Research Article

Obesity and Overweight Are Independently Associated with Greater Survival in Critically Ill Diabetic Patients: A Retrospective Cohort Study

Table 1

Baseline characteristics of the study patients by BMI category.

CharacteristicsOverall ()Normal weight ()Overweight ()Obesity () value

BMI (kg/m2)aa<0.001
Age (years)aa<0.001
Gender, male, (%)3680 (60.2)800 (60.8)1260 (65.5) c1620 (56.5) c<0.001
Ethnicity, (%)<0.001
 White4134 (67.7)848 (64.4)1308 (68.0)1833 (69.0)b0.014
 Black618 (10.1)136 (10.3)167 (8.7)280 (11.0)0.033
 Other507 (8.3)145 (11.0)168 (8.7)188 (6.8)a<0.001
 Unknown849 (13.9)187 (14.2)281 (14.6)352 (13.3)0.404
Admission type, (%)<0.001
 Emergency4783 (78.3)1085 (82.4)1487 (77.3)a2211 (77.1)a<0.001
 Elective1131 (18.5)190 (14.4)365 (19.0)b576 (20.1)a<0.001
 Urgent194 (3.1)41 (3.1)72 (3.7)81 (2.8)0.204
ICU type, (%)<0.001
 MICU1810 (29.6)420 (31.9)497 (25.8) a893 (31.1)<0.001
 CCU1173 (19.2)252 (19.1)399 (20.7)522 (18.2)0.092
 CSRU1997 (32.7)378 (28.7)682 (35.4)a937 (32.7)c<0.001
 SICU734 (12.0)180 (13.7)221 (11.5)333 (11.6)0.111
 TSICU394 (6.5)86 (6.5)125 (6.5)183 (6.4)0.977
DM, T2DM, (%)5620 (92.0)1149 (87.3)1756 (91.3)a2715 (94.7)a<0.001
Scoring systems
 SOFA4.0 (3.0, 6.0)4.0 (3.0, 6.0)4.0 (3.0, 6.0)4.0 (3.0, 6.0)0.752
 APS III43.0 (33.0, 57.0)45.0 (35.0, 60.0)42.0 (32.0, 55.5)a41.0 (32.0, 56.0)a<0.001
Comorbidity, (%)
 AMI1208 (19.8)274 (20.8)432 (22.5)502 (17.5)c<0.001
 Stroke162 (2.7)46 (3.5)38 (2.0)c78 (2.7)0.029
 Renal failure2075 (34.0)442 (33.6)628 (32.6)1005 (35.0)0.215
 Respiratory failure1120 (18.3)246 (18.7)294 (15.3)c580 (20.2)<0.001
 Heart failure2370 (38.8)495 (37.6)735 (38.2)1140 (39.7)0.340
 Malignancy183 (3.0)55 (4.2)64 (3.3)64 (2.2)a0.002

Abbreviations: BMI: body mass index; ICU: intensive care unit; MICU: medical intensive care unit; CCU: coronary care unit; CSRU: cardiac surgery recovery unit; SICU: surgical intensive care unit; TSICU: thoracic surgery intensive care unit; DM: diabetic mellitus; SOFA: sequential organ failure assessment; APS III: acute physiology score III; AMI: acute myocardial infarction. Normally distributed data are presented as , nonnormally distributed data are presented as median (IQR), and categorical variables are presented as (%). Scores were calculated within 24 h of ICU admission. a compared with the normal weight group. b compared with the normal weight group. c compared with the normal weight group.