Organ support & nutrition

Sex-Specific Obesity Paradox in Critically Ill Patients With Severe Acute Kidney Injury: A Retrospective Analysis

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

There were sex differences in the association between BMI and mortality in critically ill patients with severe AKI.

Study context

Population
Critically ill patients with severe acute kidney injury (AKI) receiving continuous renal replacement therapy (CRRT), 8 tertiary hospitals in Korea2,308 male, 1497 female
Participants
3,805 patients
Exposure
Body mass index (BMI) categories, by sex
Outcome
90-day mortality
Follow-up
90 days
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Each group vs obeseHazard ratio (95% CI)P value
Underweightoverall population, adjusted
1.20(1.05–1.36)
P = 0.006
Underweightmale patients, adjusted
1.30(1.10–1.53)
P = 0.002
Normal weightmale patients, adjusted
1.18(1.04–1.35)
P = 0.010

Observational data: associations, not effects.

Further findings

90-day mortality, subgroups of male patients (subgroup)

Obesity paradox in male patients of old age, with septic AKI, or with low albumin levels

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

Original publication

Sex-Specific Obesity Paradox in Critically Ill Patients With Severe Acute Kidney Injury: A Retrospective Analysis. Crit Care Med. Published 9 December 2024. doi:10.1097/ccm.0000000000006538

Composed by AI from the published abstract and checked against it. How Briefs are made →

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