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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Arm | Other | -Adult (≥ 18 years of age) hospitalized patients who have obesity (BMI ≥ 30 kg/m2 or BMI ≥ 27 kg/m2 if Asian/South Asian), as recorded in the medical chart, who have decision-making capacity and whose acute medical condition has been stabilized. we will exclude patients who are enrolling in hospice/comfort care and the patients who are already enrolled in the CWM clinic. Non-English speaking patients. Patients who have opted out of research in their Epic EHR will be excluded from consideration for participation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| referral to comprehensive weight management clinic | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Perform a feasibility study of providing referral to outpatient comprehensive weight management clinic to Inpatients with obesity. | Percentage of patients who are seen in weight management clinic at 6 months from hospital discharge | Six months |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nirjhar Dutta, DO, MS | University of Minnesota | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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|
| Qualitative information about the experience of getting referral for outpatient weight management while inpatient and experience of going to weight management |
Obtained by survey and phone call |
| six month and 12 month |
| 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 | Historical control will be defined as inpatients with obesity admitted to the same hospital from 2014 to 2019 | six month and 12 month |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |