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American Journal of Public Health, Vol. 77, Issue 8 993-997, Copyright © 1987 by American Public Health Association

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The relation of body weight to length of stay and charges for hospital services for patients undergoing elective surgery: a study of two procedures.

A M Epstein, J L Read and M Hoefer

We studied the relation of body weight to lengths of stay and total charges for all patients hospitalized at the Brigham and Women's Hospital for total knee replacement and total hip replacement during a 12-month period. Patients with moderate obesity (actual body weight 141-170 per cent of ideal) had lengths of stay and total charges similar to normal weight patients (body weight 100-110 per cent ideal). However, patients who were extremely overweight (body weight greater than or equal to 188 per cent ideal) had mean lengths of stay 35 per cent longer (28.9 days vs 21.5) and total charges 30 per cent higher ($25,692 vs $19,576) than patients with normal weight. Those who were extremely underweight (body weight less than or equal to 75 per cent ideal) had mean lengths of stay 40 per cent longer (30.1 days vs 21.5) and total charges 35 per cent higher ($26,447 vs $19,576).




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C. Pichard, U. G Kyle, A. Morabia, A. Perrier, B. Vermeulen, and P. Unger
Nutritional assessment: lean body mass depletion at hospital admission is associated with an increased length of stay
Am. J. Clinical Nutrition, April 1, 2004; 79(4): 613 - 618.
[Abstract] [Full Text] [PDF]




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Copyright © 1987 by the American Public Health Association