Response: Patient-Guided Improvements for Pediatric Obesity Services

Background : The mechanism for possible association between obesity and poor clinical outcomes from Coronavirus Disease 2019 (COVID-19) remains unclear. Methods : We analyzed 22,915 adult COVID-19 patients hospitalized from March 2020 to April 2021 to non-intensive care using the American Heart Asso...

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Main Authors: Yoojin Lindsey Chung, Young-Jun Rhie
Format: Article
Language:English
Published: Korean Society for the Study of Obesity 2022-09-01
Series:Journal of Obesity & Metabolic Syndrome
Online Access:http://journaleditor.inforang.com/journal/view.html?doi=10.7570/jomes22048
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author Yoojin Lindsey Chung
Young-Jun Rhie
author_facet Yoojin Lindsey Chung
Young-Jun Rhie
author_sort Yoojin Lindsey Chung
collection DOAJ
description Background : The mechanism for possible association between obesity and poor clinical outcomes from Coronavirus Disease 2019 (COVID-19) remains unclear. Methods : We analyzed 22,915 adult COVID-19 patients hospitalized from March 2020 to April 2021 to non-intensive care using the American Heart Association National COVID Registry. A multivariable Poisson model adjusted for age, sex, medical history, admission respiratory status, hospitalization characteristics, and laboratory findings was used to calculate length of stay (LOS) as a function of body mass index (BMI). We similarly analyzed 5,327 patients admitted to intensive care for comparison. Results : Relative to normal BMI subjects, overweight, class I obese, and class II obese patients had approximately half-day reductions in LOS (-0.469 days, P<0.01; -0.480 days, P<0.01; -0.578 days, P<0.01, respectively). Conclusion : The model identified a dose-dependent, inverse relationship between BMI category and LOS for COVID-19, which was not seen when the model was applied to critically ill patients.
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spelling doaj.art-8441126a88f44c50b73509442f782b3a2022-12-22T03:23:56ZengKorean Society for the Study of ObesityJournal of Obesity & Metabolic Syndrome2508-62352022-09-0131328228310.7570/jomes22048jomes22048Response: Patient-Guided Improvements for Pediatric Obesity ServicesYoojin Lindsey Chung0Young-Jun Rhie1Department of Pediatrics, Myongji Hospital, Hanyang University Medical Center, Goyang, KoreaDepartment of Pediatrics, Korea University Ansan Hospital, Ansan, KoreaBackground : The mechanism for possible association between obesity and poor clinical outcomes from Coronavirus Disease 2019 (COVID-19) remains unclear. Methods : We analyzed 22,915 adult COVID-19 patients hospitalized from March 2020 to April 2021 to non-intensive care using the American Heart Association National COVID Registry. A multivariable Poisson model adjusted for age, sex, medical history, admission respiratory status, hospitalization characteristics, and laboratory findings was used to calculate length of stay (LOS) as a function of body mass index (BMI). We similarly analyzed 5,327 patients admitted to intensive care for comparison. Results : Relative to normal BMI subjects, overweight, class I obese, and class II obese patients had approximately half-day reductions in LOS (-0.469 days, P<0.01; -0.480 days, P<0.01; -0.578 days, P<0.01, respectively). Conclusion : The model identified a dose-dependent, inverse relationship between BMI category and LOS for COVID-19, which was not seen when the model was applied to critically ill patients.http://journaleditor.inforang.com/journal/view.html?doi=10.7570/jomes22048
spellingShingle Yoojin Lindsey Chung
Young-Jun Rhie
Response: Patient-Guided Improvements for Pediatric Obesity Services
Journal of Obesity & Metabolic Syndrome
title Response: Patient-Guided Improvements for Pediatric Obesity Services
title_full Response: Patient-Guided Improvements for Pediatric Obesity Services
title_fullStr Response: Patient-Guided Improvements for Pediatric Obesity Services
title_full_unstemmed Response: Patient-Guided Improvements for Pediatric Obesity Services
title_short Response: Patient-Guided Improvements for Pediatric Obesity Services
title_sort response patient guided improvements for pediatric obesity services
url http://journaleditor.inforang.com/journal/view.html?doi=10.7570/jomes22048
work_keys_str_mv AT yoojinlindseychung responsepatientguidedimprovementsforpediatricobesityservices
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