The Impact of Morbid Obesity on the Health Outcomes of Hospital Inpatients: An Observational Study
Autor: | Kellie Fusco, Campbell H. Thompson, Paul Hakendorf, Richard J. Woodman, Yogesh Sharma, Chris Horwood |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
In hospital mortality business.industry Incidence (epidemiology) Confounding Outcome measures General Medicine Overweight Health outcomes Article morbid obesity readmissions Morbid obesity Internal medicine medicine Medicine health outcomes Observational study length of hospital stay medicine.symptom business in-hospital mortality |
Zdroj: | Journal of Clinical Medicine Volume 10 Issue 19 Journal of Clinical Medicine, Vol 10, Iss 4382, p 4382 (2021) |
ISSN: | 2077-0383 |
Popis: | Morbid obesity poses a significant burden on the health-care system. This study determined whether morbid obesity leads to worse health-outcomes in hospitalised patients. This retrospective-study examined nutritional data of all inpatients aged 18–79 years, with a body-mass-index (BMI) ≥ 18.5 kg/m2 admitted over a period of 4 years at two major hospitals in Australia. Patients were divided into 3 groups for comparison: normal/overweight (BMI 18.5–29.9 kg/m2), obese (BMI 30–39.9 kg/m2) and morbidly-obese (BMI ≥ 40 kg/m2). Outcome measures included length-of-hospital-stay (LOS), in-hospital mortality, and 30-day readmissions. Multilevel-mixed-effects regression was used to compare clinical outcomes between the groups after adjustment for potential confounders. Of 16,579 patients, 1004 (6.1%) were classified as morbidly-obese. Morbidly-obese patients had a significantly longer median (IQR) LOS than normal/overweight patients (5 (2, 12) vs. 5 (2, 11) days, p value = 0.012) and obese-patients (5 (2, 12) vs. 5 (2, 10) days, p value = 0.036). After adjusted-analysis, morbidly-obese patients had a higher incidence of a longer LOS than normal/overweight patients (IRR 1.04 95% CI 1.02–1.07 p value < 0.001) and obese-patients (IRR 1.13 95% CI 1.11–1.16 0.001). Other clinical outcomes were similar between the different groups. Morbid obesity leads to a longer LOS in hospitalised patients but does not adversely affect other clinical outcomes. |
Databáze: | OpenAIRE |
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