Obesity
Conditions
Brief summary
Hospitalized patients with obesity who are not already in CWM (comprehensive weight management), or not comfort care/hospice will be identified by the hospitalists then the study dietitian will consent for the patient for enrollment (and answer any question regarding diet/lifestyle) in the study. The intervention will be a CWM referral at discharge. The outcome will be what percentage of these patients go to the CWM clinic at 6 months. At 6 months, the investigators will also call each participant to get a qualitative idea of the process of inpatient referral and barriers to the CWM clinic visit. Weight loss, starting on anti-obesity medication, bariatric surgery will be assessed as a secondary outcome.
Detailed description
* The investigators will conduct an uncontrolled, one arm interventional study on Adult (≥ 18 years of age) hospitalized patients who have obesity (BMI ≥ 30 kg/m 2 or BMI ≥ 27 kg/m 2 if Asian/South Asian), and after stabilization of their acute medical conditions. Prior to hospital discharge, patients will receive a referral for an outpatient comprehensive weight management clinic, with a message that will be sent to the CWM clinic scheduler. Then the investigators will follow the patients forward for 6 months from hospital discharge to assess primary and secondary outcomes. Also, the investigators will look at a historical control group of hospitalized patients with obesity (age, comorbidity matched) from 2014-2019 (chosen instead of 2020, to avoid any impact of 2020 COVID 19 pandemic) and compare the primary and secondary outcomes. At six months after discharge, patients will receive a phone call from the investigators to ascertain whether they were able to go to the comprehensive weight management clinic and about their experience. * Hospitalized patients who have decision-making capacity and whose acute medical condition has been stabilized who meet study criteria will be identified by study physician(s) who will look at his/her personal patient list on a regular basis to identify patients who meet enrollment criteria and will refer the patients to the co-investigator who is not directly involved in the patient's care who will then discuss enrollment with patients.
Interventions
OTHERreferral to comprehensive weight management clinic
Patients will receive a referral for outpatient CWM clinic, with a message sent to the CWM clinic scheduler, prior to hospital discharge. At six months after discharge, the patient will receive a phone call from the investigators to ascertain whether they were able to go to the CWM clinic and about their experience.
Sponsors
University of Minnesota
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult (≥ 18 years of age) hospitalized patients who have obesity (BMI ≥ 30 kg/m2 or BMI ≥ 25 kg/m2 if Asian/South Asian) * Who have decision-making capacity * Whose acute medical condition has been stabilized.
Exclusion criteria
* Patients in the ICU or requiring \> 6 LPM of supplemental oxygen * Patients enrolling in hospice/comfort care * Patients who are already enrolled in weight management or have undergone previous metabolic / bariatric surgery. * Non-English speaking patients. * Pregnant patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perform a feasibility study of providing referral to outpatient comprehensive weight management clinic to Inpatients with obesity. | Six months | Percentage of patients who are seen in weight management clinic at 6 months from hospital discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The number of Comprehensive weight managment clinic visits at 6 months. | six month and 12 month | — |
| Weight loss at 6 months from hospital discharge. | six month and 12 month | — |
| Qualitative information about the experience of getting referral for outpatient weight management while inpatient and experience of going to weight management | six month and 12 month | Obtained by survey and phone call |
| Percentage of patients receiving weight-loss medications or being referred for bariatric surgery. | six month and 12 month | — |
| Compare primary and secondary outcomes with a historical control of patients with obesity | six month and 12 month | Historical control will be defined as inpatients with obesity admitted to the same hospital from 2014 to 2019 |
Countries
United States
Outcome results
None listed