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Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Sci+Rep 2021 ; 11 (1): 2909 Nephropedia Template TP
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Low birth weight as a potential risk factor for severe COVID-19 in adults #MMPMID33536488
Crispi F; Crovetto F; Larroya M; Camacho M; Tortajada M; Sibila O; Badia JR; Lopez M; Vellve K; Garcia F; Trilla A; Faner R; Blanco I; Borras R; Agusti A; Gratacos E
Sci Rep 2021[Feb]; 11 (1): 2909 PMID33536488show ga
The identification of factors predisposing to severe COVID-19 in young adults remains partially characterized. Low birth weight (LBW) alters cardiovascular and lung development and predisposes to adult disease. We hypothesized that LBW is a risk factor for severe COVID-19 in non-elderly subjects. We analyzed a prospective cohort of 397 patients (18-70 years) with laboratory-confirmed SARS-CoV-2 infection attended in a tertiary hospital, where 15% required admission to Intensive Care Unit (ICU). Perinatal and current potentially predictive variables were obtained from all patients and LBW was defined as birth weight = 2.500 g. Age (adjusted OR (aOR) 1.04 [1-1.07], P = 0.012), male sex (aOR 3.39 [1.72-6.67], P < 0.001), hypertension (aOR 3.37 [1.69-6.72], P = 0.001), and LBW (aOR 3.61 [1.55-8.43], P = 0.003) independently predicted admission to ICU. The area under the receiver-operating characteristics curve (AUC) of this model was 0.79 [95% CI, 0.74-0.85], with positive and negative predictive values of 29.1% and 97.6% respectively. Results were reproduced in an independent cohort, from a web-based survey in 1822 subjects who self-reported laboratory-positive SARS-CoV-2 infection, where 46 patients (2.5%) needed ICU admission (AUC 0.74 [95% CI 0.68-0.81]). LBW seems to be an independent risk factor for severe COVID-19 in non-elderly adults and might improve the performance of risk stratification algorithms.
|*Infant, Low Birth Weight[MESH]
|Adolescent[MESH]
|Adult[MESH]
|Aged[MESH]
|Area Under Curve[MESH]
|COVID-19/*pathology/virology[MESH]
|Female[MESH]
|Humans[MESH]
|Intensive Care Units/statistics & numerical data[MESH]