Organ support & nutrition

Mortality in Patients with Obesity and Acute Respiratory Distress Syndrome Receiving Extracorporeal Membrane Oxygenation: The Multicenter ECMObesity Study

Am J Respir Crit Care MedPublished Retrospective cohort study

Main finding · ICU mortalityResult — go to the resultOdds ratio 0.63 95% CI 0.43–0.93

Authors' conclusion

Among patients receiving ECMO for ARDS, those with obesity had lower ICU mortality than patients without obesity in multivariable and propensity score matching analyses.

Study context

Population
Patients with acute respiratory distress syndrome (ARDS) receiving extracorporeal membrane oxygenation (ECMO)
Participants
790 patients
Exposure
Obesity vs no obesity
  • Obesityn = 320
Outcome
ICU mortality
Methodological detailsinternational, multicentre, multivariable logistic regression, propensity-score matched
  • International
  • Multicentre
  • Multivariable logistic regression
  • Propensity-score matched

Main finding

As reported in the abstract

Odds ratio

0.63

95% CI 0.43–0.93

P = 0.018

By group

Obesity vs No obesity
OR 0.63 (95% CI 0.43–0.93); P = 0.018

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)P value
ICU mortality per BMI as continuous variableMultivariable regression0.97 (0.95–1.00)P = 0.023

ICU death (propensity score matched)

P = 0.007

  • ICU death (propensity score matched): 199 patients with obesity matched to 199 without

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Mortality in Patients with Obesity and Acute Respiratory Distress Syndrome Receiving Extracorporeal Membrane Oxygenation: The Multicenter ECMObesity Study. Am J Respir Crit Care Med. Published 15 September 2023. doi:10.1164/rccm.202212-2293oc

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