Impact of body mass index on utilization of selected hospital resources for four common surgical procedures
| Autor: | Kelly Lambert, Luke Freckelton, Judy Mullan, Luise P Lago, Natalie A Smith, Victoria J Westley-Wise |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Arthroplasty Replacement Hip medicine.medical_treatment Hysteroscopy 030230 surgery Body Mass Index Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine Intensive care medicine Appendectomy Humans Obesity Aged Retrospective Studies medicine.diagnostic_test business.industry General surgery Retrospective cohort study Health Care Costs General Medicine Length of Stay Middle Aged Surgical procedures medicine.disease Hospitals Curettage Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Health Resources Female Laparoscopy Surgery New South Wales business Body mass index Facilities and Services Utilization |
| Zdroj: | ANZ Journal of Surgery. 89:842-847 |
| ISSN: | 1445-2197 1445-1433 |
| DOI: | 10.1111/ans.15085 |
| Popis: | Background Evidence about the impact of obesity on surgical resource consumption in the Australian setting is equivocal. Our objectives were to quantify the prevalence of obesity in four frequently performed surgical procedures and explore the association between body mass index (BMI) and hospital resource utilization including procedural duration, length of stay (LOS) and costs. Methods A retrospective cohort study of patients undergoing four surgical procedures at a tertiary referral centre in New South Wales, between 1 January 2016 and 31 December 2016, was conducted. The four surgical procedures were total hip replacement, laparoscopic appendectomy, laparoscopic cholecystectomy and hysteroscopy with dilatation and curettage. Surgical groups were stratified according to BMI category. Results A total of 699 patients were included in the study. The prevalence of obesity was significantly higher than local and national population estimates for all procedures except appendectomy. BMI was not associated with increased hospital resource utilization (procedural, anaesthetic or intensive care stay duration) in any of the four surgical procedures examined after controlling for age, gender and complexity. For other outcomes of hospital resource utilization (LOS and cost), the relationship was inconsistent across the four procedures examined. A high BMI was positively associated with higher LOS, medical costs and allied health costs in those who underwent an appendectomy, and critical care costs in those who underwent laparoscopic cholecystectomy. Conclusion Obesity was common in patients undergoing four frequently performed surgical procedures. The relationship between BMI and hospital resource utilization appears to be complex and varies across the four procedures examined. |
| Databáze: | OpenAIRE |
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