TABLE 3

Odds ratios for clinical and radiological parameters and outcomes according to World Health Organization body mass index (BMI) categories

PatientsUnadjusted OR (95% CI)Adjusted# OR (95% CI)
Clinical and radiological parameters
 NT-proBNP >600 pg·mL−1
  BMI <18.5 kg·m−212 (42.8%)2.38 (1.09–5.18)2.62 (1.10–6.23)
  BMI 18.5–24.9 kg·m−2115 (24.0%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−2162 (23.4%)0.97 (0.74–1.28)0.98 (0.74–1.31)
  BMI 30.0–34.9 kg·m−2124 (31.2%)1.44 (1.07–1.94)1.41 (1.03–1.93)
  BMI 35.0–39.9 kg·m−250 (34.0%)1.64 (1.10–2.44)1.62 (91.06–2.48)
  BMI >40 kg·m−241 (41.0%)2.21 (1.41–3.46)2.90 (1.79–4.70)
 sPESI high risk
  BMI <18.5 kg·m−221 (72.4%)2.52 (1.10–5.80)2.49 (1.08–5.75)
  BMI 18.5–24.9 kg·m−2251 (51.0%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−2375 (52.4%)1.06 (0.84–1.33)1.11 (0.88–1.40)
  BMI 30.0–34.9 kg·m−2230 (55.7%)1.21 (0.93–1.57)1.23 (0.95–1.60)
  BMI 35.0–39.9 kg·m−284 (54.5%)1.15 (0.80–1.66)1.13 (0.78–1.62)
  BMI >40 kg·m−266 (63.5%)1.67 (1.08–2.58)1.55 (1.00–2.41)
 Pulmonary trunk >29 mm
  BMI <18.5 kg·m−28 (27.6%)1.39 (0.60–3.22)1.36 (0.56–3.28)
  BMI 18.5–24.9 kg·m−2106 (21.5%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−2232 (32.4%)1.75 (1.34–2.28)1.66 (1.27–2.19)
  BMI 30.0–34.9 kg·m−2168 (40.7%)2.50 (1.87–3.34)2.44 (1.81–3.28)
  BMI 35.0–39.9 kg·m−259 (38.3%)2.26 (1.53–3.34)2.37 (1.59–3.53)
  BMI >40 kg·m−249 (47.1%)3.24 (2.09–5.04)4.32 (2.73–6.83)
 RV/LV >1.0
  BMI <18.5 kg·m−24 (13.8%)0.45 (0.15–1.31)0.40 (0.13–1.12)
  BMI 18.5–24.9 kg·m−2130 (26.4%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−2231 (32.3%)1.33 (1.03–1.71)1.31 (1.01–1.70)
  BMI 30.0–34.9 kg·m−2157 (38.0%)1.71 (1.29–2.27)1.66 (1.24–2.21)
  BMI 35.0–39.9 kg·m−248 (31.2%)1.26 (0.85–1.88)1.24 (0.83–1.85)
  BMI >40 kg·m−241 (39.4%)1.81 (1.17–2.81)2.12 (1.34–3.33)
 Central embolus
  BMI <18.5 kg·m−27 (24.1%)0.78 (0.33–1.86)0.75 (0.31–1.82)
  BMI 18.5–24.9 kg·m−2143 (29.1%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−2234 (32.7%)1.19 (1.19–0.92)1.17 (0.91–1.50)
  BMI 30.0–34.9 kg·m−2167 (40.4%)1.66 (1.26–2.19)1.61 (1.22–2.13)
  BMI 35.0–39.9 kg·m−262 (40.3%)1.65 (1.30–2.40)1.61 (1.10–2.36)
  BMI >40 kg·m−249 (47.1%)2.17 (1.41–3.35)2.34 (1.51–3.62)
 Concurrent DVT
  BMI <18.5 kg·m−23 (10.3%)0.44 (0.13–1.49)0.45 (0.13–1.52)
  BMI 18.5–24.9 kg·m−2102 (20.7%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−2170 (23.7%)1.19 (0.90–1.57)1.15 (0.87–1.52)
  BMI 30.0–34.9 kg·m−2121 (29.3%)1.58 (1.17–2.15)1.57 (1.16–2.14)
  BMI 35.0–39.9 kg·m−236 (23.4%)1.17 (0.76–1.80)1.20 (0.78–1.85)
  BMI >40 kg·m−215 (14%)0.64 (0.36–1.16)0.68 (0.38–1.23)
Outcomes
 Death
  BMI <18.5 kg·m−21 (3.4%)1.22 (0.16–9.61)0.92 (0.11–7.59)
  BMI 18.5–24.9 kg·m−214 (2.8%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−222 (3.1%)1.08 (0.55–2.14)1.09 (0.55–2.18)
  BMI 30.0–34.9 kg·m−214 (3.4%)1.20 (0.56–2.54)1.21 (0.57–2.60)
  BMI 35.0–39.9 kg·m−25 (3.2%)1.15 (0.41–3.23)1.29 (0.45–3.71)
  BMI >40 kg·m−21 (1.0%)0.33 (0.04–2.55)0.53 (0.07–4.18)
 Recurrent VTE
  BMI <18.5 kg·m−21 (3.4%)1.92 (0.24–15.67)1.90 (0.23–15.57)
  BMI 18.5–24.9 kg·m−29 (1.8%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−221 (2.9%)1.62 (0.74–3.57)1.55 (0.70–3.42)
  BMI 30.0–34.9 kg·m−214 (3.4%)1.88 (0.81–4.40)1.82 (0.78–4.25)
  BMI 35.0–39.9 kg·m−22 (1.3%)0.71 (0.15–3.30)0.71 (0.15–3.34)
  BMI >40 kg·m−23 (2.9%)1.59 (0.42–5.99)1.41 (0.78–2.53)
 Hospitalisation
  BMI <18.5 kg·m−20 (0%)00
  BMI 18.5–24.9 kg·m−216 (3.3%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−234 (4.7%)1.48 (0.81–2.72)1.49 (0.81–2.75)
  BMI 30.0–34.9 kg·m−223 (5.6%)1.75 (0.91–3.37)1.74 (0.90–3.35)
  BMI 35.0–39.9 kg·m−211 (7.1%)2.29 (1.04–5.04)2.39 (1.08–5.32)
  BMI >40 kg·m−25 (4.8%)1.50 (0.54–4.20)1.99 (0.70–5.67)
 Bleeding
  BMI <18.5 kg·m−20 (0%)00
  BMI 18.5–24.9 kg·m−23 (0.6%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−27 (1.0%)1.61 (0.41–6.25)1.72 (0.44–6.74)
  BMI 30.0–34.9 kg·m−29 (2.2%)3.63 (0.98–13.50)3.82 (1.02–14.34)
  BMI 35.0–39.9 kg·m−28 (5.2%)8.93 (2.34–34.10)9.99 (2.56–38.92)
  BMI >40 kg·m−23 (2.9%)4.84 (0.96–24.33)7.26 (1.37–38.32)
 All adverse events
  BMI <18.5 kg·m−22 (6.9%)1.23 (0.279–5.43)1.08 (0.24–4.90)
  BMI 18.5–24.9 kg·m−228 (5.7%)1 (ref.)1 (ref.)
  BMI 25.0–29.9 kg·m−247 (6.6%)1.16 (0.72–1.89)1.15 (0.70–1.87)
  BMI 30.0–34.9 kg·m−235 (8.5%)1.53 (0.92–2.57)1.50 (0.89–2.52)
  BMI 35.0–39.9 kg·m−212 (7.8%)1.40 (0.69–2.83)1.47 (0.71–2.94)
  BMI >40 kg·m−27 (6.7%)1.20 (0.51–2.82)1.55 (0.65–3.72)

BMI <18.5 kg·m−2, n=29; 18.5–24.9 kg·m−2, n=492; 25.0–29.9 kg·m−2, n=716; 30.0–34.9 kg·m−2, n=413; 35.0–39.9 kg·m−2, n=154; >40 kg·m−2, n=104. Ref.: BMI 18.5–24.9 kg·m−2. Proportion was calculated per BMI category with follow-up up to 12 months. NT-proBNP: N-terminal pro-brain natriuretic peptide; sPESI: simplified Pulmonary Embolism Severity Index; RV/LV: right ventricular/left ventricular ratio; DVT: deep vein thrombosis; VTE: venous thromboembolism. #: for age and sex; sPESI only adjusted for sex.