Organ support & nutrition

Short- and long-term outcomes and 15-year time trends of kidney replacement therapy in critically ill patients with obesity: an observational cohort

Intensive Care MedPublished Retrospective cohort study

Authors' conclusion

Among critically ill obese patients, KRT was independently associated with increased 90-day mortality.

Study context

Population
Critically ill patients with obesity (BMI ≥ 30 kg/m²) admitted to a medico-surgical ICU, 2009–2024
Participants
2,192 patients
Exposure
Kidney replacement therapy (KRT) vs no KRT
  • KRTn = 295
Outcome
Mortality (Kaplan-Meier curves and multivariate Cox analysis)
Follow-up
90 days
Methodological detailssingle-centre medico-surgical ICU, consecutive patients
  • Single-centre medico-surgical ICU
  • Consecutive patients

Main finding

As reported in the abstract

P < 0.0001

Observational data: associations, not effects.

Secondary outcomes

Acute kidney injury (AKI) incidence time trend over 15 years

AKI incidence decreased
P < 0.001

Original publication

Short- and long-term outcomes and 15-year time trends of kidney replacement therapy in critically ill patients with obesity: an observational cohort. Intensive Care Med. Published 30 June 2025. doi:10.1007/s00134-025-07990-2

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