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Clinical outcomes for the obese hospital inpatient: An observational study

OBJECTIVES: The prevalence of obesity presents a burden for Australian health care. The aim of this study was to determine whether severely obese hospital inpatients have worse outcomes. METHODS: This is an observational cohort study, using data from all adult patients admitted to hospital for all e...

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Autores principales: Fusco, KL, Robertson, HC, Galindo, H, Hakendorf, PH, Thompson, CH
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433658/
https://www.ncbi.nlm.nih.gov/pubmed/28540047
http://dx.doi.org/10.1177/2050312117700065
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author Fusco, KL
Robertson, HC
Galindo, H
Hakendorf, PH
Thompson, CH
author_facet Fusco, KL
Robertson, HC
Galindo, H
Hakendorf, PH
Thompson, CH
author_sort Fusco, KL
collection PubMed
description OBJECTIVES: The prevalence of obesity presents a burden for Australian health care. The aim of this study was to determine whether severely obese hospital inpatients have worse outcomes. METHODS: This is an observational cohort study, using data from all adult patients admitted to hospital for all elective and emergency admissions of patients aged over 18 years to two large Australian urban hospitals. We measured their length of stay, intensive care unit admission rate, intensive care unit length of stay, mortality and readmission rates within 28 days of discharge and compared these outcomes in the severely obese and non-severely obese subjects using t-test or chi-square test as appropriate. RESULTS: Between February 2008 and February 2012, 120,872 were admitted to hospital 193,800 times; 2701 patients were identified as severely obese (2.23%) and 118,171 patients were non-severely obese. If admitted as an emergency, severely obese patients have worse outcomes and consume more resources than other patients. These outcomes are still worse, but less so, if the obese patient is admitted as an elective patient suggesting that anticipation of any obesity-specific problems can have a beneficial effect. CONCLUSION: Upon admission or discharge of severely obese hospital inpatients, health care plans should be even more carefully laid than usual to reduce the risk of readmission.
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spelling pubmed-54336582017-05-24 Clinical outcomes for the obese hospital inpatient: An observational study Fusco, KL Robertson, HC Galindo, H Hakendorf, PH Thompson, CH SAGE Open Med Original Article OBJECTIVES: The prevalence of obesity presents a burden for Australian health care. The aim of this study was to determine whether severely obese hospital inpatients have worse outcomes. METHODS: This is an observational cohort study, using data from all adult patients admitted to hospital for all elective and emergency admissions of patients aged over 18 years to two large Australian urban hospitals. We measured their length of stay, intensive care unit admission rate, intensive care unit length of stay, mortality and readmission rates within 28 days of discharge and compared these outcomes in the severely obese and non-severely obese subjects using t-test or chi-square test as appropriate. RESULTS: Between February 2008 and February 2012, 120,872 were admitted to hospital 193,800 times; 2701 patients were identified as severely obese (2.23%) and 118,171 patients were non-severely obese. If admitted as an emergency, severely obese patients have worse outcomes and consume more resources than other patients. These outcomes are still worse, but less so, if the obese patient is admitted as an elective patient suggesting that anticipation of any obesity-specific problems can have a beneficial effect. CONCLUSION: Upon admission or discharge of severely obese hospital inpatients, health care plans should be even more carefully laid than usual to reduce the risk of readmission. SAGE Publications 2017-03-23 /pmc/articles/PMC5433658/ /pubmed/28540047 http://dx.doi.org/10.1177/2050312117700065 Text en © The Author(s) 2017
spellingShingle Original Article
Fusco, KL
Robertson, HC
Galindo, H
Hakendorf, PH
Thompson, CH
Clinical outcomes for the obese hospital inpatient: An observational study
title Clinical outcomes for the obese hospital inpatient: An observational study
title_full Clinical outcomes for the obese hospital inpatient: An observational study
title_fullStr Clinical outcomes for the obese hospital inpatient: An observational study
title_full_unstemmed Clinical outcomes for the obese hospital inpatient: An observational study
title_short Clinical outcomes for the obese hospital inpatient: An observational study
title_sort clinical outcomes for the obese hospital inpatient: an observational study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433658/
https://www.ncbi.nlm.nih.gov/pubmed/28540047
http://dx.doi.org/10.1177/2050312117700065
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