Obesity Trends Amongst Hospitalized Patients with Spinal Cord Stimulator Implants
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ORIGINAL RESEARCH
Obesity Trends Amongst Hospitalized Patients with Spinal Cord Stimulator Implants Vwaire Orhurhu . Faizan Khan . Mariam Salisu Orhurhu . Emeka Agudile . Ivan Urits . Jamal Hasoon . Khurram Owais . Robert Chu . Dotun Ogunsola . Omar Viswanath . Cyrus Yazdi . Jay Karri . Samir Hirji . Jatinder Gill . Thomas Simopoulos
Received: June 9, 2020 / Published online: September 15, 2020 Ó Springer Healthcare Ltd., part of Springer Nature 2020
ABSTRACT Introduction: Chronic pain remains an important public health problem as it continues to increase healthcare-related cost. Comorbidities like obesity have been associated with efficacy of spinal cord stimulator (SCS) therapy and worse outcomes. The goal of this study is to
investigate the trends of obesity amongst hospitalized patients with SCS therapy as well as healthcare utilization outcomes. Methods: Using the International Classification of Diseases (ICD) ninth and tenth procedure and diagnosis code, we investigated the National Inpatient Sample (NIS) for patients with SCS implants between 2011 and 2015. Patients received a diagnosis of obesity based on the following categories: class I, II and III
Digital Features To view digital features for this article go to https://doi.org/10.6084/m9.figshare.12860522. V. Orhurhu (&) M. Salisu Orhurhu Department of Anesthesia, Critical Care and Pain Medicine, Division of Pain, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA e-mail: [email protected] F. Khan Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA E. Agudile Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA I. Urits J. Hasoon C. Yazdi J. Gill T. Simopoulos Department of Anesthesiology, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA K. Owais Department of Anesthesiology, Critical Care and Pain Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
R. Chu Johns Hopkins School of Medicine, Baltimore, MD, USA D. Ogunsola Department of Epidemiology and Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA O. Viswanath Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA J. Karri Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA S. Hirji Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
Adv Ther (2020) 37:4614–4626
obesity. Age, gender, and comorbid conditions of patients with obesity were matched 1:1 on propensity score to those without obesity diagnosis. Our primary outcome was defined as trend of obesity diagnosis. Our secondary outcome, healthcare utilization, included in-hospital cost, length of stay, and discharge location. Results: Between 2011 and 2015, a total of 3893 patients with SCS implants were identified (average age 56 ± 15 years, 58% female, 0.70 ± 1.1 Ch
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