The outcomes of obese patients in critical care

Laszlo Kiraly, Ryan T. Hurt, Charles W. Van Way

    Research output: Contribution to journalArticle

    25 Scopus citations

    Abstract

    The severity and prevalence of obesity continue to rise throughout the world. A similar rise in the prevalence of obesity is seen in the population of patients admitted to the intensive care unit (ICU). In the ICU setting, nearly every aspect of care is made more difficult by obesity. This review highlights the challenges in the care of obese ICU patients. Multiple statistical reviews have suggested improved outcomes for obese ICU patients. This article critically evaluates published outcome studies and highlights potential confounders that may result in misleading results. Body mass index (BMI) has been traditionally used to stratify risk in obese populations. Other factors that may be more predictive of poor outcomes in obese populations are further discussed. Further research in these factors has the potential to guide therapy in high-risk critically ill obese populations.

    Original languageEnglish (US)
    Pages (from-to)29S-35S
    JournalJournal of Parenteral and Enteral Nutrition
    Volume35
    Issue number5 SUPPL.
    DOIs
    StatePublished - Sep 1 2011

    Keywords

    • Body mass index
    • Critical illness
    • Enteral nutrition
    • Mortality
    • Obesity
    • Research and diseases

    ASJC Scopus subject areas

    • Medicine (miscellaneous)
    • Nutrition and Dietetics

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