Author: Földi, Mária; Farkas, Nelli; Kiss, Szabolcs; Zádori, Noémi; Váncsa, Szilárd; Szakó, Lajos; Dembrovszky, Fanni; Solymár, Margit; Bartalis, Eszter; Szakács, Zsolt; Hartmann, Petra; Pár, Gabriella; Erőss, Bálint; Molnár, Zsolt; Hegyi, Péter; Szentesi, Andrea
Title: Obesity is a risk factor for developing critical condition in COVIDâ€19 patients: A systematic review and metaâ€analysis Cord-id: 6rox44xb Document date: 2020_7_19
ID: 6rox44xb
Snippet: The disease course of COVIDâ€19 varies from asymptomatic infection to critical condition leading to mortality. Identification of prognostic factors is important for prevention and early treatment. We aimed to examine whether obesity is a risk factor for the critical condition in COVIDâ€19 patients by performing a metaâ€analysis. The review protocol was registered onto PROSPERO (CRD42020185980). A systematic search was performed in five scientific databases between 1 January and 11 May 2020. A
Document: The disease course of COVIDâ€19 varies from asymptomatic infection to critical condition leading to mortality. Identification of prognostic factors is important for prevention and early treatment. We aimed to examine whether obesity is a risk factor for the critical condition in COVIDâ€19 patients by performing a metaâ€analysis. The review protocol was registered onto PROSPERO (CRD42020185980). A systematic search was performed in five scientific databases between 1 January and 11 May 2020. After selection, 24 retrospective cohort studies were included in the qualitative and quantitative analyses. We calculated pooled odds ratios (OR) with 95% confidence intervals (CIs) in metaâ€analysis. Obesity was a significant risk factor for intensive care unit (ICU) admission in a homogenous dataset (OR = 1.21, CI: 1.002â€1.46; I2 = 0.0%) as well as for invasive mechanical ventilation (IMV) (OR = 2.05, CI: 1.16â€3.64; I2 = 34.86%) in COVIDâ€19. Comparing body mass index (BMI) classes with each other, we found that a higher BMI always carries a higher risk. Obesity may serve as a clinical predictor for adverse outcomes; therefore, the inclusion of BMI in prognostic scores and improvement of guidelines for the intensive care of patients with elevated BMI are highly recommended.
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