Research Article

Association between Body Mass Index and Short-Term Clinical Outcomes in Critically Ill Patients with Sepsis: A Real-World Study

Table 1

Characteristics of participants.

ParametersAll patientsUnderweight
(<18.5 kg/m2)
Normal
(≥18.5, <25 kg/m2)
Overweight
(≥25, <30 kg/m2)
Obese
(≥30 kg/m2)
value

7967325251324652664
Age (years)<0.001
Sex, n(%)<0.001
 Male4402 (55.25%)155 (47.69%)1363 (54.24%)1486 (60.28%)1398 (52.48%)
 Female3565 (44.75%)170 (52.31%)1150 (45.76%)979 (39.72%)1266 (47.52%)
SOFA5.00 (3.00-8.00)4.00 (3.00-8.00)5.00 (3.00-8.00)6.00 (4.00-8.00)6.00 (4.00-8.00)<0.001
Elixhauser Comorbidity Index (SID30)19.00 (10.00-29.00)21.00 (12.00-31.00)20.00 (11.00-30.00)20.00 (11.00-29.00)18.00 (9.00-28.00)<0.001
Mechanical ventilation on the first day4918 (61.73%)175 (53.85%)1493 (59.41%)1511 (61.30%)1739 (65.28%)<0.001
Renal replacement therapy on the first day536 (6.73%)18 (5.54%)152 (6.05%)169 (6.86%)197 (7.39%)0.209
Length of hospital stay (days)14.46 (8.15-24.69)11.86 (7.07-21.86)13.66 (7.73-23.58)14.64 (8.32-24.99)15.51 (8.91-25.39)<0.001
Length of ICU stay (days)5.85 (2.80-12.04)4.38 (2.22-8.99)5.23 (2.53-11.16)5.86 (2.86-11.92)6.50 (3.05-13.30)<0.001
Hospital mortality, (%)1723 (21.63%)77 (23.69%)603 (24.00%)533 (21.62%)510 (19.14%)<0.001
ICU mortality, (%)1254 (15.74%)53 (16.31%)436 (17.35%)397 (16.11%)368 (13.81%)0.005
28-day mortality, (%)1667 (20.92%)89 (27.38%)597 (23.76%)515 (20.89%)466 (17.49%)<0.001
Comorbidities, (%)
 Congestive heart failure3194 (40.09%)107 (32.92%)972 (38.68%)979 (39.72%)1136 (42.64%)<0.001
 Cardiac arrhythmias3047 (38.25%)85 (26.15%)989 (39.36%)936 (37.97%)1037 (38.93%)<0.001
 Valvular disease1317 (16.53%)49 (15.08%)447 (17.79%)403 (16.35%)418 (15.69%)0.187
 Peripheral vascular disease1133 (14.22%)57 (17.54%)387 (15.40%)365 (14.81%)324 (12.16%)0.001
 Hypertension4326 (54.30%)129 (39.69%)1286 (51.17%)1332 (54.04%)1579 (59.27%)<0.001
 Other neurological disease1130 (14.18%)62 (19.08%)387 (15.40%)369 (14.97%)312 (11.71%)<0.001
 Chronic pulmonary disease1913 (24.01%)102 (31.38%)602 (23.96%)529 (21.46%)680 (25.53%)<0.001
 Liver disease987 (12.39%)39 (12.00%)276 (10.98%)310 (12.58%)362 (13.59%)0.041
 Renal failure1806 (22.67%)67 (20.62%)523 (20.81%)588 (23.85%)628 (23.57%)0.030
 AIDS104 (1.31%)7 (2.15%)56 (2.23%)28 (1.14%)13 (0.49%)<0.001
 Lymphoma216 (2.71%)12 (3.69%)68 (2.71%)72 (2.92%)64 (2.40%)0.464
 Metastatic cancer436 (5.47%)24 (7.38%)172 (6.84%)151 (6.13%)89 (3.34%)<0.001
 Solid tumor386 (4.84%)29 (8.92%)129 (5.13%)112 (4.54%)116 (4.35%)0.003
 Diabetes2468 (30.98%)45 (13.85%)553 (22.01%)713 (28.92%)1157 (43.43%)<0.001
 Fluid and electrolyte disorders3876 (48.65%)163 (50.15%)1221 (48.59%)1201 (48.72%)1291 (48.46%)0.952
 Alcohol abuse625 (7.84%)14 (4.31%)196 (7.80%)200 (8.11%)215 (8.07%)0.108
 Drug abuse291 (3.65%)9 (2.77%)117 (4.66%)84 (3.41%)81 (3.04%)0.011
 Depression791 (9.93%)35 (10.77%)211 (8.40%)245 (9.94%)300 (11.26%)0.007

Data are expressed as median (Q1–Q3) or (SD) for continuous variables and as numbers and percentages for categorical variables. Chi-square tests (for categorical variables) and one-way analysis of variance (for continuous variables) were used to compare differences in patient characteristics between groups. Abbreviations: ICU—intensive care unit; SOFA—sequential organ failure assessment; AIDS—acquired immune deficiency syndrome.