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

Rechtman 2020.

Study characteristics
Notes English title
Vital signs assessed in initial clinical encounters predict COVID‐19 mortality in an NYC hospital system
Study setting
Start of study recruitment (MM/YYYY): NR
End of study recruitment (MM/YYYY): 04/2020
Study design: Retrospective cohort
Study centre(s): Multiple centres/clinics/areas within a country
Number of centres, clinics or areas: 53
Study setting: Outpatient and inpatient
Number of participants recruited: 8770
Sampling method: Consecutive participants
Participants
Female participants (absolute number): 4004
Age measure, value: Median (IQR), 60 (44‐72)
Inclusion criteria: all cases of confirmed SARS‐CoV‐2 positive by real time‐polymerase chain reaction (RT‐PCR) in nasopharyngeal or oropharyngeal swabs collected in outpatient, urgent care, emergency, and inpatient facilities
Exclusion criteria: Patients with oxygen saturation inferior to 40% were excluded.
Smoking frequency: 1853
Diabetes frequency: 1631
Hypertension frequency: 2281
Cardiovascular disease frequency: NR
Asthma frequency: 394
Chronic obstructive pulmonary disease frequency: 222
Other pulmonary disease frequency: NR
Immunosuppression frequency: NR
Chronic kidney disease frequency: 753
Cancer frequency: 649
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): 616
Prognostic factor(s): BMI (per kg/m2 increase)
Outcome(s)
Mortality
Outcome (prognostic factor)
Mortality (BMI (per kg/m2 increase))
Follow‐up
Number of patients followed completely for the outcome: 8770
Number of obese patients followed completely for the outcome: 616
Number of non‐obese patients followed completely for the outcome: 8154
Univariable unadjusted analysis for obesity
Effect measure for obesity: NR
Effect measure value (95% CI), P value: NR
Multivariable analysis for obesity
Modelling method: Logistic regression
The set of prognostic factors used for adjustment: Age, BMI, sex, race (black, Hispanic, other/unknown), smoking, heart rate, temperature, respiratory rate, oxygen saturation, hypertension, chronic kidney disease, diabetes, COPD, HIV, cancer, obesity, asthma
Effect measure for obesity: Odds ratio
Effect measure value (95% CI), P value: 1.03 (1.02, 1.04), NR
 
Item Authors' judgement Support for judgement
Study Participation Unclear Appendix 3
Study Attrition
Mortality Yes Appendix 3
Prognostic Factor Measurement Yes Appendix 3
Outcome Measurement
Mortality Yes Appendix 3
Confounding Bias
Mortality Yes Appendix 3
Statistical Analysis Bias Yes Appendix 3