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10.1016/j.mayocp.2021.01.021 http://scihub22266oqcxt.onion/10.1016/j.mayocp.2021.01.021 33814092!7859712!33814092     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Mayo+Clin+Proc 2021 ; 96 (4): 921-931 Nephropedia Template TP {{tp|p=33814092|t=2021. Obesity is a Major Risk Factor for Hospitalization in Community-Managed COVID-19 Pneumonia |pdf=|usr=}}{{33814092}} gab.com Text Obesity is a Major Risk Factor for Hospitalization in Community-Managed COVID-19 Pneumonia JO: Mayo Clin Proc http://www.kidney.de/pget.php?&tw=1&pmid=33814092 #FOAvip OBJECTIVE: We aimed to investigate whether the stratification of outpatients with coronavirus disease 2019 (COVID-19) pneumonia by body mass index (BMI) can help predict hospitalization and other severe outcomes. PATIENTS AND METHODS: We prospectively collected consecutive cases of community-managed COVID-19 pneumonia from March 1 to April 20, 2020, in the province of Bergamo and evaluated the association of overweight (25 kg/m(2) </= BMI <30 kg/m(2)) and obesity (>/=30 kg/m(2)) with time to hospitalization (primary end point), low-flow domiciliary oxygen need, noninvasive mechanical ventilation, intubation, and death due to COVID-19 (secondary end points) in this cohort. We analyzed the primary end point using multivariable Cox models. RESULTS: Of 338 patients included, 133 (39.4%) were overweight and 77 (22.8%) were obese. Age at diagnosis was younger in obese patients compared with those overweight or with normal weight (P<.001), whereas diabetes, dyslipidemia, and heart diseases were differently distributed among BMI categories. Azithromycin, hydroxychloroquine, and prednisolone use were similar between BMI categories (P>.05). Overall, 105 (31.1%) patients were hospitalized, and time to hospitalization was significantly shorter for obese vs over- or normal-weight patients (P<.001). In the final multivariable analysis, obese patients were more likely to require hospitalization than nonobese patients (hazard ratio, 5.83; 95% CI, 3.91 to 8.71). Results were similar in multiple sensitivity analyses. Low-flow domiciliary oxygen need, hospitalization with noninvasive mechanical ventilation, intubation, and death were significantly associated with obesity (P<.001). CONCLUSION: In patients with community-managed COVID-19 pneumonia, obesity is associated with a higher hospitalization risk and overall worse outcomes than for nonobese patients. Twit Text FOAVip Obesity is a Major Risk Factor for Hospitalization in Community-Managed COVID-19 Pneumonia ????Mayo Clin Proc http://www.kidney.de/pget.php?&tw=1&pmid=33814092 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33814092 #FOAvip English Wikipedia <ref>{{Cite pmid|33814092}}</ref> Obesity is a Major Risk Factor for Hospitalization in Community-Managed COVID-19 Pneumonia #MMPMID33814092 Cottini M; Lombardi C; Berti A Mayo Clin Proc 2021[Apr]; 96 (4): 921-931 PMID33814092show ga OBJECTIVE: We aimed to investigate whether the stratification of outpatients with coronavirus disease 2019 (COVID-19) pneumonia by body mass index (BMI) can help predict hospitalization and other severe outcomes. PATIENTS AND METHODS: We prospectively collected consecutive cases of community-managed COVID-19 pneumonia from March 1 to April 20, 2020, in the province of Bergamo and evaluated the association of overweight (25 kg/m(2) /=30 kg/m(2)) with time to hospitalization (primary end point), low-flow domiciliary oxygen need, noninvasive mechanical ventilation, intubation, and death due to COVID-19 (secondary end points) in this cohort. We analyzed the primary end point using multivariable Cox models. RESULTS: Of 338 patients included, 133 (39.4%) were overweight and 77 (22.8%) were obese. Age at diagnosis was younger in obese patients compared with those overweight or with normal weight (P<.001), whereas diabetes, dyslipidemia, and heart diseases were differently distributed among BMI categories. Azithromycin, hydroxychloroquine, and prednisolone use were similar between BMI categories (P>.05). Overall, 105 (31.1%) patients were hospitalized, and time to hospitalization was significantly shorter for obese vs over- or normal-weight patients (P<.001). In the final multivariable analysis, obese patients were more likely to require hospitalization than nonobese patients (hazard ratio, 5.83; 95% CI, 3.91 to 8.71). Results were similar in multiple sensitivity analyses. Low-flow domiciliary oxygen need, hospitalization with noninvasive mechanical ventilation, intubation, and death were significantly associated with obesity (P<.001). CONCLUSION: In patients with community-managed COVID-19 pneumonia, obesity is associated with a higher hospitalization risk and overall worse outcomes than for nonobese patients. |*COVID-19/epidemiology/therapy[MESH] |*Community Health Services/methods/statistics & numerical data[MESH] |*Obesity/diagnosis/epidemiology[MESH] |*Pneumonia, Viral/etiology/mortality/therapy[MESH] |Age Factors[MESH] |Body Mass Index[MESH] |Comorbidity[MESH] |Female[MESH] |Hospitalization/statistics & numerical data[MESH] |Humans[MESH] |Italy/epidemiology[MESH] |Male[MESH] |Middle Aged[MESH] |Outcome and Process Assessment, Health Care[MESH] |Proportional Hazards Models[MESH] |Risk Assessment/methods[MESH] |Risk Factors[MESH]Obesity is a Major Risk Factor for Hospitalization in Community-Manage(epmc).pdf DeepDyve Pubget Overpricing