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

Smati 2021b.

Study characteristics
Notes English title
Risk factors for hospitalization among patients with COVID‑19 at a community ambulatory clinic in Massachusetts during the initial pandemic surge
Study setting
Start of study recruitment (MM/YYYY)
03/2020
End of study recruitment (MM/YYYY)
04/2020
Study design
retrospective cohort
Study centre(s)
single centres/clinics/areas within a country
Number of centres/clinics/areas
1
Study setting
outpatient
Number of participants recruited
460
Sampling method
unspecified
Participants
Female participants
(absolute number), 292
Age measure, value
not reported
Inclusion criteria
Patients 18 years of age or older who had an initial visit from March 18, 2020 through April 25, 2020 at our ambulatory clinic and had a positive result of a nasopharyngeal swab for SARS‐CoV‐2 using the CDC 2019‐Novel Coronavirus RT‐PCR Diagnostic Panel kit were included in the analytic sample. Patients were considered hospitalised if they were admitted to any hospital, not limited to our network. Patients evaluated and discharged by emergency departments and patients hospitalised for childbirth were considered non‐hospitalised for the purposes of our study.
Exclusion criteria
Patients who were initially evaluated in the emergency department were excluded.
Smoking
NR
Diabetes
(absolute number), 77
Hypertension
(absolute number), 125
Cardiovascular diseases
(absolute number), 23
Please indicate if additional information is available 
CAD: 23
Asthma
(unspecified)
Chronic obstructive pulmonary disease
(unspecified)
Other pulmonary diseases
(absolute number), 95
Please indicate if additional information is available 
Chronic Lung Disease: 95
Immunosuppression
(absolute number), 21
Please indicate if additional information is available
currently taking immunosuppressive medication or asplenia, HIV, autoimmune rheumatologic disease, or diagnosis of cancer since 2019
Chronic kidney disease
(absolute number), 14
Cancer
(unspecified)
Steroid administration
(unspecified)
Supplemental oxygen
(unspecified)
Differential values for various oxygenation methods (if indicated)
NR
Other treatment
NR
Dose if applicable
NR
Duration if applicable
NR
Percentage received this treatment
NR
Prognostic factor(s)
Study’s definition for obesity
Obese (BMI >= 30 kg/m2)
The time when obesity has been measured
unspecified
Main variable used for determination of obesity
BMI
Threshold used for definition of obesity 
>= 30 kg/m2
Measure of frequency
absolute number
Frequency value
233
How many eligible outcomes reported?
1
How many eligible outcomes reported?
1
Outcome(s)
hospitalisation
Outcome (prognostic factor)
Hospitalisation (obese (BMI >= 30))
Outcome
Hospitalisation
Prognostic factor (category): 
Obese (BMI >= 30)
Follow‐up
Number of patients followed completely for this outcome 
460
Number of obese patients followed completely for this outcome 
233
Number of non‐obese patients followed completely for this outcome 
227
Univariable (unadjusted) analysis for obesity
Effect measure for obesity
odds ratio 
Effect measure value (95% CI)
7.64 (1.8, 32.4)
Multivariable (adjusted) analysis for obesity
Modelling method
logistic regression
The set of prognostic factors used for adjustment
Age category, sex, and BMI of 25 or above (combined overweight and obesity categories)
Effect measure for obesity
odds ratio 
Effect measure value (95% CI)
7.32 (1.68, 31.97)
Outcome (prognostic factor)
Hospitalisation (overweight (BMI 25‐29.9))
Outcome
Hospitalisation
Prognostic factor (category): 
Overweight (BMI 25‐29.9)
Follow‐up
Number of patients followed completely for this outcome 
460
Number of obese patients followed completely for this outcome 
233
Number of non‐obese patients followed completely for this outcome 
227
Univariable (unadjusted) analysis for obesity
Effect measure for obesity
odds ratio 
Effect measure value (95% CI)
6.23 (1.42, 27.31)
Multivariable (adjusted) analysis for obesity
Modelling method
logistic regression
The set of prognostic factors used for adjustment
Age category, sex, and BMI of 25 or above (combined overweight and obesity categories)
Effect measure for obesity
odds ratio 
Effect measure value (95% CI)
5.9 (1.31, 26.65)
 
Item Authors' judgement Support for judgement
Study Participation Yes Appendix 3
Study Attrition
Hospitalisation Unclear Appendix 3
Prognostic Factor Measurement Yes Appendix 3
Outcome Measurement
Hospitalisation Yes Appendix 3
Confounding Bias
Hospitalisation Yes Appendix 3
Statistical Analysis Bias Yes Appendix 3