Obesity Paradox in Intracerebral Hemorrhage
العنوان: | Obesity Paradox in Intracerebral Hemorrhage |
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المؤلفون: | J D Mocco, Steven Persaud, Christopher P. Kellner, Adam C. Lieber, Neha S. Dangayach, Elie Donath, Xiangnan Zhang, Jeanette A. Stingone |
المصدر: | Stroke. 50:999-1002 |
بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2019. |
سنة النشر: | 2019 |
مصطلحات موضوعية: | Advanced and Specialized Nursing, Intracerebral hemorrhage, Pediatrics, medicine.medical_specialty, business.industry, medicine.medical_treatment, Disease, medicine.disease, Gastrostomy, Obesity, Morbid obesity, 03 medical and health sciences, 0302 clinical medicine, medicine, 030212 general & internal medicine, Neurology (clinical), Risk factor, Cardiology and Cardiovascular Medicine, business, Stroke, 030217 neurology & neurosurgery, Obesity paradox |
الوصف: | Background and Purpose— Although obesity is an established risk factor for cardiovascular disease and stroke, studies have shown evidence of an obesity paradox—a protective effect of obesity in patients who already have these disease states. Data on the obesity paradox in intracerebral hemorrhage is limited. Methods— Clinical data for adult intracerebral hemorrhage patients were extracted from the National Inpatient Sample between 2007 and 2014. Multivariable logistic regression analyzed the association of body habitus with in-hospital mortality, discharge disposition, length of stay, tracheostomy or gastrostomy placement, and ventriculoperitoneal shunt placement. Results— There were 99 212 patients who were eligible. Patients with both obesity (OR=0.69; 95% CI=0.62–0.76; P P =0.02) were associated with decreased odds of in-hospital mortality. Morbid obesity was significantly associated with increased odds of a tracheostomy or gastrostomy placement (OR=1.42; 1.20–1.69; P P =0.014). Conclusions— Obesity and morbid obesity appear to protect against mortality in intracerebral hemorrhage. |
تدمد: | 1524-4628 0039-2499 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::6bf9b984cc10f9a460abad684b287447 https://doi.org/10.1161/strokeaha.119.024638 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi...........6bf9b984cc10f9a460abad684b287447 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 15244628 00392499 |
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