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The obesity paradox in the ICU: real or not?
Crit Care. 2013 Jun 12; 17(3):154.CC

Abstract

The obesity paradox has been used to describe the observed phenomenon described by several studies that indicated improved survival for critically ill patients with mild to moderate obesity when compared with their lean counterparts. The study by Arabi and coworkers challenges the obesity paradox concept for critically ill obese patients with septic shock. Their data indicate that obesity, per se, does not significantly improve mortality when outcomes are adjusted for differences in baseline characteristics and sepsis interventions. Further studies are needed to assess the influence of body weight, lean weight, and fat mass for optimizing fluid resuscitation, pharmacotherapy, and nutritional therapy for critically ill patients with sepsis.

Authors

No affiliation info available

Pub Type(s)

Journal Article
Comment

Language

eng

PubMed ID

23758984

Citation

Dickerson, Roland N.. "The Obesity Paradox in the ICU: Real or Not?" Critical Care (London, England), vol. 17, no. 3, 2013, p. 154.
Dickerson RN. The obesity paradox in the ICU: real or not? Crit Care. 2013;17(3):154.
Dickerson, R. N. (2013). The obesity paradox in the ICU: real or not? Critical Care (London, England), 17(3), 154. https://doi.org/10.1186/cc12715
Dickerson RN. The Obesity Paradox in the ICU: Real or Not. Crit Care. 2013 Jun 12;17(3):154. PubMed PMID: 23758984.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The obesity paradox in the ICU: real or not? A1 - Dickerson,Roland N, Y1 - 2013/06/12/ PY - 2013/6/14/entrez PY - 2013/6/14/pubmed PY - 2015/4/22/medline SP - 154 EP - 154 JF - Critical care (London, England) JO - Crit Care VL - 17 IS - 3 N2 - The obesity paradox has been used to describe the observed phenomenon described by several studies that indicated improved survival for critically ill patients with mild to moderate obesity when compared with their lean counterparts. The study by Arabi and coworkers challenges the obesity paradox concept for critically ill obese patients with septic shock. Their data indicate that obesity, per se, does not significantly improve mortality when outcomes are adjusted for differences in baseline characteristics and sepsis interventions. Further studies are needed to assess the influence of body weight, lean weight, and fat mass for optimizing fluid resuscitation, pharmacotherapy, and nutritional therapy for critically ill patients with sepsis. SN - 1466-609X UR - https://www.unboundmedicine.com/medline/citation/23758984/The_obesity_paradox_in_the_ICU:_real_or_not L2 - https://ccforum.biomedcentral.com/articles/10.1186/cc12715 DB - PRIME DP - Unbound Medicine ER -