ArticleSAGE open medicine2017
Clinical outcomes for the obese hospital inpatient: An observational study.
Article in SAGE open medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Exploring dietitians' experiences caring for patients living with obesity in acute care: a qualitative study.International journal of obesity (2005) · 2025Article
- The obesity paradox and 90 day mortality in chronic critically ill patients: a cohort study using a large clinical database.European journal of medical research · 2024Article
- Healthcare Professionals' Perspectives of Nonsurgical Care of Older Inpatients with Class II or III Obesity and Comorbidities: A Qualitative Study.Journal of multidisciplinary healthcare · 2023Article
- Machine learning to predict in-hospital mortality among patients with severe obesity: Proof of concept study.Obesity science & practice · 2022Article
- Healthcare Service Interventions to Improve the Healthcare Outcomes of Hospitalised Patients with Extreme Obesity: Protocol for an Evidence and Gap Map.Methods and protocols · 2022Article
- Neurological Considerations for the Care of Patients With Severe Obesity.The Neurohospitalist · 2022Article
- Obesity and the Survival of Critically Ill Patients with Acute Kidney Injury: A Paradox within the Paradox?Kidney diseases (Basel, Switzerland) · 2020Review
- The Effect of Age upon the Interrelationship of BMI and Inpatient Health Outcomes.The journal of nutrition, health & aging · 2019Article
- The Expanding Role of Clinical Documentation Improvement Programs in Research and Analytics.Perspectives in health information managemen · 2019Article
- Obesity and emergency care in the French CONSTANCES cohort.PloS one · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe 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.
methodsThis 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.
resultsBetween 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.
conclusionUpon 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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