OBESITY AS A PREDICTIVE FACTOR FOR THE INTENSIVE CARE UNIT HOSPITALIZATION IN INTECTED ADULT PATIENTS WITH COVID-19: AN INTEGRATIVE REVIEW

Abstract

Introduction: The obesity seems to have an intense relationship with the complications of COVID-19. Not just this, but in the existing literature, obesity is related to poor outcomes. Thus, non-obese people are prone to reduced airways, and their respiratory potential is affected. Objective: Carrying out an integrative literature review in order to assess obesity and other potential predictive factors for the worsening of COVID-19 in hospitalized adult patients. Materials e Methods: It was carried out an literature survey in August 2021, in the CAPES, Google Scholar and PubMed journals databases. It was used the following descriptors: ''Risk Factors” AND '' Coronavirus Infections” AND '' Obesity” AND '' Intensive Care Units'' and, in English, ''Risk Factors” AND '' Coronavirus Infections” AND '' Obesity” AND '' Intensive Care Units” in all databases. It was selected ten articles and included according to the eligibility criteria. Results: As a result, it was noted that 40% showed a prevalence of males in the increased need for invasive mechanical ventilation (IMV) and admission to the intensive care unit (ICU), 50% of the studies associated advanced age to the main risk factor to COVID- 19 and higher mortality, two studies 20% related black and mixed race as a predominant risk factor, five studies 50% associated comorbidity as an aggravating factor of the new Coronavirus, five studies 50% correlated overweight and obesity with increased admission in ICU, the need for IMV and increased risk of death, with patients with a BMI between 30 and 35 kg/m2 being the most critical. Conclusion: The findings of this review permitted us to conclude that overweight and obesity were predictive factors for the worsening of COVID-19 in hospitalized patients. As well as, male gender, advanced age and black and mixed ethnicity.