Abstract 155: The Impact of Body Mass Index and Gender on Patient Survival After Therapeutic Hypothermia Following Resuscitation

2015 ◽  
Vol 8 (suppl_2) ◽  
Author(s):  
Khadijah Breathett ◽  
Nishaki Mehta Oza ◽  
Vedat Yildiz ◽  
Ryan Ziegler ◽  
Erik Abel ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Cardiac Arrest ◽  
Therapeutic Hypothermia ◽  
Body Mass ◽  
Patient Survival ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Obesity Paradox ◽  
And Gender ◽  
The Impact

Background: Therapeutic hypothermia has been established to improve survival in patients following cardiac arrest; yet the impact of body mass index (BMI) and gender on survival post hypothermia is lesser known. Given the obesity paradox in heart failure and the gender differences in cardiovascular outcomes, we hypothesized that men and higher BMI patients would have better survival post therapeutic hypothermia than women and lower BMI patients. Methods: We retrospectively evaluated 183 patients who underwent therapeutic hypothermia following resuscitation at our two large academic centers from 1/2012 to 9/2014. Logistic regression analysis was used to assess for survival based upon BMI, gender, and comorbidities. Results: The average BMI was 30.5 (standard deviation 9.7 kg/m2). There were 67% men (n=122). Therapeutic hypothermia was performed in 75% patients (n=138) for cardiac arrest, while the rest were cooled for neurologic indications. Mortality post therapeutic hypothermia was 60% (n=110). There was a significantly higher mortality for patients with BMI >30kg/m2 compared to BMI ≤30kg/m2 [Odds Ratio OR 1.94 (95% Confidence Intervals CI 1.04, 3.62), p=0.034]. There was no difference in mortality based upon gender [OR 1.57 (95% CI 0.8, 2.9), p= 0.166] or other comorbidities. Conclusions: BMI >30kg/m2 was a significant risk factor for mortality post therapeutic hypothermia protocol, while gender was not a factor. Larger studies will be needed to validate these findings.

scholarly journals The impact of body mass index on patient survival after therapeutic hypothermia after resuscitation

2016 ◽  
Vol 34 (4) ◽  
pp. 722-725 ◽  
Author(s):  
Khadijah Breathett ◽  
Nishaki Mehta ◽  
Vedat Yildiz ◽  
Erik Abel ◽  
Ruchika Husa
Keyword(s):  
Body Mass Index ◽  
Therapeutic Hypothermia ◽  
Body Mass ◽  
Patient Survival ◽  
The Impact

The impact of body mass index on post resuscitation survival after cardiac arrest: A meta-analysis

2018 ◽  
Vol 24 ◽  
pp. 47-53 ◽  
Author(s):  
Sotirios Kakavas ◽  
Georgios Georgiopoulos ◽  
Dimitrios Oikonomou ◽  
Dimitrios Karayiannis ◽  
Stefano Masi ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Cardiac Arrest ◽  
Body Mass ◽  
Meta Analysis ◽  
The Impact

The Effect of Body Mass Index on Posttraumatic Transfusion after Pelvic Trauma

2015 ◽  
Vol 81 (3) ◽  
pp. 239-244 ◽  
Author(s):  
Justin E. Richards ◽  
Brent J. Morris ◽  
Oscar D. Guillamondegui ◽  
Kyle R. Sweeney ◽  
Marc A. Tressler ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Morbid Obesity ◽  
Risk Factor ◽  
Blood Transfusion ◽  
Body Mass ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Pelvic Trauma ◽  
Fracture Patterns ◽  
To Receive

The impact of body mass index (BMI) on posttraumatic blood transfusion after pelvic trauma is not well known. We conducted a retrospective review of trauma registry data over a 5-year period. Patients were stratified by BMI as normal: less than 25 kg/m2, overweight: 25 to 29.9 kg/m2, obese: 30 to 39.9 kg/m2, and morbidly obese: 40 kg/m2 or greater. Fractures were identified as “likely to receive transfusion” based on literature. Multivariable logistic regression modeling evaluated the relationship between BMI and initial posttraumatic transfusion. A second regression model was created to test the effect of BMI after adjusting for fractures “less likely to receive transfusion.” Sixty-six of 244 patients (27.3%) received transfusion (mean: 1.1 ± 2.3 units). Morbid obesity was associated with transfusion (less than 55.6 vs 24.8%; P < 0.05) and units of total blood transfused (2.2 ± 2.9 vs 1.0 ± 2.2 mL; P < 0.05). The average age of patients who received a blood transfusion was significantly older compared with patients who did not receive a transfusion (45.4 ± 18.8 vs 36.1 ± 16.1 years; P < 0.05). After adjusting for potential confounders, morbid obesity was a significant risk factor for transfusion (odds ratio [OR], 4.1; 95% confidence interval [CI], 1.4 to 12.0). Adjusting by age and fracture patterns “less likely to receive transfusion,” morbid obesity remained a risk factor for transfusion (OR, 4.5; 95% CI, 1.5 to 12.9). Morbid obesity represented a significant risk factor for posttraumatic transfusion in isolated pelvic trauma, even for fracture patterns “less likely to receive transfusion.”

scholarly journals Obesity, Aspirin, and Risk of Colorectal Cancer in Carriers of Hereditary Colorectal Cancer: A Prospective Investigation in the CAPP2 Study

2015 ◽  
Vol 33 (31) ◽  
pp. 3591-3597 ◽  
Author(s):  
Mohammad Movahedi ◽  
D. Timothy Bishop ◽  
Finlay Macrae ◽  
Jukka-Pekka Mecklin ◽  
Gabriela Moeslein ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Body Mass Index ◽  
Body Mass ◽  
Reference Group ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Normal Weight ◽  
Obese People ◽  
Msh6 Mutation

Purpose In the general population, increased adiposity is a significant risk factor for colorectal cancer (CRC), but whether obesity has similar effects in those with hereditary CRC is uncertain. This prospective study investigated the association between body mass index and cancer risk in patients with Lynch syndrome (LS). Patients and Methods Participants with LS were recruited to the CAPP2 study, in which they were randomly assigned to receive aspirin 600 mg per day or aspirin placebo, plus resistant starch 30 g per day or starch placebo (2 × 2 factorial design). Mean intervention period was 25.0 months, and mean follow-up was 55.7 months. Results During follow-up, 55 of 937 participants developed CRC. For obese participants, CRC risk was 2.41× (95% CI, 1.22 to 4.85) greater than for underweight and normal-weight participants (reference group), and CRC risk increased by 7% for each 1-kg/m2 increase in body mass index. The risk of all LS-related cancers in obese people was 1.77× (95% CI, 1.06 to 2.96; P = .03) greater than for the reference group. In subgroup analysis, obesity was associated with 3.72× (95% CI, 1.41 to 9.81) greater CRC risk in patients with LS with MLH1 mutation, but no excess risk was observed in those with MSH2 or MSH6 mutation (P = .5). The obesity-related excess CRC risk was confined to those randomly assigned to the aspirin placebo group (adjusted hazard ratio, 2.75; 95% CI, 1.12 to 6.79; P = .03). Conclusion Obesity is associated with substantially increased CRC risk in patients with LS, but this risk is abrogated in those taking aspirin. Such patients are likely to benefit from obesity prevention and/or regular aspirin.

scholarly journals The Association between Body Mass Index and Mortality on Peritoneal Dialysis: A Prospective Cohort Study

2014 ◽  
Vol 34 (4) ◽  
pp. 383-389 ◽  
Author(s):  
Yong Kyun Kim ◽  
Su-Hyun Kim ◽  
Hyung Wook Kim ◽  
Young Ok Kim ◽  
Dong Chan Jin ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Cohort Study ◽  
Peritoneal Dialysis ◽  
Body Mass ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Cox Regression ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Cox Regression Analysis

BackgroundPrevious studies have demonstrated that increased body mass index (BMI) is associated with decreased mortality in hemodialysis (HD) patients. However, the association between BMI and survival has not been well established in patients undergoing peritoneal dialysis (PD). The aim of the study was to determine the association between BMI and mortality in the PD population using the Clinical Research Center (CRC) registry for end-stage renal disease (ESRD) cohort in Korea.MethodsPrevalent patients with PD were selected from the CRC registry for ESRD, a prospective cohort study on dialysis patients in Korea. Patients were categorized into four groups by quartiles of BMI. Cox regression analysis was used to calculate the adjusted hazard ratio (HR) of mortality with a BMI of quartile 2 (21.4 - 23.5 kg/m2) as the reference.ResultsA total of 900 prevalent patients undergoing PD were included. The median follow-up period was 24 months. The multivariate Cox proportional hazard model showed that the lowest quartile of BMI was associated with higher mortality (HR 3.00,95% confidence interval (CI), 1.26 - 7.15). However, the higher quartiles of BMI were not associated with mortality compared with the reference category of BMI quartile 2 (Quartile 3: HR 1.11, 95% CI, 0.43 - 2.85, Quartile 4: H R 1.64,95% CI, 0.66 - 4.06) after adjustment for clinical variables.ConclusionsLower BMI was a significant risk factor for death, but increased BMI was not associated with mortality in Korean PD patients.

scholarly journals Impact of body mass index and socio-economic status on motor development in children and adolescents

2021 ◽  
Author(s):  
Tanja H. Kakebeeke ◽  
Aziz Chaouch ◽  
Jon Caflisch ◽  
Elisa Knaier ◽  
Valentin Rousson ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Motor Development ◽  
Motor Performance ◽  
Economic Status ◽  
Age And Gender ◽  
Socio Economic Status ◽  
Zurich Neuromotor Assessment ◽  
And Gender ◽  
The Impact

AbstractThis study assessed the impact of body mass index (BMI) and socioeconomic status (SES) on the Zurich Neuromotor Assessment, second version (ZNA-2), a battery of tests of motor development in typically developing children between 3 and 18 years of age. BMI measurements and international socio-economic index data were taken from the normative sample of the ZNA-2 for 321 children (158 boys, 163 girls) with a median age of 9.3 years. The age- and gender-adjusted motor performance of these children was quantified and grouped into five components: fine, pure, and gross motor tasks, static balance, and contralateral associated movements. A total score was also calculated. The associations of BMI and SES with the motor scores contribute to less than 5.1% of the total variance.Conclusion: The ZNA-2 for motor development is suitable for measuring motor abilities’ development as it is largely independent of the BMI of the child and the SES of the family. What is Known:• Typical motor development, as measured with the Zurich Neuromotor Assessment, second edition (ZNA-2), is strongly dependent on age and gender.• The ZNA-2 focusses on motor performance, motor quality and simple motor skills. What is New:• Higher socio-economic status (SES) is associated with slightly better motor performance as measured by the ZNA-2 total score.• In the ZNA-2 less than 5.1% of the variability in motor performance is attributable to the combined effect of body mass index and SES.

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