Excess Body Weight in Critically Ill Patients

Abstract

Letters21 September 2004Excess Body Weight in Critically Ill PatientsJames M. O'Brien Jr, MD and Carolyn H. Welsh, MDJames M. O'Brien Jr, MDFrom Ohio State University, Columbus, OH 43210, and Denver Veterans Affairs Medical Center, Denver, CO 80220.Search for more papers by this author and Carolyn H. Welsh, MDFrom Ohio State University, Columbus, OH 43210, and Denver Veterans Affairs Medical Center, Denver, CO 80220.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-141-6-200409210-00027 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Drs. Schultz and Wolthuis raise questions about the technique for weight and BMI determination in our study. At study enrollment, study personnel recorded patient weights according to medical records. We presume that weight was most commonly recorded as a part of daily clinical care and that it was determined by using bed scales in the participating centers. Study personnel measured patient height to calculate predicted body weight and, subsequently, tidal volume. Although we acknowledge that the weight assessment was not subject to a rigorous protocol, we contend that any systematic measurement errors are unlikely. There is no reason ...Reference1. Bercault N, Boulain T, Kuteifan K, Wolf M, Runge I, Fleury JC. Obesity-related excess mortality rate in an adult intensive care unit: A risk-adjusted matched cohort study. Crit Care Med. 2004;32:998-1003. [PMID: 15071392] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Ohio State University, Columbus, OH 43210, and Denver Veterans Affairs Medical Center, Denver, CO 80220. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoExcess Body Weight Is Not Independently Associated with Outcome in Mechanically Ventilated Patients with Acute Lung Injury James M. O'Brien Jr. , Carolyn H. Welsh , Ronald H. Fish , Marek Ancukiewicz , Andrew M. Kramer , and Excess Body Weight in Critically Ill Patients Marcus J. Schultz and Esther K. Wolthuis Metrics Cited byAccuracy of weight and height estimation in an intensive care unit: Implications for clinical practice and research* 21 September 2004Volume 141, Issue 6Page: 485-486KeywordsBody mass indexBody weightLungsMortalityOverweightTidal volume ePublished: 21 September 2004 Issue Published: 21 September 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...