{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T13:22:36Z","timestamp":1765545756442},"reference-count":19,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Obesity"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>Although obesity is a well-established cardiovascular risk factor, some controversy has arisen with regard to its effect on hospital mortality in patients admitted for acute coronary syndrome.<jats:italic>Methods<\/jats:italic>. Clinical and anthropometric variables were analyzed in patients consecutively admitted for acute coronary syndrome to a university hospital between 2009 and 2010, and the correlation of those variables with hospital mortality was examined.<jats:italic>Results<\/jats:italic>. A total of 824 patients with a diagnosis of myocardial infarction or unstable angina were analyzed. Body mass index was an independent factor in hospital mortality (odds ratio 0.739 (IC 95%:<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mrow><mml:mtext>0<\/mml:mtext><mml:mtext>.597<\/mml:mtext><mml:mo>-<\/mml:mo><mml:mtext>0<\/mml:mtext><mml:mtext>.916<\/mml:mtext><\/mml:mrow><\/mml:math>),<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mrow><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.006<\/mml:mn><\/mml:mrow><\/mml:math>). Mortality in normal weight<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mrow><mml:mrow><mml:mo stretchy=\"false\">(<\/mml:mo><mml:mrow><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>218<\/mml:mn><\/mml:mrow><mml:mo stretchy=\"false\">)<\/mml:mo><\/mml:mrow><\/mml:mrow><\/mml:math>, overweight<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mrow><mml:mrow><mml:mo stretchy=\"false\">(<\/mml:mo><mml:mrow><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>399<\/mml:mn><\/mml:mrow><mml:mo stretchy=\"false\">)<\/mml:mo><\/mml:mrow><\/mml:mrow><\/mml:math>, and obese<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\"><mml:mrow><mml:mrow><mml:mo stretchy=\"false\">(<\/mml:mo><mml:mrow><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>172<\/mml:mn><\/mml:mrow><mml:mo stretchy=\"false\">)<\/mml:mo><\/mml:mrow><\/mml:mrow><\/mml:math>subjects was 6.1%, 3.1%, and 4.1%, respectively, with no statistically significant differences between the groups.<jats:italic>Conclusions<\/jats:italic>. There is something of a paradox in the relationship between body mass index and hospital mortality in patients with acute coronary syndrome in that the mortality rate decreases as body mass index increases. However, no statistically significant differences have been found in normal weight, overweight, or obese subjects.<\/jats:p>","DOI":"10.1155\/2012\/287939","type":"journal-article","created":{"date-parts":[[2012,7,29]],"date-time":"2012-07-29T21:01:29Z","timestamp":1343595689000},"page":"1-5","source":"Crossref","is-referenced-by-count":15,"title":["Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University Hospital"],"prefix":"10.1155","volume":"2012","author":[{"given":"Mercedes","family":"Camprubi","sequence":"first","affiliation":[{"name":"Cardiology Service, Joan XXIII University Hospital of Tarragona IISPV, University Rovira Virgili, Calle Dr Mallafr\u00e9 Guash 4, 43007 Tarragona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Cabrera","sequence":"additional","affiliation":[{"name":"Cardiology Service, Joan XXIII University Hospital of Tarragona IISPV, University Rovira Virgili, Calle Dr Mallafr\u00e9 Guash 4, 43007 Tarragona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordi","family":"Sans","sequence":"additional","affiliation":[{"name":"Cardiology Service, Joan XXIII University Hospital of Tarragona IISPV, University Rovira Virgili, Calle Dr Mallafr\u00e9 Guash 4, 43007 Tarragona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgina","family":"Vidal","sequence":"additional","affiliation":[{"name":"Education and Pathological Anatomy Units, Verge de la Cinta Hospital of Tortosa, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Salvad\u00f3","sequence":"additional","affiliation":[{"name":"Education and Pathological Anatomy Units, Verge de la Cinta Hospital of Tortosa, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfredo","family":"Bardaj\u00ed","sequence":"additional","affiliation":[{"name":"Cardiology Service, Joan XXIII University Hospital of Tarragona IISPV, University Rovira Virgili, Calle Dr Mallafr\u00e9 Guash 4, 43007 Tarragona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199910073411501"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60318-4"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.02.038"},{"key":"4","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1157\/13113930","volume":"60","year":"2007","journal-title":"Revista Espa\u00f1ola de Cardiolog\u00eda"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehm220"},{"key":"8","doi-asserted-by":"crossref","first-page":"1782","DOI":"10.1136\/heartjnl-2011-300231","volume":"97","year":"2011","journal-title":"Heart"},{"issue":"14","key":"10","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/j.medcli.2010.03.037","volume":"135","year":"2010","journal-title":"Medicina 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