analysis for obesity
Modelling method: Cox regression
The set of prognostic factors used for adjustment: Age, asthma, sex
Effect measure for obesity: Hazard ratio
Effect measure value (95% CI), P value: 1.2 (0.7, 2.2), 0.481
Outcome (prognostic factor)
Length of ICU stay (BMI ≥ 30)
Follow‐up
Number of patients followed completely for the outcome: 160
Number of obese patients followed completely for the outcome: 83
Number of non‐obese patients followed completely for the outcome: 77
Univariable unadjusted analysis for obesity
Effect measure for obesity: Hazard ratio
Effect measure value (95% CI), P value: 0.7 (0.4, 1.3), 0.254
Multivariable analysis for obesity
Modelling method: Cox regression
The set of prognostic factors used for adjustment: Age, asthma, sex
Effect measure for obesity: Hazard ratio
Effect measure value (95% CI), P value: 0.9 (0.5, 1.7), 0.85
Outcome (prognostic factor)
Mechanical ventilation (BMI ≥ 30)
Follow‐up
Number of patients followed completely for the outcome: 160
Number of obese patients followed completely for the outcome: 83
Number of non‐obese patients followed completely for the outcome: 77
Univariable unadjusted analysis for obesity
Effect measure for obesity: Odds ratio
Effect measure value (95% CI), P value: 2 (1.1, 3.8), 0.029
Multivariable analysis for obesity
Modelling method: Logistic regression
The set of prognostic factors used for adjustment: Age, asthma, sex
Effect measure for obesity: Odds ratio
Effect measure value (95% CI), P value: 1.6 (0.8, 3.1), 0.21
 
Item Authors' judgement Support for judgement
Study Participation Unclear Appendix 3
Study Attrition
Mortality Yes Appendix 3
Study Attrition
Mechanical ventilation Yes Appendix 3
Study Attrition
ICU admission Yes Appendix 3
Study Attrition
Hospitalisation Yes Appendix 3
Prognostic Factor Measurement Yes Appendix 3
Outcome Measurement
Mortality Yes Appendix 3
Outcome Measurement
Mechanical ventilation Unclear Appendix 3
Outcome Measurement
ICU admission Yes Appendix 3
Outcome Measurement
Hospitalisation Yes Appendix 3
Confounding Bias
Mortality Unclear Appendix 3
Confounding Bias
Mechanical ventilation Unclear Appendix 3
Confounding Bias
ICU admission Unclear Appendix 3
Confounding Bias
Hospitalisation Unclear Appendix 3
Statistical Analysis Bias Unclear Appendix 3