Outcomes and nursing workload related to obese patients in the intensive care unit

Carrara, Fernanda Souza Angotti; Zanei, Suely Sueko Viski; Cremasco, Mariana Fernandes; Whitaker, Iveth Yamaguchi

doi:10.1016/j.iccn.2015.12.003

Cited by 18 publications

(11 citation statements)

References 30 publications

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“…We assessed nonlinear association in 24 studies between BMI and the risk of mortality in the ICU. 13,14,16,19,27,28,[31][32][33]35,36,38,39,[40][41][42][43][44][45][46][47][48]49,53 Results showed a decrease in risk of mortality with an increase of BMI levels up to ≈35 kg/m 2 (P nonlinearity < .001). However, the risk of mortality increased in BMIs higher than 35 kg/m 2 (P nonlinearity < .001) ( Figure 3).…”

Section: Linear and Nonlinear Dose Responsementioning

confidence: 94%

Dose‐Response Meta‐Analysis of the Impact of Body Mass Index on Mortality in the Intensive Care Unit

et al. 2020

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Introduction: Both low and high body mass index (BMI) are associated with mortality in the intensive care unit (ICU). Although many studies have been done to determine the relationship between BMI and risk of mortality in the ICU, their results were inconsistent. This study aimed to conduct a dose-response meta-analysis of published observational studies to assess the effect of BMI on the risk of mortality in patients admitted to the ICU. Methods: PubMed, Scopus, and Google Scholar were searched to identify articles up to May 2019. A total of 31 relevant articles, with 238,961 patients and a follow-up period of 1 month to 11 years, were analyzed. Results: Linear analysis showed a 0.6% decrease in mortality rate per unit (kg/m 2) increase in BMI (odds ratio: 0.99; 95% CI, 0.98-0.99). In addition, nonlinear analysis showed a decrease in risk of mortality for a BMI of 35 (P < .001) and then increased the risk of mortality with a BMI > 35 (P < .001). Conclusion: This dose-response meta-analysis revealed that a BMI ≤ 35 can be a protective agent against mortality, but a BMI > 35 is a life-threatening factor in patients admitted to the ICU.

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Section: Linear and Nonlinear Dose Responsementioning

confidence: 94%

Dose‐Response Meta‐Analysis of the Impact of Body Mass Index on Mortality in the Intensive Care Unit

et al. 2020

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“…The growing prevalence of obesity has led to increased admissions to intensive care units (ICUs) (Bajwa, Sehgal, & Bajwa, ; Carrara, Zanei, Cremasco, & Whitaker, ). Obese ICU patients are at higher risk of various diseases and complications than normal‐weight patients (Selim, Ramar, & Surani, ).…”

Section: Introductionmentioning

confidence: 99%

Design and psychometric testing of instruments to measure qualified intensive care nurses’ attitudes toward obese intensive care patients

Robstad

Siebler

Söderhamn

et al. 2018

Research in Nursing & Health

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The purpose of this pilot study was to design and test research instruments to measure qualified intensive care nurses' implicit and explicit attitudes and behavioral intentions toward obese intensive care patients. In previous studies researchers have demonstrated that some health professionals hold negative attitudes toward obese patients; however, little is known about qualified intensive care nurses' attitudes toward these patients. Our cross-sectional pilot study involved Implicit Association Tests, the Anti-fat Attitude questionnaire, an explicit bias scale comprising ratings of explicit beliefs and feelings, assessment of behavioral intentions based on vignettes, and demographic questions. Thirty qualified intensive care nurses from a general intensive care unit in Norway (80% female; age range 31-62 years) completed the study. Nurses reported implicit and explicit preferences for thin over thick patients and found obese patients lazier than normal-weight patients. Measures of behavioral intentions and anti-fat attitudes were reliable. Generally, the nurses intended to help obese patients immediately. Nevertheless, explicit anti-fat attitudes (rho = −0.49) as well as implicit anti-obese stereotypes (rho = −0.40) were negatively correlated with such intentions. Data supported satisfactory face validity, and convergent and discriminant validity within and between implicit and explicit attitudes and stereotypes.The set of research instruments were reliable, valid, and suitable tools to measure qualified intensive care nurses' implicit and explicit attitudes; however, the present findings need to be replicated in a larger-scale study. K E Y W O R D S attitude, implicit, intensive care, nurse, obesity

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“…Previous studies have reported that an increased frequency of nursing activities influenced patient outcomes, including mortality, and suggested that evaluating or indexing nursing activities and measuring the nursing workload is necessary to provide adequate nursing care (Carrara et al, ; Hinno et al, ; Liu et al, ; Lucchini et al, ). In the present Cox analysis, a significant relationship between the frequency of nursing activities and the incidence of 36 months of MACE remained after adjusting for significant covariates.…”

Section: Discussionmentioning

confidence: 99%

“…In recent studies, the nursing activities of clinical nurses in hospitals have been emphasized as a critical factor related to the quality of the hospital environment, the management of the hospital budget, and the cost‐effectiveness of treatment for patients (Altafin et al, ; Carrara, Zanei, Cremasco, & Whitaker, ; Lucchini et al, ). These studies reported that differences in nursing workload as an aggregate of nursing activities were due to the clinical severity of the patients and the complexity of nursing tasks, thus when a patient's condition is critical or their condition is complex, they have a need for a greater number of nursing activities.…”

Section: Introductionmentioning

confidence: 99%

Relationship between the frequency of nursing activities and adverse outcomes in patients with acute coronary syndrome: A retrospective cohort study

Ahn

Seo

2019

Nursing & Health Sciences

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Outcomes and nursing workload related to obese patients in the intensive care unit

Cited by 18 publications

References 30 publications

Dose‐Response Meta‐Analysis of the Impact of Body Mass Index on Mortality in the Intensive Care Unit

Dose‐Response Meta‐Analysis of the Impact of Body Mass Index on Mortality in the Intensive Care Unit

Design and psychometric testing of instruments to measure qualified intensive care nurses’ attitudes toward obese intensive care patients

Relationship between the frequency of nursing activities and adverse outcomes in patients with acute coronary syndrome: A retrospective cohort study

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