ArticleJournal of the American Geriatrics Society2018
Effect of Obesity on Postacute Outcomes of Skilled Nursing Facility Residents with Hip Fracture.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed.
- Prevalence Rates and Characteristics of Malnutrition, Frailty, and Other Nutrition and Muscle Mass-Related Conditions Document Potential Quality of Care Gap for Medicare Patients in US Skilled Nursing Facilities.Geriatrics (Basel, Switzerland) · 2022Article
- Organizational and Geographic Nursing Home Characteristics Associated With Increasing Prevalence of Resident Obesity in the United States.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
- Obesity among Nursing Home Residents: Association with Potentially Avoidable Hospitalizations.Journal of the American Medical Directors Association · 2020Article
- Hospital Readmissions Among Post-acute Nursing Home Residents: Does Obesity Matter?Journal of the American Medical Directors Association · 2019Article
- Higher Level of Obesity Is Associated with Intensive Personal Care Assistance in the Nursing Home.Journal of the American Medical Directors Association · 2018Article
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5 authors.
Funding
Abstract
objectivesTo examine the effect of obesity (body mass index (BMI)≥30.0 kg/m
designRetrospective cohort study.
settingU.S. Medicare- and Medicaid-certified SNFs from 2008 to 2015.
participantsMedicare fee-for-service beneficiaries discharged to a SNF after hospitalization for hip fracture (N=586,683; n=82,768 (14.1%) meeting obesity criteria). Exclusion criteria were aged younger than 65, being underweight (BMI<18.5 kg/m MEASUREMENTS: Residents were divided into 4 BMI categories according to cutoffs that the World Health Organization has established: not obese (BMI 18.5-29.9 kg/m
resultsResidents with mild (adjusted relative risk (aRR)=1.16, 95% CI=1.12-1.19), moderate (aRR=1.27, 95% CI=1.20-1.35), and severe (aRR=1.67, 95% CI=1.54-1.82) obesity were more likely to be readmitted within 30 days than those who were not obese. The average difference in LOS between residents without obesity and those with mild obesity was 2.6 days (95% CI=2.2-2.9 days); moderate obesity, 4.2 days (95% CI=3.7-5.1 days); and severe obesity, 7.0 days (95% CI=5.9-8.2 days). Residents with obesity were less likely to be successfully discharged and more likely to become long-stay nursing home residents.
conclusionObesity was associated with worse outcomes in postacute SNF residents with hip fracture. Efforts to provide targeted care to residents with obesity may be essential to improve outcomes. Obesity may be an overlooked risk adjuster in quality-of-care measures and in payment reforms related to PAC for individuals with hip fracture.
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