Research Article

Influence of Overweight and Obesity on Morbidity and Mortality among Hospitalized Patients in Sri Lanka: A Single-Center Analysis

Table 2

In-hospital morbidity of the cohort (international body mass index/waist circumference cut-offs).

In-hospital morbidityTotal cohort (n = 2,128)Classification as per international cut-offs [as per Asian cut-offs]
BMI group (n = 1,500)WC group (n = 628)Either GO/CO n = 1,541! [n = 1,429]!!
NW n = 757 [n = 511]UW n = 230 [n = 230]OW n = 352 [n = 467]GO n = 156 [n = 290] value value# value^Low risk n = 449 [n = 329]CO n = 179 [n = 299] valueNormal n = 1,206 [n = 840]GO/CO n = 335 n = 589] value

AKI in hospital35 (1.6%)9 (1.2%) [7 (1.4%)]3 (1.3%)4 (1.1%) [5 (1.1%)]2 (1.3%) [3 (1.0%)]0.889 [0.933]0.94 [0.671]0.923 [0.681]6 (1.3%) [5 (1.5%)]11 (6.1%) [12 (4%)]0.001 [0.054]15 (1.2%) [12 (1.4%)]13 (3.9%) [15 (2.5%)]0.001 [0.126]
HAI39 (1.8%)10 (1.3%) [8 (1.6%)]2 (0.9%)1 (0.3%) [3 (0.6%)]2 (1.3%) [2 (0.7%)]0.584) [0.441]0.105 [0.171]0.969 [0.283]18 (4%) [13 (4%)]6 (3.4%) [11 (3.7%)]0.698 [0.859]28 (2.3%) [21 (2.5%)]8 (2.4%) [13 (2.2%)]0.943 [0.721]
Pressure ulcer7 (0.3%)1 (0.1%) [1 (0.2%)]1 (0.3%) [1 (0.2%)]−[−]−[−]0.579 [0.949]−[−]3 (0.7%) [3 (0.9%)]2 (1.1%) [2 (0.7%)0.578 [0.732]4 (0.3%) [4 (0.5%)]2 (0.6%) [2 (0.3%)]0.49 [0.694]
ICU admissions11 (0.5%)1 (0.1%) [−]4 (1.7%)1 (0.3%) [1 (0.2%)]1 (0.6%) [2 (0.7%)]0.003 [−]0.579 [−]0.216 [−]2 (0.4%) [2 (0.6%)]2 (1.1%) [2 (0.7%)]0.339 [0.924]3 (0.2%) [2 (0.2%)]3 (0.9%) [4 (0.7%)]0.093 [0.204]
The median number of days in ICU2 (IQR 2, 2)1 (1, 1) [−]3 (2, 11)1 (1, 1) [1 (1, 1)]4 (4, 4) [3 (1, 4)]0.4 [−]1.00 [−]1.00 [−]4 (2, 5) [4 (2, 5)]6 (2, 9) [6 (2, 9)]0.667 0.6672 (1, 5) [4 (2, 5)]4 (2, 9) [3 (2, 7)]0.4 [1.0]
Median length of hospital stay4 (2, 6)3 (2, 6) [4 (2, 6)]4 (2, 6)3 (2, 5) [3 (2, 5)]3 (2, 5) [3 (2, 5)]0.413 [0.888]0.103 [0.064]0.252 [0.014]4 (3, 7) [4 (2, 7)]4 (2, 8) [4 (3, 7)]0.96 0.7184 (2, 6) [4 (3, 6)]4 (2, 7) [4 (2, 6)]0.942 [0.165]

AKI: acute kidney injury, BMI: body mass index, CO: central obesity, GO: generalized obesity, HAI: hospital acquired infections, ICU: intensive care units, NW: normal weight, OW: overweight, UW: underweight, WC: waist circumference; !: total of either GO/CO and normal BMI/WC in international cut-offs, !!: total of either GO/CO and normal BMI/WC in Asian cut-offs, values: UW group versus NW group, # values: OW group versus NW group, ^ values: GO group versus NW group.