PMID- 31373939
OWN - NLM
STAT- MEDLINE
DCOM- 20210531
LR  - 20210531
IS  - 1539-2031 (Electronic)
IS  - 0192-0790 (Linking)
VI  - 54
IP  - 3
DP  - 2020 Mar
TI  - Nationwide Analysis of Resource Utilization and In-Hospital Outcomes in the Obese 
      Patients With Lower Gastrointestinal Hemorrhage.
PG  - 249-254
LID - 10.1097/MCG.0000000000001256 [doi]
AB  - GOALS: The goal of this study was to evaluate the impact of obesity on the 
      outcomes of patients with lower gastrointestinal hemorrhage (LGIH). BACKGROUND: 
      Obesity is considered as an independent risk factor for LGIH. We sought to 
      analyze in-hospital outcomes and characteristics of nonobese and obese patients 
      who presented with LGIH, and further, identify resource utilization during their 
      hospital stay. MATERIALS AND METHODS: With the use of National Inpatient Sample 
      from January 2005 through December 2014, LGIH-related hospitalizations (age>/=18 y) 
      were identified using International Classification of Diseases, 9th Revision, 
      Clinical Modification (ICD-9-CM) diagnostic codes. Patients were stratified into 
      the nonobese and obese groups depending on their body mass index (>30 kg/m). The 
      statistical analyses were performed using SAS 9.4. RESULTS: Of the total 482,711 
      patients with LGIH-related hospitalizations, 38,592 patients were found to be 
      obese. In a propensity-matched analysis, the in-hospital mortality was higher in 
      the nonobese patients (4.2% vs. 3.8%, P=0.004), however, the mean length of 
      hospital stay and mean cost was higher in the obese group which could be due to a 
      higher number of comorbidities in the obese group. Secondary outcomes such as the 
      need for mechanical ventilation vasopressor use and colonoscopy was significantly 
      higher in the obese group. CONCLUSIONS: The study results demonstrate that 
      'obesity paradox' do exist for LGIH-related hospitalizations for mortality. LGIH 
      hospitalizations in the obese patients are associated with higher resource 
      utilization as evidenced by the longer length of stay and higher cost of 
      hospitalizations as compared with the nonobese patients.
FAU - Desai, Jiten
AU  - Desai J
AD  - Department of Internal Medicine, Nassau University Medical Center, East Meadow.
FAU - Shah, Yash
AU  - Shah Y
AD  - Department of Internal Medicine, Icahn School of Medicine at Mount Sinai, James 
      J. Peters VA Medical Center, Bronx.
FAU - Patel, Krunalkumar
AU  - Patel K
AD  - Department of Cardiology, North Shore University Hospital, Northwell Health, 
      Manhasset.
FAU - Savani, Sejal
AU  - Savani S
AD  - Department of Public Health, New York University, New York City, NY.
FAU - Goyal, Hemant
AU  - Goyal H
AD  - Division of Internal Medicine, Mercer University School of Medicine, Macon.
FAU - Desai, Rupak
AU  - Desai R
AD  - Division of Cardiology, Atlanta VA Medical Center, Decatur, GA.
FAU - Patel, Palakkumar
AU  - Patel P
AD  - Department of Internal Medicine, Nassau University Medical Center, East Meadow.
FAU - Doshi, Rajkumar
AU  - Doshi R
AD  - Department of Internal Medicine, University of Nevada School of Medicine, Reno, 
      NV.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Clin Gastroenterol
JT  - Journal of clinical gastroenterology
JID - 7910017
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Gastrointestinal Hemorrhage/epidemiology/etiology/therapy
MH  - *Hospital Mortality
MH  - Hospitals
MH  - Humans
MH  - Length of Stay
MH  - *Obesity/complications/epidemiology
MH  - Retrospective Studies
EDAT- 2019/08/03 06:00
MHDA- 2021/06/01 06:00
CRDT- 2019/08/03 06:00
PHST- 2019/08/03 06:00 [pubmed]
PHST- 2021/06/01 06:00 [medline]
PHST- 2019/08/03 06:00 [entrez]
AID - 10.1097/MCG.0000000000001256 [doi]
PST - ppublish
SO  - J Clin Gastroenterol. 2020 Mar;54(3):249-254. doi: 10.1097/MCG.0000000000001256.