Author: Czernichow, Sébastien; Beeker, Nathanael; Rivesâ€Lange, Claire; Guerot, Emmanuel; Diehl, Jeanâ€Luc; Katsahian, Sandrine; Hulot, Jeanâ€Sébastien; Poghosyan, Tigran; Carette, Claire; Sophie Jannot, Anne
Title: Obesity doubles mortality in patients hospitalized for SARSâ€CoVâ€2 in Paris hospitals, France: a cohort study on 5795 patients Cord-id: yiiz9s53 Document date: 2020_8_20
ID: yiiz9s53
Snippet: BACKGROUND: Preliminary data from different cohorts of small sample size or with short followâ€up indicate poorer prognosis in people with obesity compared to other patients. This study aims to precisely describe the strength of association between obesity in patients hospitalised with Covidâ€19 and mortality and clarify the risk according to usual cardiometabolic risk factors in a large cohort. METHODS: This is a prospective cohort study including 5795 patients aged 18â€79 years hospitalized
Document: BACKGROUND: Preliminary data from different cohorts of small sample size or with short followâ€up indicate poorer prognosis in people with obesity compared to other patients. This study aims to precisely describe the strength of association between obesity in patients hospitalised with Covidâ€19 and mortality and clarify the risk according to usual cardiometabolic risk factors in a large cohort. METHODS: This is a prospective cohort study including 5795 patients aged 18â€79 years hospitalized from 1(st) February 2020 to 30 April 2020 in Paris area, with confirmed infection by SARSâ€CoVâ€2. Adjusted regression models were used to estimate the odds ratios (OR) and 95% confidence intervals (95% CI) for mortality rate at 30 days across BMI classes, without and with imputation for missing BMI. RESULTS: 891 deaths occurred at 30 days. Mortality was significantly raised in people with obesity with the following OR in BMI 30â€35, 35â€40 and >40 kg/m(2): 1.89 (95%CI 1.45â€2.47), 2.79 (1.95â€3.97) and 2.55 (1.62â€3.95), respectively (18.5â€25 kg/m(2), as the reference class). This increase holds for all age classes. CONCLUSION: Obesity doubles mortality in patients hospitalized with Covidâ€19.
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