I Peytremann-Bridevaux1, V Kolly, T V Perneger. 1. Institute of Social and Preventive Medicine, Centre Hospitalier Vaudois and University of Lausanne, Switzerland. isabelle.peytremann-bridevaux@chuv.ch
Abstract
OBJECTIVE: To explore the association between patients' body mass index (BMI) and their experiences with inpatient care. DESIGN: Cross-sectional. Mail survey. SETTING: University Hospital of Geneva. PARTICIPANTS: Questionnaires were mailed to 2385 eligible adult patients, 6 weeks after discharge (response rate = 69%). MAIN OUTCOME MEASURES: Patients' experiences with care were measured using the Picker inpatient survey questionnaire. BMI was calculated using self-reported height and weight. Main dependent variables were the global Picker patient experience (PPE-15) score and nine dimension-specific problem scores, scored from 0 (no reported problems) to 1 (all items coded as problems). We used linear regressions, adjusting for age, gender, education, subjective health, smoking and hospitalization, to assess the association between patients' BMI and their experiences with inpatient care. RESULTS: Of the patients, 4.8% were underweight, 50.8% had normal weight, 30.3% were overweight and 14.1% were obese. Adjusted analysis shows that compared with normal weight, obesity was significantly associated with fewer problematic items in the surgery-related information domain, and being underweight or overweight was associated with more problematic items in the involvement of family/friends domain. The global PPE-15 score was significantly higher (more problems) for underweight patients. CONCLUSIONS: Underweight patients, but not obese patients, reported more problems during hospitalization.
OBJECTIVE: To explore the association between patients' body mass index (BMI) and their experiences with inpatient care. DESIGN: Cross-sectional. Mail survey. SETTING: University Hospital of Geneva. PARTICIPANTS: Questionnaires were mailed to 2385 eligible adult patients, 6 weeks after discharge (response rate = 69%). MAIN OUTCOME MEASURES: Patients' experiences with care were measured using the Picker inpatient survey questionnaire. BMI was calculated using self-reported height and weight. Main dependent variables were the global Picker patient experience (PPE-15) score and nine dimension-specific problem scores, scored from 0 (no reported problems) to 1 (all items coded as problems). We used linear regressions, adjusting for age, gender, education, subjective health, smoking and hospitalization, to assess the association between patients' BMI and their experiences with inpatient care. RESULTS: Of the patients, 4.8% were underweight, 50.8% had normal weight, 30.3% were overweight and 14.1% were obese. Adjusted analysis shows that compared with normal weight, obesity was significantly associated with fewer problematic items in the surgery-related information domain, and being underweight or overweight was associated with more problematic items in the involvement of family/friends domain. The global PPE-15 score was significantly higher (more problems) for underweight patients. CONCLUSIONS: Underweight patients, but not obesepatients, reported more problems during hospitalization.
Authors: Andrea J Chow; Ryan Iverson; Monica Lamoureux; Kylie Tingley; Isabel Jordan; Nicole Pallone; Maureen Smith; Zobaida Al-Baldawi; Pranesh Chakraborty; Jamie Brehaut; Alicia Chan; Eyal Cohen; Sarah Dyack; Lisa Jane Gillis; Sharan Goobie; Ian D Graham; Cheryl R Greenberg; Jeremy M Grimshaw; Robin Z Hayeems; Shailly Jain-Ghai; Ann Jolly; Sara Khangura; Jennifer J MacKenzie; Nathalie Major; John J Mitchell; Stuart G Nicholls; Amy Pender; Murray Potter; Chitra Prasad; Lisa A Prosser; Andreas Schulze; Komudi Siriwardena; Rebecca Sparkes; Kathy Speechley; Sylvia Stockler; Monica Taljaard; Mari Teitelbaum; Yannis Trakadis; Clara van Karnebeek; Jagdeep S Walia; Brenda J Wilson; Kumanan Wilson; Beth K Potter Journal: BMJ Open Date: 2022-02-22 Impact factor: 2.692
Authors: Frank G Bottone; Shirley Musich; Shaohung S Wang; Cynthia E Hommer; Charlotte S Yeh; Kevin Hawkins Journal: BMC Health Serv Res Date: 2014-05-16 Impact factor: 2.655