Chest complaints more costly in obese patients

Chest complaints more costly in obese patients

(HealthDay)—Higher body mass index (BMI) is associated with increased cost of care and longer hospital stays for patients who present to the emergency department with chest pain and dyspnea, according to research published online March 4 in Circulation: Cardiovascular Quality and Outcomes.

Geoffrey W. Peitz, of the Indiana University School of Medicine in Indianapolis, and colleagues prospectively analyzed costs and outcomes stratified by BMI for patients presenting to the with and dyspnea.

The researchers found that costs of care were 41 percent higher for morbidly (P = 0.015), 28 percent higher for obese patients (P = 0.020), and 22 percent higher for (P = 0.077), than for normal-weight patients. Compared with normal-weight patients, morbidly obese patients had longer lengths of hospital stay with or without computed tomography (CT) scanning (44 percent longer with CT [P = 0.083]; 34 percent longer without CT [P = 0.073]). Morbidly obese patients had the highest rate (87 percent) of no significant cardiopulmonary diagnosis for 90 days after CT pulmonary angiography.

"These findings substantiate the need for clinical protocols that reduce overuse of imaging in patients with high BMI and chest complaints," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Chest pain duration can signal heart attack

Sep 11, 2013

Patients with longer-lasting chest pain are more likely having a heart attack than those with pain of a shorter duration, according to a study by researchers at Henry Ford Hospital.

Recommended for you

Real-time volume imaging of hearts

1 hour ago

A new ultrasound system from Siemens enables doctors to carry out heart examinations through the esophagus for the first time. The system supplies 3D images of the heart as well as additional real-time information ...

Post-PCI bleeding rates vary widely across hospitals

19 hours ago

(HealthDay)—Patient case-mix and procedural factors may contribute to wide variation in the hospital rates of bleeding after percutaneous coronary intervention (PCI), according to research published online ...

Most seniors eligible for statin Rx under new guidelines

Nov 25, 2014

(HealthDay)—Most older Americans qualify for treatment with statins under new guidelines for the treatment of blood cholesterol released late last year by the American College of Cardiology and the American ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.