FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2327532410> ?p ?o ?g. }

• W2327532410 endingPage "A142" @default.
• W2327532410 startingPage "A142" @default.
• W2327532410 abstract "Introduction: Although an increased body mass index (BMI) is associated with an elevated risk of chronic health diseases such as diabetes and hypertension, it is unclear whether patients with high BMIs fare worse when they are admitted to an intensive care unit (ICU) for an acute disorder. Some studies have instead described an obesity paradox where obese patients (BMI>30 kg/m2) have a lower ICU mortality rate, particularly when diagnosed with acute infections and septic shock. However, most studies have not addressed the outcomes of patients with more extreme obesity, defined as super obesity (BMI > 50), who may have outcomes that are different from patients whose BMI are below this threshold. Methods: A retrospective analysis of patients admitted to the MICU at LAC+USC Medical Center from 2008 to 2013 was performed. Patients were divided into 3 groups: BMI of 30-39, 40-49 and >50. In this pilot study, the first 55 patients reviewed in each BMI set were assigned to their respective group. Variables assessed included age, sex, APACHE II score, reason for ICU admission, use of non-invasive and invasive mechanical ventilation, need for dialysis, tracheostomy, use of a pulmonary artery catheter, mortality, and hospital and ICU length of stay (LOS). Analysis of variance was used to detected differences in means of continuous data and a chi square test was used to evaluate categorical data among the three groups. A p<0.05 was considered significant. Results: The mean age for super obese patients (BMI >50) was younger (44 + 2.7 SEM) than either of the BMI 30-39 and BMI 40-49 groups at 49 + 2.7 and 51 + 3.1 years, respectively (p<0.05). There was no significant difference among APACHE II scores or ICU length of stay. However, the mean hospital LOS was 7 + 2.1 days longer for patients with BMI > 50 than those with a BMI = 30-39, and 4 + 1.5 days longer than those with a BMI = 40-49. Mortality was similar among the three groups. Although there was no difference in the need or duration of invasive mechanical ventilation, there was a higher proportion of noninvasive mechanical ventilation used in the BMI>50 cohort (p<0.05), in that 34 (62%) of the super obese patients used noninvasive ventilation compared with 16 (29%) in the 40-49 group and 6 (11%) in the 30-39 group. Although there was a trend toward higher rates of tracheostomy or pulmonary artery catheter placement in the super obese patients, this did not achieve statistical significance. Super obese patients did not have a higher propensity to require hemodialysis than did the other groups (p>0.05). Indications for admission were different among the groups, with the BMI>50 patients being admitted to the ICU more frequently for cardiopulmonary indications (arrhythmias, heart failure, dyspnea, hypoxia) than were patients in the other groups (p<0.05). Conclusions: Super obese patients with a BMI >50 who are admitted to the MICU were younger in comparison to less obese patients. While there was no difference in use or duration of invasive mechanical ventilation in the 3 groups, patients with BMI >50 more often required non-invasive ventilation. Patients at the higher extremes of obesity were admitted to the ICU for cardiopulmonary issues more so than patients with BMI 30-50. Despite these differences, crude mortality rates were similar among these 3 groups of obese patients." @default.
• W2327532410 created "2016-06-24" @default.
• W2327532410 creator A5008476068 @default.
• W2327532410 creator A5040838257 @default.
• W2327532410 creator A5062163382 @default.
• W2327532410 creator A5068861112 @default.
• W2327532410 date "2013-12-01" @default.
• W2327532410 modified "2023-09-26" @default.
• W2327532410 title "581" @default.
• W2327532410 doi "https://doi.org/10.1097/01.ccm.0000439822.89696.ad" @default.
• W2327532410 hasPublicationYear "2013" @default.
• W2327532410 type Work @default.
• W2327532410 sameAs 2327532410 @default.
• W2327532410 citedByCount "0" @default.
• W2327532410 crossrefType "journal-article" @default.
• W2327532410 hasAuthorship W2327532410A5008476068 @default.
• W2327532410 hasAuthorship W2327532410A5040838257 @default.
• W2327532410 hasAuthorship W2327532410A5062163382 @default.
• W2327532410 hasAuthorship W2327532410A5068861112 @default.
• W2327532410 hasConcept C126322002 @default.
• W2327532410 hasConcept C134018914 @default.
• W2327532410 hasConcept C167135981 @default.
• W2327532410 hasConcept C179755657 @default.
• W2327532410 hasConcept C194828623 @default.
• W2327532410 hasConcept C2776376669 @default.
• W2327532410 hasConcept C2777080012 @default.
• W2327532410 hasConcept C2777628635 @default.
• W2327532410 hasConcept C2778384902 @default.
• W2327532410 hasConcept C2780221984 @default.
• W2327532410 hasConcept C2780347030 @default.
• W2327532410 hasConcept C2780586474 @default.
• W2327532410 hasConcept C2781223611 @default.
• W2327532410 hasConcept C511355011 @default.
• W2327532410 hasConcept C555293320 @default.
• W2327532410 hasConcept C71924100 @default.
• W2327532410 hasConceptScore W2327532410C126322002 @default.
• W2327532410 hasConceptScore W2327532410C134018914 @default.
• W2327532410 hasConceptScore W2327532410C167135981 @default.
• W2327532410 hasConceptScore W2327532410C179755657 @default.
• W2327532410 hasConceptScore W2327532410C194828623 @default.
• W2327532410 hasConceptScore W2327532410C2776376669 @default.
• W2327532410 hasConceptScore W2327532410C2777080012 @default.
• W2327532410 hasConceptScore W2327532410C2777628635 @default.
• W2327532410 hasConceptScore W2327532410C2778384902 @default.
• W2327532410 hasConceptScore W2327532410C2780221984 @default.
• W2327532410 hasConceptScore W2327532410C2780347030 @default.
• W2327532410 hasConceptScore W2327532410C2780586474 @default.
• W2327532410 hasConceptScore W2327532410C2781223611 @default.
• W2327532410 hasConceptScore W2327532410C511355011 @default.
• W2327532410 hasConceptScore W2327532410C555293320 @default.
• W2327532410 hasConceptScore W2327532410C71924100 @default.
• W2327532410 hasLocation W23275324101 @default.
• W2327532410 hasOpenAccess W2327532410 @default.
• W2327532410 hasPrimaryLocation W23275324101 @default.
• W2327532410 hasRelatedWork W2033374644 @default.
• W2327532410 hasRelatedWork W2047286568 @default.
• W2327532410 hasRelatedWork W2789457323 @default.
• W2327532410 hasRelatedWork W2800149965 @default.
• W2327532410 hasRelatedWork W2972391351 @default.
• W2327532410 hasRelatedWork W2989939050 @default.
• W2327532410 hasRelatedWork W3146714785 @default.
• W2327532410 hasRelatedWork W4214649067 @default.
• W2327532410 hasRelatedWork W4304688751 @default.
• W2327532410 hasRelatedWork W2954766995 @default.
• W2327532410 hasVolume "41" @default.
• W2327532410 isParatext "false" @default.
• W2327532410 isRetracted "false" @default.
• W2327532410 magId "2327532410" @default.
• W2327532410 workType "article" @default.