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BMI is Associated with Coronavirus Disease 2019 Intensive Care Unit Admission in African Americans.

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BMI is Associated with Coronavirus Disease 2019 Intensive Care Unit Admission in African Americans.

Auteurs : Ala L. Alkhatib [États-Unis] ; Jonah Kreniske [États-Unis] ; Jerry S. Zifodya [États-Unis] ; Vivian Fonseca [États-Unis] ; Mohammad Tahboub [États-Unis] ; Joanna Khatib [États-Unis] ; Joshua L. Denson [États-Unis] ; Joseph A. Lasky [États-Unis] ; John J. Lefante [États-Unis] ; Christine M. Bojanowski [États-Unis]

Source :

Obesity (Silver Spring, Md.) [ 1930-739X ] ; 2020.

RBID : pubmed:32748568

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Afro-Américains (statistiques et données numériques), Betacoronavirus (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Hospitalisation (statistiques et données numériques), Humains (MeSH), Indice de gravité de la maladie (MeSH), Indice de masse corporelle (MeSH), Infections à coronavirus (physiopathologie), Infections à coronavirus (virologie), Mâle (MeSH), Odds ratio (MeSH), Pandémies (MeSH), Pneumopathie virale (physiopathologie), Pneumopathie virale (virologie), Sujet âgé (MeSH), Unités de soins intensifs (statistiques et données numériques), Études rétrospectives (MeSH), Études transversales (MeSH).
MESH :
- physiopathologie : Infections à coronavirus, Pneumopathie virale.
- statistiques et données numériques : Afro-Américains, Hospitalisation, Unités de soins intensifs.
- virologie : Infections à coronavirus, Pneumopathie virale.
- Adulte, Adulte d'âge moyen, Betacoronavirus, Facteurs de risque, Femelle, Humains, Indice de gravité de la maladie, Indice de masse corporelle, Mâle, Odds ratio, Pandémies, Sujet âgé, Études rétrospectives, Études transversales.

English descriptors

KwdEn :
- Adult (MeSH), African Americans (statistics & numerical data), Aged (MeSH), Betacoronavirus (MeSH), Body Mass Index (MeSH), Coronavirus Infections (physiopathology), Coronavirus Infections (virology), Cross-Sectional Studies (MeSH), Female (MeSH), Hospitalization (statistics & numerical data), Humans (MeSH), Intensive Care Units (statistics & numerical data), Male (MeSH), Middle Aged (MeSH), Odds Ratio (MeSH), Pandemics (MeSH), Pneumonia, Viral (physiopathology), Pneumonia, Viral (virology), Retrospective Studies (MeSH), Risk Factors (MeSH), Severity of Illness Index (MeSH).
MESH :
- physiopathology : Coronavirus Infections, Pneumonia, Viral.
- statistics & numerical data : African Americans, Hospitalization, Intensive Care Units.
- virology : Coronavirus Infections, Pneumonia, Viral.
- Adult, Aged, Betacoronavirus, Body Mass Index, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Odds Ratio, Pandemics, Retrospective Studies, Risk Factors, Severity of Illness Index.

Abstract

OBJECTIVE

Coronavirus disease 2019 (COVID-19) has disproportionately impacted the African American community. This study aims to identify the risk factors for severe COVID-19 disease in African American patients.

METHODS

This was a retrospective cross-sectional analysis of African American patients with COVID-19 treated between March 12 and April 9, 2020, at a single tertiary center. The primary outcome of interest was severe disease defined as those requiring intensive care unit (ICU) admission.

RESULTS

The study included 158 consecutive patients. The mean age was 57 years, and 61% were women. The mean (SD) of BMI was 33.2 (8.6) kg/m

CONCLUSIONS

This study identified risk factors for severe disease in COVID-19, specifically in an African American population. Further inclusive research aimed at optimizing clinical care relevant to the African American population is critical to ensure an equitable response to COVID-19.

DOI: 10.1002/oby.22937
PubMed: 32748568
PubMed Central: PMC7436599

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Le document en format XML

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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Bojanowski, Christine M" sort="Bojanowski, Christine M" uniqKey="Bojanowski C" first="Christine M" last="Bojanowski">Christine M. Bojanowski</name>
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<idno type="eISSN">1930-739X</idno>
<imprint><date when="2020" type="published">2020</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>African Americans (statistics & numerical data)</term>
<term>Aged (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Body Mass Index (MeSH)</term>
<term>Coronavirus Infections (physiopathology)</term>
<term>Coronavirus Infections (virology)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Hospitalization (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Intensive Care Units (statistics & numerical data)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Odds Ratio (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (physiopathology)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Afro-Américains (statistiques et données numériques)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Hospitalisation (statistiques et données numériques)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Indice de masse corporelle (MeSH)</term>
<term>Infections à coronavirus (physiopathologie)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Mâle (MeSH)</term>
<term>Odds ratio (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (physiopathologie)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Unités de soins intensifs (statistiques et données numériques)</term>
<term>Études rétrospectives (MeSH)</term>
<term>Études transversales (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>African Americans</term>
<term>Hospitalization</term>
<term>Intensive Care Units</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Afro-Américains</term>
<term>Hospitalisation</term>
<term>Unités de soins intensifs</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Betacoronavirus</term>
<term>Body Mass Index</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Pandemics</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Betacoronavirus</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Indice de masse corporelle</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Pandémies</term>
<term>Sujet âgé</term>
<term>Études rétrospectives</term>
<term>Études transversales</term>
</keywords>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>Coronavirus disease 2019 (COVID-19) has disproportionately impacted the African American community. This study aims to identify the risk factors for severe COVID-19 disease in African American patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>This was a retrospective cross-sectional analysis of African American patients with COVID-19 treated between March 12 and April 9, 2020, at a single tertiary center. The primary outcome of interest was severe disease defined as those requiring intensive care unit (ICU) admission.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The study included 158 consecutive patients. The mean age was 57 years, and 61% were women. The mean (SD) of BMI was 33.2 (8.6) kg/m</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>This study identified risk factors for severe disease in COVID-19, specifically in an African American population. Further inclusive research aimed at optimizing clinical care relevant to the African American population is critical to ensure an equitable response to COVID-19.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2020</Year>
<Month>09</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>09</Month>
<Day>29</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1930-739X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>28</Volume>
<Issue>10</Issue>
<PubDate><Year>2020</Year>
<Month>10</Month>
</PubDate>
</JournalIssue>
<Title>Obesity (Silver Spring, Md.)</Title>
<ISOAbbreviation>Obesity (Silver Spring)</ISOAbbreviation>
</Journal>
<ArticleTitle>BMI is Associated with Coronavirus Disease 2019 Intensive Care Unit Admission in African Americans.</ArticleTitle>
<Pagination><MedlinePgn>1798-1801</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/oby.22937</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">Coronavirus disease 2019 (COVID-19) has disproportionately impacted the African American community. This study aims to identify the risk factors for severe COVID-19 disease in African American patients.</AbstractText>
<AbstractText Label="METHODS">This was a retrospective cross-sectional analysis of African American patients with COVID-19 treated between March 12 and April 9, 2020, at a single tertiary center. The primary outcome of interest was severe disease defined as those requiring intensive care unit (ICU) admission.</AbstractText>
<AbstractText Label="RESULTS">The study included 158 consecutive patients. The mean age was 57 years, and 61% were women. The mean (SD) of BMI was 33.2 (8.6) kg/m<sup>2</sup>
 . Overall, patients admitted to the ICU were older (62 vs. 55 years, P = 0.003) and had higher BMI (36.5 kg/m<sup>2</sup>
 vs. 31.9 kg/m<sup>2</sup>
 , P = 0.002). In unadjusted and adjusted analysis, the factors most associated with ICU admission in this sample were age (adjusted odds ratio [aOR]: 1.073; 95% CI: 1.033-1.114), BMI (aOR: 1.115; 95% CI: 1.052-1.182), and lung disease (aOR: 3.097; 95% CI: 1.137-8.437).</AbstractText>
<AbstractText Label="CONCLUSIONS">This study identified risk factors for severe disease in COVID-19, specifically in an African American population. Further inclusive research aimed at optimizing clinical care relevant to the African American population is critical to ensure an equitable response to COVID-19.</AbstractText>
<CopyrightInformation>© 2020 The Obesity Society.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Alkhatib</LastName>
<ForeName>Ala L</ForeName>
<Initials>AL</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Section of Pulmonary Diseases, Critical Care and Environmental Medicine, Health Science Center, Tulane University, New Orleans, Louisiana, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kreniske</LastName>
<ForeName>Jonah</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, School of Medicine, Tulane University, New Orleans, Louisiana, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zifodya</LastName>
<ForeName>Jerry S</ForeName>
<Initials>JS</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Section of Pulmonary Diseases, Critical Care and Environmental Medicine, Health Science Center, Tulane University, New Orleans, Louisiana, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fonseca</LastName>
<ForeName>Vivian</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Section of Endocrinology and Metabolism, Health Science Center, Tulane University, New Orleans, Louisiana, USA.</Affiliation>
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</Author>
<Author ValidYN="Y"><LastName>Tahboub</LastName>
<ForeName>Mohammad</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Section of Pulmonary Diseases, Critical Care and Environmental Medicine, Health Science Center, Tulane University, New Orleans, Louisiana, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Khatib</LastName>
<ForeName>Joanna</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Section of Endocrinology and Metabolism, Health Science Center, Tulane University, New Orleans, Louisiana, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Denson</LastName>
<ForeName>Joshua L</ForeName>
<Initials>JL</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Section of Pulmonary Diseases, Critical Care and Environmental Medicine, Health Science Center, Tulane University, New Orleans, Louisiana, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lasky</LastName>
<ForeName>Joseph A</ForeName>
<Initials>JA</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Section of Pulmonary Diseases, Critical Care and Environmental Medicine, Health Science Center, Tulane University, New Orleans, Louisiana, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lefante</LastName>
<ForeName>John J</ForeName>
<Initials>JJ</Initials>
<AffiliationInfo><Affiliation>Department of Biostatistics and Data Science, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.</Affiliation>
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</Author>
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<ForeName>Christine M</ForeName>
<Initials>CM</Initials>
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<AffiliationInfo><Affiliation>Department of Medicine, Section of Pulmonary Diseases, Critical Care and Environmental Medicine, Health Science Center, Tulane University, New Orleans, Louisiana, USA.</Affiliation>
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<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>08</Month>
<Day>04</Day>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Obesity (Silver Spring)</MedlineTA>
<NlmUniqueID>101264860</NlmUniqueID>
<ISSNLinking>1930-7381</ISSNLinking>
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<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Obesity (Silver Spring). 2020 Oct;28(10):1793-1794</RefSource>
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<MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName>
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</MedlineCitation>
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<Month>04</Month>
<Day>29</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2020</Year>
<Month>05</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2020</Year>
<Month>06</Month>
<Day>09</Day>
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<ArticleIdList><ArticleId IdType="pubmed">32748568</ArticleId>
<ArticleId IdType="doi">10.1002/oby.22937</ArticleId>
<ArticleId IdType="pmc">PMC7436599</ArticleId>
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<ReferenceList><Title>References</Title>
<Reference><Citation>Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020;395:1054-1062.</Citation>
</Reference>
<Reference><Citation>Bhatraju PK, Ghassemieh BJ, Nichols M, et al. Covid-19 in critically ill patients in the Seattle region - case series. N Engl J Med 2020;382:2012-2022. doi:10.1056/NEJMoa2004500</Citation>
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<Reference><Citation>Gao F, Zheng KI, Wang X-B, et al. Obesity is a risk factor for greater COVID-19 severity. Diabetes Care 2020;43:e72-e74. doi:10.2337/dc20-0682</Citation>
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</Reference>
</ReferenceList>
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BMI is Associated with Coronavirus Disease 2019 Intensive Care Unit Admission in African Americans.

BMI is Associated with Coronavirus Disease 2019 Intensive Care Unit Admission in African Americans.

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