Bibliographic Details
| Title: |
Adiponectin as a predictor of mortality and readmission in patients with community-acquired pneumonia: a prospective cohort study |
| Authors: |
Arnold Matovu Dungu, Camilla Koch Ryrsø, Maria Hein Hegelund, Adin Sejdic, Andreas Vestergaard Jensen, Peter Lommer Kristensen, Rikke Krogh-Madsen, Daniel Faurholt-Jepsen, Birgitte Lindegaard |
| Source: |
Frontiers in Medicine, Vol 11 (2024) |
| Publisher Information: |
Frontiers Media S.A., 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Medicine (General) |
| Subject Terms: |
community-acquired pneumonia, adiponectin, body mass index, mortality, readmission, Medicine (General), R5-920 |
| More Details: |
BackgroundAdiponectin is secreted by adipocytes and is inversely associated with obesity. Given the association between low body mass index (BMI) and higher mortality risk after community-acquired pneumonia (CAP), we hypothesized that high adiponectin levels are associated with a higher risk of adverse clinical outcomes in patients with CAP.MethodsIn a prospective cohort study of 502 patients hospitalized with CAP, adiponectin was measured in serum at admission. The associations between adiponectin and clinical outcomes were estimated with logistic regression analyses adjusted for age, sex, and measures of obesity (BMI, waist circumference or body fat percentage).ResultsAdiponectin was associated with higher 90-day mortality for each 1 μg/mL increase [OR 1.02, 95% CI (1.00, 1.04), p = 0.048] independent of age and sex. Likewise, adiponectin was associated with a higher risk of 90-day readmission for each 1 μg/mL increase [OR 1.02, 95% CI (1.01, 1.04), p = 0.007] independent of age and sex. The association between adiponectin and 90-day mortality disappeared, while the association with 90-day readmission remained after adjusting for adiposity.ConclusionAdiponectin was positively associated with mortality and readmission. The association with mortality depended on low body fat, whereas the association with readmission risk was independent of obesity. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2296-858X |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fmed.2024.1329417/full; https://doaj.org/toc/2296-858X |
| DOI: |
10.3389/fmed.2024.1329417 |
| Access URL: |
https://doaj.org/article/d7da79d07e6c4e5dac29d55a4b4b65a9 |
| Accession Number: |
edsdoj.7da79d07e6c4e5dac29d55a4b4b65a9 |
| Database: |
Directory of Open Access Journals |
