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Association between obesity and acute severity among patients hospitalized for asthma exacerbation

https://asahikawa-med.repo.nii.ac.jp/records/6064
https://asahikawa-med.repo.nii.ac.jp/records/6064
f2354ea4-3e20-4105-b70e-219fc438fcd9
名前 / ファイル ライセンス アクション
7217.pdf 7217.pdf (167.8 kB)
Item type 学位論文 / Thesis or Dissertation_02(1)
公開日 2019-03-26
タイトル
タイトル Association between obesity and acute severity among patients hospitalized for asthma exacerbation
言語 en
言語
言語 jpn
キーワード
主題Scheme Other
主題 Acute severity
キーワード
主題Scheme Other
主題 Adults
キーワード
主題Scheme Other
主題 Asthma
キーワード
主題Scheme Other
主題 Hospitalization
キーワード
主題Scheme Other
主題 Obesity
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_46ec
資源タイプ thesis
その他(別言語等)のタイトル
その他のタイトル 気管支喘息の急性増悪による入院患者の急性期における重傷度と肥満の関連性の検討
著者 久良木, ルーテ彩来

× 久良木, ルーテ彩来

ja 久良木, ルーテ彩来

ja-Kana キュウラギ, ルーテサラ

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著者 ローマ字
Kyuragi, Rutesara(Sarah Luthe)
書誌情報 The Journal of Allergy and Clinical Immunology

巻 6, 号 6, p. 1936-1941, 発行日 2018-01-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 2213-2198
DOI
識別子タイプ DOI
関連識別子 10.1016/j.jaip.2018.02.001
識別番号 その他
内容記述タイプ Other
内容記述 PMID:29452277
学位授与番号
学位授与番号 10107B478
学位名
学位名 博士(医学)
学位授与機関
学位授与機関名 旭川医科大学
抄録
内容記述タイプ Abstract
内容記述 BACKGROUND:
\nAlthough studies have demonstrated relations between obesity and incident asthma, little is known about the association of obesity with acute severity in adults hospitalized for asthma exacerbation.
OBJECTIVES:
\nTo investigate the association of obesity with acute severity of asthma exacerbation.
METHODS:
\nThis is a retrospective cohort study using population-based data of 8 geographically diverse US states from 2010 through 2013. We included adults (age 18-54 years) hospitalized for asthma exacerbation. The outcome measures were markers of acute severity-use of mechanical ventilation (defined by noninvasive positive pressure ventilation and/or invasive mechanical ventilation) and hospital length of stay. To determine the association of obesity with each outcome, we fit multivariable models adjusting for patient-level confounders (eg, age, sex, race/ethnicity, primary insurance, quartiles for household income, residential status, and comorbidities) and potential patient clustering within hospitals.
RESULTS:
\nAmong the 72,086 patients hospitalized for asthma exacerbation, 24% were obese. Obesity was associated with a significantly higher risk of any mechanical ventilation use (8.3% vs 5.0%; adjusted odds ratio [OR], 1.77; 95% CI, 1.63-1.92; P < .001) driven by the higher risk of noninvasive positive pressure ventilation use (7.2% vs 3.4%; adjusted OR, 2.14; 95% CI, 1.96-2.35; P < .001). Likewise, obese patients were more likely to have a hospital length of stay of 3 or more days compared with nonobese patients (59.4% vs 46.5%; adjusted OR, 1.37; 95% CI, 1.32-1.43; P < .001). These findings were consistent with stratifications by age, sex, and race/ethnicity.
CONCLUSIONS:
\nIn this population-based study of adults hospitalized for asthma exacerbation, obesity was associated with higher acute severity.
資源タイプ
内容記述タイプ Other
内容記述 application/pdf
フォーマット
内容記述タイプ Other
内容記述 application/pdf
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Cite as

久良木, ルーテ彩来, n.d., Association between obesity and acute severity among patients hospitalized for asthma exacerbation: p. 1936–1941.

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