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Reporting the methodology of height and weight acquisition in studies of body mass index-based prognosis in critically ill patients

机译:报告在危重患者体重指数的预后研究中的高度和体重习得方法

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Purpose: Conflicting findings were reported on the body mass index (BMI)-based prognosis of critically patients. Errors in source weight and height data can confound BMI group allocation. The aim of the present work was to examine investigators’ reporting on the methods of height and weight acquisition (HWA). Materials and Methods: PubMed and Embase databases were searched for studies describing BMI group-based risk of death in critically ill patients. Eligible studies were examined for reporting on (1) the use of measured and/or estimated HWA, (2) details of measuring devices, (3) device accuracy, and (4) methods of adjustment for acute and chronic fluid-related weight changes.Results: Thirty studies met the eligibility criteria, including 159 565 patients. No data were provided in 13 studies (52% of reported patients) on whether estimates or measurements were used for HWA. Measured HWA was used exclusively in 6 studies (3% of patients), and an unspecified combination of estimated and/or measured HWA was reported for the remainder. Only 1 study reported the specific devices used. None of the studies provided data on the bias and precision of measuring devices. Adjustment for chronic and/or acute fluid-related weight changes was addressed in 2 studies for each.Conclusions: These findings demonstrate the prevalent risk for BMI group misallocation in the reviewed studies, which may confound BMI-based prognosis, raising concerns about the validity of reported BMI-related prognostic impact.? 2013 Elsevier Inc. All rights reserved.
机译:目的:据报告对患者的体重指数(BMI)基于体重指数(BMI)的冲突结果。源重量和高度数据中的错误可以混淆BMI组分配。本工作的目的是研究调查人员关于高度和重量收购方法(HWA)的报告。材料和方法:搜索了PubMed和Embase数据库,用于描述基于BMI组的患者死亡风险的研究。审查了符合条件的研究报告(1)使用测量和/或估计的HWA,(2)测量装置的细节,(3)器件精度和(4)急性和慢性流体相关的重量变化的调整方法。结果:三十人研究达到了资格标准,包括159例565名患者。在13项研究中没有提供数据(报告的患者的52%)是否用于HWA的估计或测量。测量的HWA专门用于6项研究(3%的患者),并且估计和/或测量的HWA的未指明组合为剩余部分。只有1研究报告了使用的特定设备。没有研究提供有关测量装置的偏差和精度的数据。对每种研究进行了解决慢性和/或急性流体相关重量变化的调整:这些研究结果证明了在审查的研究中展示了BMI集团错误分配的普遍风险,这可能会混淆基于BMI的预后,提高了对有效性的担忧报告BMI相关的预后影响。 2013年Elsevier Inc.保留所有权利。

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