The impact of severe obesity on hospital length of stay

Medical Care

Volumn 48, Issue 4, 2010, Pages 335-340

  Hauck, Katharina ^a   Hollingsworth, Bruce ^b  

^a MONASH UNIVERSITY   (Australia)

^b MONASH UNIVERSITY   (Australia)

Author keywords

Hospital costs; Hospital length of stay; Obesity; Quantile regression

Indexed keywords

ADULT; ARTICLE; AUSTRALIA; CONTROLLED STUDY; DISEASE SEVERITY; FEMALE; GENERAL PRACTICE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OBESITY; PRIORITY JOURNAL; REGRESSION ANALYSIS; SURGERY;

AGED; FEMALE; HEALTH CARE COSTS; HOSPITAL DEPARTMENTS; HOSPITALIZATION; HOSPITALS, PUBLIC; HUMANS; LENGTH OF STAY; MALE; MEDICAL AUDIT; MEDICINE; MIDDLE AGED; OBESITY; REGRESSION ANALYSIS; SEVERITY OF ILLNESS INDEX; VICTORIA;

EID: 77950217039     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3181ca3d85     Document Type: Article

References (33)

1. Folmann N, Bossen KS, Willaing, et al. Obesity, hospital service use and costs. In: Bolin K, Cawley JH, eds. The Economics of Obesity. Oxford: Elsevier; 2007.
2. Shafer MH, Ferraro KF. Obesity and hospitalization over the adult life course: does duration of exposure increase use? J Health Soc Behav. 2007;48:434-449.
3. Weintraub W, Jones E, Craver J, et al. Determinants of prolonged length of hospital stay after coronary bypass surgery. Circulation. 1989;80: 276-284.
4. Philbin E, McCullough P, Dec G, et al. Length of stay and procedure utilization are the major determinants of hospital charges for heart failure. Clin Cardiol. 2001;24:56-62.
5. Fleming I, Monaghan P, Gavin M, et al. Factors influencing hospital costs of lung cancer patients in Northern Ireland. Eur J Health Econ. 2008;9:79-86.
6. Zhu H, Newcommon N, Cooper M, et al. Impact of a stroke unit on length of hospital stay and in-hospital case fatality. Stroke. 2009;40: 18-23.
7. Prabhakar G, Haan CK, Peterson, et al. The risks of moderate and extreme obesity for coronary artery bypass grafting outcomes: a study from the society of thoracic surgeons' database. Ann Thorac Surg. 2002;74:1125-1131.
8. Wigfield CH, Lindsey JD, Munoz A, et al. Is extreme obesity a risk factor for cardiac surgery? An analysis of patients with a BMI >40. Eur J Cardiothorac Surg. 2006;29:434-440.
9. Epstein AM, Read JL, Hoefer M. The relation of body weight to length of stay and charges for hospital services for patients undergoing elective surgery: a study of two procedures. Am J Public Health. 1987;77:993-997.
10. Razinia T, Saver JL, Liebeskind DS, et al. Body mass index and hospital discharge outcomes after ischemic stroke. Arch Neurol. 2007;64:388-391.
11. Bochicchio GV, Joshi M, Bochiccho K, et al. Impact of obesity in the critically ill trauma patient: a prospective study. J Am Coll Surg. 2006;203:533-538.
12. Akinnusi ME, Lilibeth A, Pineda LA, et al. Impact of obesity on intensive care morbidity and mortality: a meta analysis. Chest. 2007; 132:441S-442S.
13. Zizza C, Herring AH, Stevens J, et al. Length of hospital stays among obese individuals. Am J Public Health. 2004;94:1587-1591.
14. Kyle UG, Pirlich M, Loch H, et al. Increased length of hospital stay in underweight and overweight patients at hospital admission: a controlled population study. J Clin Nutr. 2005;24:133-142.
15. Hawn MT, Bian J, Leeth RR, et al. Impact of obesity on resource utilization for general surgical procedures. Ann Surg. 2005;241:821-826.
16. Thombs BD, Singh VA, Halonen J, et al. The effects of pre-existing medical co morbidities on mortality and length of hospital stay in acute burn injury. Evidence from a national sample of 31,338 adult patients. Ann Surg. 2007;245:629-634.
17. Kerns LA, Sullivan C, Story RE. Asthma severity and length of hospital stay for acute asthma in overweight children compared to children of normal weight. J Allerg Clin Immunol. 2008;121:S92.
18. Rothman K, Greenland S. Modern Epidemiology. 2nd ed. Philadelphia, PA: Lippincott-Raven; 1998.
19. Horn DS, Sharkey PD, Buckle JM, et al. The relationship between severity of illness and hospital length of stay and mortality. Med Care. 1991;29:305-317.
20. Martin S, Smith PC. Explaining variations in inpatient length of stay in the national health service. J Health Econ. 1996;15:279-304.
21. Clark DE, Ryan LM. Concurrent prediction of hospital mortality and length of stay from risk factors on admission. Health Serv Res. 2002; 37:631-645.
22. Picone G, Wilson RM, Choub SY. Analysis of hospital length of stay and discharge destination using hazard functions with unmeasured heterogeneity. Health Econ. 2003;12:1021-1034.
23. Department of Human Services. Victorian population health survey (2002). Melbourne, Victoria: Department of Human Services 2002
24. Jackson T, Duckett S, Shepheard J, et al. Measurement of adverse events using 'incidence flagged' diagnosis codes. J Health Serv Res Policy. 2006;11:21-26.
25. Dennis Trewin; Australian Bureau of Statistics. Census of population and housing: socio-economic indexes for areas. Information paper 2001. Canberra, Australia: Australian Bureau of Statistics; 2003. Available at: http://www.ausstats.abs.gov.au/ausstats/free.nsf/0/ AFF5E8542B58B94ECA256DD5007A3DF8/$File/20390-2001.pdf.
26. Tukey JW. Exploratory Data Analysis. Reading, MA: Addison-Wesley; 1977.
27. Koenker R, Bassett G. Robust tests for heteroscedasticity based on regression quantiles. Econometrica. 1978;50:43-61.
28. Koenker R. Quantile Regression. New York, NY: Cambridge University Press; 2005.
29. Curtis JP, Selter JG, Wang Y, et al. The obesity paradox. Body mass index and outcomes in patients with heart failure. Arch Intern Med. 2005;165:55-61.
30. Gruberg L, Weissman NJ, Waksman R, et al. The impact of obesity on the short term and long-term outcomes after percutaneous coronary intervention: the obesity paradox? J Am Coll Cardiol. 2002;39:578-584.
31. Mehta LS, Skelding KA, Grines LL, et al. Obesity: protective in acute myocardial infarction patients? Circulation. 2002;106(suppl 2):402.
32. Ness AR, Gunnell D, Hughes J, et al. Height, body mass index, and survival in men with coronary disease: follow up of the Diet and Reinfarction Trial (DART). J Epidemiol Community Health. 2002;56: 218-219.
33. Fleischmann E, Teal N, Dudley J, et al. Influence of excess weight on mortality and hospital stay in 1346 hemodialysis patients. Kidney Int. 1999;55:1560-1567.