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December 1, 2007Surgical Infections

Does Body Mass Index Affect Infection-Related Outcomes in the Intensive Care Unit?

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Why the study?

Does abnormal BMI increase in-hospital death in surgical/trauma ICU patients with infections?

Population

807 patients with infections admitted to a single university surgical/trauma ICU between 1996 and 2003 with…

Comparison

Abnormal BMI categories vs Normal weight (18.5-24.9 kg/m²)

Design

Cohort

Follow-up

in-hospital

Authors

RSRobert L. SmithTCTae W. ChongTHTraci L. Hedrick

Discussion

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Overview

Abnormal BMI should not yet inform mortality risk assessment in infected surgical/trauma ICU patients; leaves open whether obesity independently affects survival after full adjustment.

Structured PICO

Does abnormal BMI increase in-hospital death in surgical/trauma ICU patients with infections?

P
Population
807 patients with infections (defined by U.S. Centers for Disease Control and Prevention criteria) admitted to a single university surgical/trauma ICU between 1996 and 2003 with measurable BMIs on admission
I
Intervention
Abnormal BMI categories (underweight <18.5 kg/m², overweight 25.0-29.9 kg/m², obese 30.0-39.9 kg/m², and morbidly obese ≥40.0 kg/m²)
C
Comparator
Normal weight (18.5-24.9 kg/m²)
O
Outcome
In-hospital deathhard clinical

Increasing BMI is not independently associated with higher in-hospital mortality in surgical/trauma ICU patients with infections.

Cite This Study

Smith et al. (2007) studied this question.

synapsesocial.com/papers/6a7cd9471e80ecf5247bf3e1https://doi.org/10.1089/sur.2006.079
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Obesity-related excess mortality rate in an adult intensive care unit: A risk-adjusted matched cohort study*2004 · 287 citations
  2. 2Body Weight as a Risk Factor in the Elderly1990 · 214 citations
  3. 3Excess Deaths From Nine Chronic Diseases in the United States, 19861990 · 182 citations
  4. 4Obesity Is an Independent Risk Factor of Mortality in Severely Injured Blunt Trauma Patients2004 · 275 citations
  5. 5Body Weight and Mortality among Women1995 · 1,995 citations