Addressing obesity in the hospitalized patient: A needs assessment

Erica E. Howe, Scott M. Wright, Regina Landis, Flora Kisuule

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To perform a needs assessment to determine the extent to which hospitalist providers recognize and intervene upon obese patients in the hospital setting. METHODS: A chart review was performed for patients admitted to the hospitalist service at Johns Hopkins Bayview Medical Center between September 1 and October 1, 2008. Patient charts were reviewed for documentation of obesity and treatment plans were ordered and implemented. Demographic data for patients and hospitalist providers was also collected. Providers were also surveyed about their documentation practices related to obesity and any perceived barriers. RESULTS: Forty-nine percent (136/276) of admitted patients were obese. Obesity was documented in 19% (26/136) of admission notes and a discrete plan was made to address obesity 7% (10/136) of the time. Hospitalist providers were more likely to document obesity in patients <60 years old (85% versus 55% respectively, P <0.007), and in patients with body mass indices (BMI) ≥35 (77% versus 44% respectively, P < 0.004). Provider survey results suggest that providers do not document obesity because it is not considered to be an acute issue (67%), and they elect not to address obesity because they lack the time (63%), skill (37%), and they believe that their efforts will be unsuccessful (33%). CONCLUSION: Documentation of obesity by hospitalist providers is poor. Because an inpatient admission has been characterized as a teachable moment when patients are willing to reflect on behavior change, this may be an ideal time to counsel and educate obese patients.

Original languageEnglish (US)
Pages (from-to)500-504
Number of pages5
JournalSouthern medical journal
Volume103
Issue number6
DOIs
StatePublished - Jun 1 2010
Externally publishedYes

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Keywords

  • Body mass index
  • Documentation
  • Hospitalist
  • Inpatient
  • Obesity

ASJC Scopus subject areas

  • Medicine(all)

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