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ABSTRACT: Background
A detailed characterization of patients with COVID-19 living with obesity has not yet been undertaken. We aimed to describe and compare the demographics, medical conditions, and outcomes of COVID-19 patients living with obesity (PLWO) to those of patients living without obesity.Methods
We conducted a cohort study based on outpatient/inpatient care and claims data from January to June 2020 from Spain, the UK, and the US. We used six databases standardized to the OMOP common data model. We defined two non-mutually exclusive cohorts of patients diagnosed and/or hospitalized with COVID-19; patients were followed from index date to 30 days or death. We report the frequency of demographics, prior medical conditions, and 30-days outcomes (hospitalization, events, and death) by obesity status.Results
We included 627 044 (Spain: 122 058, UK: 2336, and US: 502 650) diagnosed and 160 013 (Spain: 18 197, US: 141 816) hospitalized patients with COVID-19. The prevalence of obesity was higher among patients hospitalized (39.9%, 95%CI: 39.8-40.0) than among those diagnosed with COVID-19 (33.1%; 95%CI: 33.0-33.2). In both cohorts, PLWO were more often female. Hospitalized PLWO were younger than patients without obesity. Overall, COVID-19 PLWO were more likely to have prior medical conditions, present with cardiovascular and respiratory events during hospitalization, or require intensive services compared to COVID-19 patients without obesity.Conclusion
We show that PLWO differ from patients without obesity in a wide range of medical conditions and present with more severe forms of COVID-19, with higher hospitalization rates and intensive services requirements. These findings can help guiding preventive strategies of COVID-19 infection and complications and generating hypotheses for causal inference studies.
SUBMITTER: Recalde M
PROVIDER: S-EPMC8281807 | biostudies-literature | 2021 Nov
REPOSITORIES: biostudies-literature
Recalde Martina M Roel Elena E Pistillo Andrea A Sena Anthony G AG Prats-Uribe Albert A Ahmed Waheed-Ul-Rahman WU Alghoul Heba H Alshammari Thamir M TM Alser Osaid O Areia Carlos C Burn Edward E Casajust Paula P Dawoud Dalia D DuVall Scott L SL Falconer Thomas T Fernández-Bertolín Sergio S Golozar Asieh A Gong Mengchun M Lai Lana Yin Hui LYH Lane Jennifer C E JCE Lynch Kristine E KE Matheny Michael E ME Mehta Paras P PP Morales Daniel R DR Natarjan Karthik K Nyberg Fredrik F Posada Jose D JD Reich Christian G CG Rijnbeek Peter R PR Schilling Lisa M LM Shah Karishma K Shah Nigam H NH Subbian Vignesh V Zhang Lin L Zhu Hong H Ryan Patrick P Prieto-Alhambra Daniel D Kostka Kristin K Duarte-Salles Talita T
International journal of obesity (2005) 20210715 11
<h4>Background</h4>A detailed characterization of patients with COVID-19 living with obesity has not yet been undertaken. We aimed to describe and compare the demographics, medical conditions, and outcomes of COVID-19 patients living with obesity (PLWO) to those of patients living without obesity.<h4>Methods</h4>We conducted a cohort study based on outpatient/inpatient care and claims data from January to June 2020 from Spain, the UK, and the US. We used six databases standardized to the OMOP co ...[more]