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Regardless of Age, Obesity and Hypertension Increase Risks With COVID-19

Educational Objective
To understand how obesity and hypertension increase risks with COVID-19
1 Credit CME

Older age has consistently been associated with higher mortality in patients with coronavirus disease 2019 (COVID-19).1,2 Unfortunately, as shown by Cunningham et al3 in this issue of JAMA Internal Medicine, COVID-19 does not spare young people. Using a national all-payer hospital database, the investigators identified 3222 nonpregnant adults aged 18 to 34 years who were admitted to US hospitals for COVID-19. Morbidity was substantial: 21% required intensive care, and 2.7% died. Mortality was higher among those who had obesity, hypertension, and male sex, as has been noted in general adult populations.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Published Online: September 9, 2020. doi:10.1001/jamainternmed.2020.5415

Corresponding Author: Mitchell Katz, MD, NYC Health and Hospitals, 125 Worth St, Room 514, New York, NY 10013 (mitchell.katz@nychhc.org).

Conflict of Interest Disclosures: None reported.

References
1.
Gasselli  G , Greco  M , Zanella  A ,  et al.  Risk factors associated with mortality among patients with COVID-19 in intensive care units in Lombardy, Italy.   JAMA Intern Med. Published online July 15, 2020. doi:10.1001/jamainternmed.2020.3539Google Scholar
2.
Guptas  S , Hayek  SS , Wang  W.   et al.  Factors associated with health in critically ill patients with coronavirus disease 2019 in the United States.   JAMA Intern Med. Published online July 15, 2020. doi:10.1001/jamainternmed.2020.3596Google Scholar
3.
Cunningham  JW , Vaduganathan  M , Claggett  BL ,  et al.  Clinical outcomes in young US adults hospitalized with COVID-19.   JAMA Intern Med. Published online September 9, 2020. doi:10.1001/jamainternmed.2020.5313Google Scholar
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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