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

Suleyman 2020.

Study characteristics
Notes English title
Clinical characteristics and morbidity associated with coronavirus disease 2019 in a series of patients in metropolitan Detroit
Study setting
Start of study recruitment (MM/YYYY): 03/2020
End of study recruitment (MM/YYYY): 03/2020
Study design: Retrospective cohort
Study centre(s): Multiple centres/clinics/areas within a country
Number of centres, clinics or areas: 14
Study setting: Outpatient and inpatient
Number of participants recruited: 463
Sampling method: Consecutive participants
Participants
Female participants (absolute number): 259
Age measure, value: Mean (SD), 57.5 (16.8)
Inclusion criteria: SARS‐CoV‐2 infection confirmed by positive polymerase chain reaction testing of nasopharyngeal specimens
Exclusion criteria: Lack of demographic and baseline data
Smoking frequency: 160
Diabetes frequency: 178
Hypertension frequency: 295
Cardiovascular disease frequency: 108
Asthma frequency: 73
Chronic obstructive pulmonary disease frequency: 49
Other pulmonary disease frequency: NR
Immunosuppression frequency: NR
Chronic kidney disease frequency: 182
Cancer frequency: 49
Steroid administration frequency: NR
Supplemental oxygen administration frequency: NR
Other treatments (frequency): NR
Prognostic factor(s)
Study’s definition for obesity: Severe obesity, defined as BMI ≥ 40
The time when obesity has been measured: NR
Main variable used for determination of obesity: BMI
Threshold used for definition: 40
Obesity frequency (absolute number): 89
Prognostic factor(s): BMI ≥ 40 (obesity class 3)
Outcome(s)
ICU admission
Mechanical ventilation
Outcome (prognostic factor)
ICU admission (BMI ≥ 40 (obesity class 3))
Follow‐up
Number of patients followed completely for the outcome: 355
Number of obese patients followed completely for the outcome: 75
Number of non‐obese patients followed completely for the outcome: 280
Univariable unadjusted analysis for obesity
Effect measure for obesity: NR
Effect measure value (95% CI), P value: NR, 0.06
Multivariable analysis for obesity
Modelling method: Logistic regression
The set of prognostic factors used for adjustment: African‐American race, age, cancer, CKD, coronary artery disease, congestive heart failure, DM, hypertension, severe obesity, sex, tobacco use
Effect measure for obesity: Odds ratio
Effect measure value (95% CI), P value: 2.0 (1.4, 3.6), 0.02
Outcome (prognostic factor)
Mechanical ventilation (BMI ≥ 40 (obesity class 3))
Follow‐up
Number of patients followed completely for the outcome: 355
Number of obese patients followed completely for the outcome: 75
Number of non‐obese patients followed completely for the outcome: 280
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: African‐American race, age, cancer, CKD, coronary artery disease, congestive heart failure, DM, hypertension, severe obesity, sex, tobacco use
Effect measure for obesity: Odds ratio
Effect measure value (95% CI), P value: 3.2 (1.7, 6), < 0.001
 
Item Authors' judgement Support for judgement
Study Participation Yes Appendix 3
Study Attrition
Mechanical ventilation No Appendix 3
Study Attrition
ICU admission No Appendix 3
Prognostic Factor Measurement Yes Appendix 3
Outcome Measurement
Mechanical ventilation Yes Appendix 3
Outcome Measurement
ICU admission Yes Appendix 3
Confounding Bias
Mechanical ventilation Yes Appendix 3
Confounding Bias
ICU admission Yes Appendix 3
Statistical Analysis Bias Unclear Appendix 3