Body Mass Index and Outcomes in Patients with Severe Sepsis or Septic Shock / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 266-271, 2013.
Article
in Korean
| WPRIM
| ID: wpr-645158
ABSTRACT
BACKGROUND:
The aim of this study was to investigate the association between body mass index (BMI) and survival in patients with severe sepsis or septic shock.METHODS:
We analyzed the sepsis registry of patients presenting to the emergency department (ED) of a tertiary urban hospital and meeting the criteria for severe sepsis or septic shock from August 2008 to March 2012. We categorized patients into the underweight group (BMI or = 25 kg/m2). Then, we analyzed the registry to evaluate the relation between obesity and in-hospital mortality.RESULTS:
A total of 770 adult patients with severe sepsis and septic shock were analyzed. In-hospital mortality rate of the underweight group (n = 86), the normal weight group (n = 489) and the obese group (n = 195) was 22.1%, 15.3% and 16.4%, respectively. In a multivariate regression analysis, the underweight group had a significant association with in-hospital mortality compared with the normal weight group (odds ratio [OR], 1.12; 95% confidence interval [CI], 0.68-1.87; p = 0.028). The obese group showed no significant difference in mortality (OR, 2.04; 95% CI, 1.08-3.86; p = 0.65).CONCLUSIONS:
The underweight patients showed significantly higher mortality than the normal weight patients with severe sepsis and septic shock.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Shock, Septic
/
Thinness
/
Hospitals, Urban
/
Body Mass Index
/
Mortality
/
Hospital Mortality
/
Sepsis
/
Emergencies
/
Obesity
Type of study:
Prognostic study
Limits:
Adult
/
Humans
Language:
Korean
Journal:
The Korean Journal of Critical Care Medicine
Year:
2013
Type:
Article
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