The impact of obesity in hospitalized patients with COVID-19: a retrospective cohort study

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCARRA, Fabio Alfano
dc.contributor.authorMELO, Maria Edna de
dc.contributor.authorSTUMPF, Matheo A. M.
dc.contributor.authorCERCATO, Cintia
dc.contributor.authorFERNANDES, Ariana E.
dc.contributor.authorMANCINI, Marcio C.
dc.contributor.authorHIROTA, Adriana
dc.contributor.authorKANASIRO, Alberto Kendy
dc.contributor.authorCRESCENZI, Alessandra
dc.contributor.authorFERNANDES, Amanda Coelho
dc.contributor.authorMIETHKE-MORAIS, Anna
dc.contributor.authorBELLINTANI, Arthur Petrillo
dc.contributor.authorCANASIRO, Artur Ribeiro
dc.contributor.authorCARNEIRO, Barbara Vieira
dc.contributor.authorZANBON, Beatriz Keiko
dc.contributor.authorPINHEIRO, Bernardo
dc.contributor.authorBATISTA, Senna Nogueira
dc.contributor.authorNICOLAO, Bianca Ruiz
dc.contributor.authorBESEN, Bruno Adler Maccagnan Pinheiro
dc.contributor.authorBISELLI, Bruno
dc.contributor.authorMACEDO, Bruno Rocha De
dc.contributor.authorTOLEDO, Caio Machado Gomes De
dc.contributor.authorCARVALHO, Carlos Roberto Ribeiro De
dc.contributor.authorMOL, Caroline Gomes
dc.contributor.authorSTIPANICH, Cassio
dc.contributor.authorBUENO, Caue Gasparotto
dc.contributor.authorGARZILLO, Cibele
dc.contributor.authorTANAKA, Clarice
dc.contributor.authorFORTE, Daniel Neves
dc.contributor.authorJOELSONS, Daniel
dc.contributor.authorROBIRA, Daniele
dc.contributor.authorCOSTA, Eduardo Leite Vieira
dc.contributor.authorSILVA JUNIOR, Elson Mendes Da
dc.contributor.authorREGALIO, Fabiane Aliotti
dc.contributor.authorSEGURA, Gabriela Cardoso
dc.contributor.authorLOURO, Giulia Sefrin
dc.contributor.authorMARCELINO, Gustavo Brasil
dc.contributor.authorHO, Yeh-Li
dc.contributor.authorFERREIRA, Isabela Argollo
dc.contributor.authorGOIS, Jeison Oliveira
dc.contributor.authorSILVA-JR, Joao Manoel Da
dc.contributor.authorJUNIOR, Jose Otto Reusing
dc.contributor.authorRIBEIRO, Julia Fray
dc.contributor.authorFERREIRA, Juliana Carvalho
dc.contributor.authorGALLETI, Karine Vusberg
dc.contributor.authorSILVA, Katia Regina
dc.contributor.authorISENSEE, Larissa Padrao
dc.contributor.authorOLIVEIRA, Larissa Santos
dc.contributor.authorTANIGUCHI, Leandro Utino
dc.contributor.authorLETAIF, Leila Suemi
dc.contributor.authorLIMA, Ligia Trombetta
dc.contributor.authorPARK, Lucas Yongsoo
dc.contributor.authorNETTO, Lucas Chaves
dc.contributor.authorNOBREGA, Luciana Cassimiro
dc.contributor.authorHADDAD, Luciana Bertocco Paiva
dc.contributor.authorHAJJAR, Ludhmila Abrahao
dc.contributor.authorMALBOUISSON, Luiz Marcelo Sa
dc.contributor.authorPANDOLFI, Manuela Cristina Adsuara
dc.contributor.authorPARK, Marcelo
dc.contributor.authorCARMONA, Maria Jose Carvalho
dc.contributor.authorANDRADE, Maria Castilho Prandini H.
dc.contributor.authorSANTOS, Mariana Moreira
dc.contributor.authorBATELOCHE, Matheus Pereira
dc.contributor.authorSUIAMA, Mayra Akimi
dc.contributor.authorOLIVEIRA, Mayron Faria de
dc.contributor.authorSOUSA, Mayson Laercio
dc.contributor.authorGARCIA, Michelle Louvaes
dc.contributor.authorHUEMER, Natassja
dc.contributor.authorMENDES, Pedro Vitale
dc.contributor.authorLINS, Paulo Ricardo Gessolo
dc.contributor.authorSANTOS, Pedro Gaspar Dos
dc.contributor.authorMOREIRA, Pedro Ferreira Paiva
dc.contributor.authorGUAZZELLI, Renata Mello
dc.contributor.authorREIS, Renato Batista Dos
dc.contributor.authorDALTRO-OLIVEIRA, Renato
dc.contributor.authorROEPKE, Roberta Muriel Longo
dc.contributor.authorPEDRO, Rodolpho Augusto Moura
dc.contributor.authorKONDO, Rodrigo
dc.contributor.authorRACHED, Samia Zahi
dc.contributor.authorFONSECA, Sergio Roberto Silveira Da
dc.contributor.authorBORGES, Thais Sousa
dc.contributor.authorFERREIRA, Thalissa
dc.contributor.authorJUNIOR, Vilson Cobello
dc.contributor.authorSALES, Vivian Vieira Tenorio
dc.contributor.authorFERREIRA, Willaby Serafim Cassa
dc.date.accessioned2024-02-15T14:40:17Z
dc.date.available2024-02-15T14:40:17Z
dc.date.issued2024
dc.description.abstractBackground Obesity is believed to be a risk factor for COVID-19 and unfavorable outcomes, although data on this remains to be better elucidated.Objective To evaluate the impact of obesity on the endpoints of patients hospitalized due to SARS-CoV-2.Methods This retrospective cohort study evaluated patients hospitalized at a tertiary hospital (Hospital das Cl & iacute;nicas da Faculdade de Medicina da USP) from March to December 2020. Only patients positive for COVID-19 (real-time PCR or serology) were included. Data were collected from medical records and included clinical and demographic information, weight and height, SAPS-3 score, comorbidities, and patient-centered outcomes (mortality, and need for mechanical ventilation, renal replacement therapy, or vasoactive drugs). Patients were divided into categories according to their BMI (underweight, eutrophic, overweight and obesity) for comparison porpoise.Results A total of 2547 patients were included. The mean age was 60.3 years, 56.2% were men, 65.2% were white and the mean BMI was 28.1 kg/m(2). SAPS-3 score was a risk factor for all patient-centered outcomes (HR 1.032 for mortality, OR 1.03 for dialysis, OR 1.07 for vasoactive drug use, and OR 1.08 for intubation, p < 0.05). Male sex increased the risk of death (HR 1.175, p = 0.027) and dialysis (OR 1.64, p < 0.001), and underweight was protective for vasoactive drug use (OR 0.45, p = 0.027) and intubation (OR 0.31, p < 0.003).Conclusion Obesity itself was not an independent factor for worse patient-centered outcomes. Critical clinical state (indirectly evaluated by SAPS-3) appears to be the most important variable related to hard outcomes in patients infected with COVID-19.eng
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.sponsorshipHospital das Clinicas COVID-19 crisis committee and the informatics department (NETI)
dc.identifier.citationDIABETOLOGY & METABOLIC SYNDROME, v.16, n.1, article ID 20, 7p, 2024
dc.identifier.doi10.1186/s13098-023-01246-z
dc.identifier.eissn1758-5996
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/57891
dc.language.isoeng
dc.publisherBMCeng
dc.relation.ispartofDiabetology & Metabolic Syndrome
dc.rightsopenAccesseng
dc.rights.holderCopyright BMCeng
dc.subjectCOVID-19eng
dc.subjectObesityeng
dc.subjectMortalityeng
dc.subjectMechanical ventilationeng
dc.subjectCritical careeng
dc.subject.othermortalityeng
dc.subject.otherparadoxeng
dc.subject.wosEndocrinology & Metabolismeng
dc.titleThe impact of obesity in hospitalized patients with COVID-19: a retrospective cohort studyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcFABIO ALFANO CARRA
hcfmusp.contributor.author-fmusphcMARIA EDNA DE MELO
hcfmusp.contributor.author-fmusphcMATHEO AUGUSTO MORANDI STUMPF
hcfmusp.contributor.author-fmusphcCINTIA CERCATO
hcfmusp.contributor.author-fmusphcARIANA ESTER FERNANDES
hcfmusp.contributor.author-fmusphcMARCIO CORREA MANCINI
hcfmusp.contributor.author-fmusphcADRIANA SAYURI HIROTA
hcfmusp.contributor.author-fmusphcALBERTO KENDY KANASIRO
hcfmusp.contributor.author-fmusphcALESSANDRA CRESCENZI
hcfmusp.contributor.author-fmusphcAMANDA COELHO FERNANDES
hcfmusp.contributor.author-fmusphcANNA MIETHKE MORAIS
hcfmusp.contributor.author-fmusphcARTHUR PETRILLO BELLINTANI
hcfmusp.contributor.author-fmusphcARTUR RIBEIRO CANASIRO
hcfmusp.contributor.author-fmusphcBARBARA VIEIRA CARNEIRO
hcfmusp.contributor.author-fmusphcBIANCA RUIZ NICOLAO
hcfmusp.contributor.author-fmusphcBRUNO ADLER MACCAGNAN PINHEIRO BESEN
hcfmusp.contributor.author-fmusphcBRUNO BISELLI
hcfmusp.contributor.author-fmusphcBRUNO ROCHA DE MACEDO
hcfmusp.contributor.author-fmusphcCAIO MACHADO GOMES DE TOLEDO
hcfmusp.contributor.author-fmusphcCARLOS ROBERTO RIBEIRO DE CARVALHO
hcfmusp.contributor.author-fmusphcCAROLINE GOMES MOL
hcfmusp.contributor.author-fmusphcCASSIO STIPANICH
hcfmusp.contributor.author-fmusphcCAUE GASPAROTTO BUENO
hcfmusp.contributor.author-fmusphcCIBELE LARROSA GARZILLO
hcfmusp.contributor.author-fmusphcCLARICE TANAKA
hcfmusp.contributor.author-fmusphcDANIEL NEVES FORTE
hcfmusp.contributor.author-fmusphcDANIEL JOELSONS
hcfmusp.contributor.author-fmusphcDANIELE ROBIRA
hcfmusp.contributor.author-fmusphcEDUARDO LEITE VIEIRA COSTA
hcfmusp.contributor.author-fmusphcELSON MENDES DA SILVA JUNIOR
hcfmusp.contributor.author-fmusphcFABIANE ALIOTTI REGALIO
hcfmusp.contributor.author-fmusphcGABRIELA CARDOSO SEGURA
hcfmusp.contributor.author-fmusphcGIULIA SEFRIN LOURO
hcfmusp.contributor.author-fmusphcHO YEH LI
hcfmusp.contributor.author-fmusphcISABELA ARGOLLO FERREIRA
hcfmusp.contributor.author-fmusphcJEISON DE OLIVEIRA GOIS
hcfmusp.contributor.author-fmusphcJOAO MANOEL DA SILVA JUNIOR
hcfmusp.contributor.author-fmusphcJOSE OTTO REUSING JUNIOR
hcfmusp.contributor.author-fmusphcJULIA FRAY RIBEIRO
hcfmusp.contributor.author-fmusphcJULIANA CARVALHO FERREIRA
hcfmusp.contributor.author-fmusphcKARINE VUSBERG GALLETI
hcfmusp.contributor.author-fmusphcKATIA REGINA DA SILVA
hcfmusp.contributor.author-fmusphcLARISSA PADRAO ISENSEE
hcfmusp.contributor.author-fmusphcLARISSA SANTOS OLIVEIRA GOIS
hcfmusp.contributor.author-fmusphcLEANDRO UTINO TANIGUCHI
hcfmusp.contributor.author-fmusphcLIGIA TROMBETTA LIMA
hcfmusp.contributor.author-fmusphcLUCAS YONGSOO PARK
hcfmusp.contributor.author-fmusphcLUCAS CHAVES NETTO
hcfmusp.contributor.author-fmusphcLUCIANA CASSIMIRO NOBREGA
hcfmusp.contributor.author-fmusphcLUCIANA BERTOCCO DE PAIVA HADDAD
hcfmusp.contributor.author-fmusphcLUDHMILA ABRAHAO HAJJAR
hcfmusp.contributor.author-fmusphcLUIZ MARCELO SA MALBOUISSON
hcfmusp.contributor.author-fmusphcMANUELA CRISTINA ADSUARA PANDOLFI
hcfmusp.contributor.author-fmusphcMARCELO PARK
hcfmusp.contributor.author-fmusphcMARIA JOSE CARVALHO CARMONA
hcfmusp.contributor.author-fmusphcMARIA CASTILHO PRANDINI HERNANDES DE ANDRADE
hcfmusp.contributor.author-fmusphcMATHEUS PEREIRA BATELOCHE
hcfmusp.contributor.author-fmusphcMAYSON LAERCIO DE ARAUJO SOUSA
hcfmusp.contributor.author-fmusphcMICHELLE LOUVAES GARCIA
hcfmusp.contributor.author-fmusphcPEDRO VITALE MENDES
hcfmusp.contributor.author-fmusphcPAULO RICARDO GESSOLO LINS
hcfmusp.contributor.author-fmusphcPEDRO GASPAR DOS SANTOS
hcfmusp.contributor.author-fmusphcPEDRO FERREIRA PAIVA MOREIRA
hcfmusp.contributor.author-fmusphcRENATO BATISTA DOS REIS
hcfmusp.contributor.author-fmusphcROBERTA MURIEL LONGO ROEPKE
hcfmusp.contributor.author-fmusphcRODOLPHO AUGUSTO DE MOURA PEDRO
hcfmusp.contributor.author-fmusphcRODRIGO HIDD KONDO
hcfmusp.contributor.author-fmusphcSAMIA ZAHI RACHED
hcfmusp.contributor.author-fmusphcSERGIO ROBERTO SILVEIRA DA FONSECA
hcfmusp.contributor.author-fmusphcTHAIS SOUSA BORGES
hcfmusp.contributor.author-fmusphcTHALISSA FERREIRA
hcfmusp.contributor.author-fmusphcVILSON COBELLO JUNIOR
hcfmusp.contributor.author-fmusphcVIVIAN VIEIRA TENORIO SALES
hcfmusp.description.articlenumber20
hcfmusp.description.issue1
hcfmusp.description.volume16
hcfmusp.origemWOS
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hcfmusp.origem.wosWOS:001145383600004
hcfmusp.publisher.cityLONDONeng
hcfmusp.publisher.countryENGLANDeng
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