Association between patients' body mass index and emergency department wait times: A multicenter observational cohort investigation by the reducing disparities increasing equity in emergency medicine (REDEEM) study group.
Objective: Numerous studies have demonstrated evidence of obesity bias in healthcare settings, however, little is known about obesity bias in the Emergency Department (ED). The objective of this study was to investigate obesity bias in an ED setting by assessing the association between body mass ind...
| Publicado en: | American Journal of Emergency Medicine Vol. 49; pp. 178 - 185 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Nov2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153321716&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153321716 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07356757 1X2 jtl: American Journal of Emergency Medicine issn: 07356757 maglogo: N pubinfo: dt: Nov2021 vid: 49 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 153321716 153321716 NLM34119812 153321716 10.1016/j.ajem.2021.06.007 NLM34119812 153321716 ppf: 178 ppct: 7 formats: tig: atl: Association between patients' body mass index and emergency department wait times: A multicenter observational cohort investigation by the reducing disparities increasing equity in emergency medicine (REDEEM) study group. aug: au: Lichen, Isabella M. Bellamkonda, Venkatesh R. Campbell, Ronna L. Phelan, Sean M. Anderson, Joel R. Mullan, Aidan F. Knier, Kit Sadosty, Annie T. affil: Department of Emergency Medicine, Mayo Clinic, Rochester, MN, United States sug: subj: Health Status Disparities Health Services Accessibility Standards Body Mass Index Emergency Service Administration Human Poisson Distribution Middle Age Adult Female Health Services Accessibility Statistics and Numerical Data Aged Emergency Service Statistics and Numerical Data Time Factors Male Prospective Studies Comparative Studies Multicenter Studies Evaluation Research Validation Studies Middle Aged: 45-64 years Adult: 19-44 years Aged: 65+ years Female Male ab: Objective: Numerous studies have demonstrated evidence of obesity bias in healthcare settings, however, little is known about obesity bias in the Emergency Department (ED). The objective of this study was to investigate obesity bias in an ED setting by assessing the association between body mass index (BMI) and door-to-room (DTR) or door-to-provider (DTP) times among ED patients.Methods: We conducted an observational cohort study of all adult patient (age ≥ 18 years of age) visits to 21 Mayo Clinic and Mayo Clinic Health System EDs between November 1, 2018 and March 31, 2020. We compared DTR and DTP times based on BMI category.Results: We found that median DTR and DTP times for adults with class 3 obesity are significantly shorter than patients in the normal weight category. For men with class 3 obesity, median DTR and DTP times were 7.5% and 5.4% shorter than men in the normal weight category. Relative to women in the normal weight category, the median DTR and DTP times were 4.6% and 3.8% faster for women in obesity class 1, 4.9% and 5.1% faster for women in obesity class 2, and DTR was 4.4% faster for women in obesity class 3. These percentage differences translated to slightly shorter wait times of 0.4-1.2 min compared to median wait times for patients with normal BMI.Conclusion: We did not find evidence of longer wait times experienced by people with obesity. Rather, patients with obesity often experienced wait times that were shorter than patients of normal weight. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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