Obesity and length of hospital stay in children

A retrospective review of Florida Agency for Health Care Administration data

WayWay Hlaing, Sarah Messiah, Steven E Lipshultz, David Ludwig

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The objective of this analysis was to determine the association between childhood obesity and hospital length of stay (LOS) utilizing the Florida Agency for Health Care Administration (AHCA) database. Children aged 6-18. years old who were admitted to Florida hospitals in the United States during 2005 with a primary or secondary diagnosis of overweight, obesity, or morbid obesity were coded as "obese" (n= 2257). Children without any of these three diagnoses were coded as "non-obese" (n= 69,180). Due to the small number of overweight or obese children under age 6, the analyses were restricted to children between 6 and 18. years old. The adjusted mean LOS (days) was compared between obese and non-obese groups. Multivariable logistic regression analyses identified correlates of a long LOS (≥ 3. days). Of 2257 obese children, 80% were 12-18. years old, 59% were girls, and 51% were insured by Medicaid. Among non-obese children, the proportions were 66% (12-18. years), 47% (girls), and 42% (Medicaid beneficiaries). Mean LOS was greater in obese (3.2. days) than in non-obese (2.8. days) children (p< .001). Obesity remained associated with LOS after adjusting for age, sex, race, insurance status, and hospital charges (odds ratio, 1.4; 95% confidence interval, 1.3-1.6). Proportions of mental health diagnosis in obese (11.8%) children were higher than that of non-obese (3.8%) children. Children with a primary or secondary diagnosis of overweight, obesity, or morbid obesity require longer hospital stays than do children without these diagnoses. Obesity prevention programs could potentially reduce hospital stays and their associated costs.

Original languageEnglish
Pages (from-to)67-72
Number of pages6
JournalProgress in Pediatric Cardiology
Volume31
Issue number1
DOIs
StatePublished - Jan 1 2011

Fingerprint

Length of Stay
Obesity
Delivery of Health Care
Morbid Obesity
Medicaid
Hospital Charges
Insurance Coverage
Pediatric Obesity
Mental Health
Logistic Models
Odds Ratio
Regression Analysis
Databases
Confidence Intervals
Costs and Cost Analysis

Keywords

  • Children
  • Comorbidity
  • Hospital length of stay
  • Obesity
  • Overweight

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Obesity and length of hospital stay in children : A retrospective review of Florida Agency for Health Care Administration data. / Hlaing, WayWay; Messiah, Sarah; Lipshultz, Steven E; Ludwig, David.

In: Progress in Pediatric Cardiology, Vol. 31, No. 1, 01.01.2011, p. 67-72.

Research output: Contribution to journalArticle

@article{636c3176bb8b4a79b286d79e96d83ac6,
title = "Obesity and length of hospital stay in children: A retrospective review of Florida Agency for Health Care Administration data",
abstract = "The objective of this analysis was to determine the association between childhood obesity and hospital length of stay (LOS) utilizing the Florida Agency for Health Care Administration (AHCA) database. Children aged 6-18. years old who were admitted to Florida hospitals in the United States during 2005 with a primary or secondary diagnosis of overweight, obesity, or morbid obesity were coded as {"}obese{"} (n= 2257). Children without any of these three diagnoses were coded as {"}non-obese{"} (n= 69,180). Due to the small number of overweight or obese children under age 6, the analyses were restricted to children between 6 and 18. years old. The adjusted mean LOS (days) was compared between obese and non-obese groups. Multivariable logistic regression analyses identified correlates of a long LOS (≥ 3. days). Of 2257 obese children, 80{\%} were 12-18. years old, 59{\%} were girls, and 51{\%} were insured by Medicaid. Among non-obese children, the proportions were 66{\%} (12-18. years), 47{\%} (girls), and 42{\%} (Medicaid beneficiaries). Mean LOS was greater in obese (3.2. days) than in non-obese (2.8. days) children (p< .001). Obesity remained associated with LOS after adjusting for age, sex, race, insurance status, and hospital charges (odds ratio, 1.4; 95{\%} confidence interval, 1.3-1.6). Proportions of mental health diagnosis in obese (11.8{\%}) children were higher than that of non-obese (3.8{\%}) children. Children with a primary or secondary diagnosis of overweight, obesity, or morbid obesity require longer hospital stays than do children without these diagnoses. Obesity prevention programs could potentially reduce hospital stays and their associated costs.",
keywords = "Children, Comorbidity, Hospital length of stay, Obesity, Overweight",
author = "WayWay Hlaing and Sarah Messiah and Lipshultz, {Steven E} and David Ludwig",
year = "2011",
month = "1",
day = "1",
doi = "10.1016/j.ppedcard.2010.11.011",
language = "English",
volume = "31",
pages = "67--72",
journal = "Progress in Pediatric Cardiology",
issn = "1058-9813",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - Obesity and length of hospital stay in children

T2 - A retrospective review of Florida Agency for Health Care Administration data

AU - Hlaing, WayWay

AU - Messiah, Sarah

AU - Lipshultz, Steven E

AU - Ludwig, David

PY - 2011/1/1

Y1 - 2011/1/1

N2 - The objective of this analysis was to determine the association between childhood obesity and hospital length of stay (LOS) utilizing the Florida Agency for Health Care Administration (AHCA) database. Children aged 6-18. years old who were admitted to Florida hospitals in the United States during 2005 with a primary or secondary diagnosis of overweight, obesity, or morbid obesity were coded as "obese" (n= 2257). Children without any of these three diagnoses were coded as "non-obese" (n= 69,180). Due to the small number of overweight or obese children under age 6, the analyses were restricted to children between 6 and 18. years old. The adjusted mean LOS (days) was compared between obese and non-obese groups. Multivariable logistic regression analyses identified correlates of a long LOS (≥ 3. days). Of 2257 obese children, 80% were 12-18. years old, 59% were girls, and 51% were insured by Medicaid. Among non-obese children, the proportions were 66% (12-18. years), 47% (girls), and 42% (Medicaid beneficiaries). Mean LOS was greater in obese (3.2. days) than in non-obese (2.8. days) children (p< .001). Obesity remained associated with LOS after adjusting for age, sex, race, insurance status, and hospital charges (odds ratio, 1.4; 95% confidence interval, 1.3-1.6). Proportions of mental health diagnosis in obese (11.8%) children were higher than that of non-obese (3.8%) children. Children with a primary or secondary diagnosis of overweight, obesity, or morbid obesity require longer hospital stays than do children without these diagnoses. Obesity prevention programs could potentially reduce hospital stays and their associated costs.

AB - The objective of this analysis was to determine the association between childhood obesity and hospital length of stay (LOS) utilizing the Florida Agency for Health Care Administration (AHCA) database. Children aged 6-18. years old who were admitted to Florida hospitals in the United States during 2005 with a primary or secondary diagnosis of overweight, obesity, or morbid obesity were coded as "obese" (n= 2257). Children without any of these three diagnoses were coded as "non-obese" (n= 69,180). Due to the small number of overweight or obese children under age 6, the analyses were restricted to children between 6 and 18. years old. The adjusted mean LOS (days) was compared between obese and non-obese groups. Multivariable logistic regression analyses identified correlates of a long LOS (≥ 3. days). Of 2257 obese children, 80% were 12-18. years old, 59% were girls, and 51% were insured by Medicaid. Among non-obese children, the proportions were 66% (12-18. years), 47% (girls), and 42% (Medicaid beneficiaries). Mean LOS was greater in obese (3.2. days) than in non-obese (2.8. days) children (p< .001). Obesity remained associated with LOS after adjusting for age, sex, race, insurance status, and hospital charges (odds ratio, 1.4; 95% confidence interval, 1.3-1.6). Proportions of mental health diagnosis in obese (11.8%) children were higher than that of non-obese (3.8%) children. Children with a primary or secondary diagnosis of overweight, obesity, or morbid obesity require longer hospital stays than do children without these diagnoses. Obesity prevention programs could potentially reduce hospital stays and their associated costs.

KW - Children

KW - Comorbidity

KW - Hospital length of stay

KW - Obesity

KW - Overweight

UR - http://www.scopus.com/inward/record.url?scp=79451476026&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79451476026&partnerID=8YFLogxK

U2 - 10.1016/j.ppedcard.2010.11.011

DO - 10.1016/j.ppedcard.2010.11.011

M3 - Article

VL - 31

SP - 67

EP - 72

JO - Progress in Pediatric Cardiology

JF - Progress in Pediatric Cardiology

SN - 1058-9813

IS - 1

ER -