Posts Tagged ‘hospitalizations’

Childhood Obesity-Related Hospitalizations Increasing

December 4th, 2012

In 2009, there were about 38,000 hospital stays with a diagnosis of obesity for children ages 1 to 17 years in the United States, comprising 2.1 percent of all hospitalizations among this age group. From 2000 to 2009, the rate of hospitalizations with obesity more than doubled (from 2.4 to 5.4 stays per 10,000 children). In contrast, the rate of hospital stays without any mention of obesity remained relatively stable. Hospitalizations with a diagnosis of obesity have a longer average length of stay and higher mean costs per stay. This new report from AHRQ repots a sizable growth in the costs of obesity. In 2000, the average cost of an obesity-related hospital stay was 20 percent higher than a stay with no mention of obesity ($7,200 versus $6,000). But, in 2009, the average cost of an obesity-related hospital stay was 24 percent higher than a stay without obesity ($9,900 versus $8,000). From 2000 to 2009, the rate of stays with obesity on the record more than doubled among children age 5—9 years (up 124 percent), 10—14 years (up 114 percent), and 15—17 years (up 139 percent). During this same period, the rate of stays with obesity increased in all four regions, more than doubling in the Midwest, Northeast, and West.

For both obesity-related and non-obesity related hospitalizations for children there was a marked drop in coverage by private insurance and an increase in coverage by Medicaid from 2000 to 2009.

The principal diagnoses, for which obesity was the secondary diagnosis, were mood disorders, asthma, appendicitis, pneumonia, skin infections, biliary tract disease, diabetes mellitus, epilepsy, attention-deficit, conduct, and disruptive behavior disorders. Report is based on H-CUP databases, sponsored by AHRQ. See AHRQ: Hospitalizations and Obesity Children SB 138

Obesity Related Hospitalizations Soar

December 4th, 2012

Obesity-related hospitalizations have tripled from 1996 to 2009. In 2009, there were approximately 2.8 million hospital stays for which obesity was either a principal or secondary diagnosis. The share of obesity-related hospitalizations increased from 3% of all stays (excluding infants and maternal) in 1996 to more than 9% of all stays in 2009. Hospitalizations in which obesity was the principal diagnosis increased 13-fold from 10,100 in 1996 to 132,900 in 2009.  Hospitalizations in which obesity was the secondary diagnosis increased from 766,600 in 1996 to 2,716,200 in 2009, a 3.5 fold increase.

Mean cost per stay for hospitalizations with obesity as a secondary diagnosis compared to no-obesity relationship was 9% higher in 2009 over 2004. Overall, hospital stays with any mention of obesity accounted for $33.4 billion (10.2%) of aggregate hospital costs in 2009.

The most common procedure for which obesity was the principal diagnosis was bariatric surgery, which was unchanged from 2004.

The most common procedure for which obesity was the secondary diagnosis was osteoarthritis, increasing by 27% from 2004. Coronary atherosclerosis was the most common principal diagnosis accounting for 6.8% of all stays in 2004. It decreased 37% to become the third most common diagnosis in 2009. Chronic obstructive pulmonary disease and bronchiectasis increased 34%, rising from the 14th most common procedure to the eighth.

The report is based on HCUP database, sponsored by the Agency for Healthcare Research and Quality. AHRQ: Adult Obesity Hospitalization Statistical Brief 137