The Impact of Obesity on Disease Severity and Outcomes Among Hospitalized Children With COVID-19

To describe the impact of obesity on disease severity and outcomes of coronavirus disease 2019 (COVID-19) among hospitalized children. This retrospective cohort study from the Society of Critical Care Medicine Viral Respiratory Illness Universal Study registry included all children hospitalized with...

Full description

Saved in:

Bibliographic Details
Published in:	Hospital pediatrics Vol. 11; no. 11; p. e297
Main Authors:	Tripathi, Sandeep, Christison, Amy L, Levy, Emily, McGravery, Jeremy, Tekin, Aysun, Bolliger, Dawn, Kumar, Vishakha K, Bansal, Vikas, Chiotos, Kathleen, Gist, Katja M, Dapul, Heda R, Bhalala, Utpal S, Gharpure, Varsha P, Heneghan, Julia A, Gupta, Neha, Bjornstad, Erica C, Montgomery, Vicki L, Walkey, Allan, Kashyap, Rahul, Arteaga, Grace M
Format:	Journal Article
Language:	English
Published:	United States 01-11-2021
Subjects:	Adolescent Child Child, Hospitalized Comorbidity COVID-19 - complications Hospitalization Humans Pediatric Obesity - complications Retrospective Studies Severity of Illness Index Systemic Inflammatory Response Syndrome United States - epidemiology United States
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	To describe the impact of obesity on disease severity and outcomes of coronavirus disease 2019 (COVID-19) among hospitalized children. This retrospective cohort study from the Society of Critical Care Medicine Viral Respiratory Illness Universal Study registry included all children hospitalized with COVID-19 from March 2020 to January 2021. Obesity was defined by Centers for Disease Control and Prevention BMI or World Health Organization weight for length criteria. Critical illness definition was adapted from National Institutes of Health criteria of critical COVID. Multivariate mixed logistic and linear regression was performed to calculate the adjusted odds ratio of critical illness and the adjusted impact of obesity on hospital length of stay. Data from 795 patients (96.4% United States) from 45 sites were analyzed, including 251 (31.5%) with obesity and 544 (68.5%) without. A higher proportion of patients with obesity were adolescents, of Hispanic ethnicity, and had other comorbidities. Those with obesity were also more likely to be diagnosed with multisystem inflammatory syndrome in children (35.7% vs 28.1%, = .04) and had higher ICU admission rates (57% vs 44%, < .01) with more critical illness (30.3% vs 18.3%, < .01). Obesity had more impact on acute COVID-19 severity than on multisystem inflammatory syndrome in children presentation. The adjusted odds ratio for critical illness with obesity was 3.11 (95% confidence interval: 1.8-5.3). Patients with obesity had longer adjusted length of stay (exponentiated parameter estimate 1.3; 95% confidence interval: 1.1-1.5) compared with patients without obesity but did not have increased mortality risk due to COVID-19 (2.4% vs 1.5%, = .38). In a large, multicenter cohort, a high proportion of hospitalized children from COVID-19 had obesity as comorbidity. Furthermore, obesity had a significant independent association with critical illness.
ISSN:	2154-1671
DOI:	10.1542/hpeds.2021-006087