ICU sedation, delirium & recovery

The effect of body mass index on short-term outcomes in nonagenarians and centenarians with critical illness: A retrospective cohort study

Anaesth Crit Care Pain MedPublished Retrospective cohort study

Authors' conclusion

In nonagenarians and centenarians admitted to the ICU, higher BMI was linked to lower in-hospital mortality, suggesting a protective effect.

Study context

Population
Nonagenarians and centenarians admitted to the intensive care unit (ICU) over a 15-year period
Participants
12,510 participants
Exposure
Underweight, overweight and obese vs normal weight
  • Normal weightn = 5,471reference
  • Underweightn = 1,526
  • Overweightn = 3,914
  • Obesen = 1,599
Outcome
In-hospital mortality
Methodological detailsbi-national, entropy-weighted
  • Bi-national
  • Entropy-weighted

Main finding

As reported in the abstract

Each group vs normal weightRelative risk (95% CI)P value
Underweight
1.18(1.02–1.36)
P = 0.030
Overweight
0.97(0.87–1.08)
P = 0.580
Obese
0.76(0.64–0.90)
P = 0.001
Increasing body mass index (BMI) negatively associated with mortality
P < 0.001

Observational data: associations, not effects.

Further findings

Cohort BMI

Median BMI 24.4 kg/m²
IQR 21.8-27.5

Requirement for inotropes, invasive ventilation or RRT

BMI not associated with these requirements

Original publication

The effect of body mass index on short-term outcomes in nonagenarians and centenarians with critical illness: A retrospective cohort study. Anaesth Crit Care Pain Med. Published 29 September 2025. doi:10.1016/j.accpm.2025.101634

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