Journal of Emergencies, Trauma, and Shock
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Year : 2019  |  Volume : 12  |  Issue : 1  |  Page : 48-53

A comparison of nonobese versus obese emergency department patient satisfaction scores utilizing Standard U.S. hospital survey query methodology

1 Department of Emergency Medicine, CHRISTUS Health/Texas A&M Health Science Center, Corpus Christi, Texas, USA
2 Department of Emergency Medicine, Texas Tech University, Lubbock, Texas, USA

Correspondence Address:
Dr. Peter B Richman
Department of Emergency Medicine, CHRISTUS Health/Texas A&M Health Science Center, Corpus Christi, Texas 78405
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JETS.JETS_114_17

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Background: Prior research reveals that overweight patients have higher emergency department (ED) utilization rates, longer length of stay, and face increased misdiagnosis risk. Objective: The objective of this study was to evaluate the association between obesity and ED patient satisfaction. Methods: This study was a cross-sectional study. A convenience sample of inner-city ED patients completed a written survey, then rated overall satisfaction with ED care (10-point scale), and rated components of satisfaction (4-point scale; never to always). Body mass index (BMI) was calculated using triage records (obesity = BMI >30). Results: Five hundred and sixty-four patients were included in the study group (50.5%: obese, 55.4%: female, mean age: 43.2 ± 25.4 years). With respect to overall visit satisfaction (rating 8 or greater on 10-point scale), bivariate analysis revealed no differences between nonobese versus obese patients (74.6% vs. 73.9%; P = 0.85). There were no significant differences for score of 4 (always) for components of ED satisfaction: physician courtesy (87.9% vs. 90.4%; P = 0.34), nurse courtesy/respect (89.2% vs. 88.7%; P = 0.87), doctor listened (85.4% vs. 87.1%; P = 0.5), doctor explained (80.2% vs. 85.0%; P = 0.14), and recommend to friend (72.5% vs. 81.1%; P = 0.02). Within our multivariate model, obesity was not associated with overall satisfaction (scores of 8 or greater) (P = 0.97; odds ratio = 0.99 [95% confidence interval = 0.65–1.5]). Conclusions: Despite research that suggests that overweight patients have characteristics of their ED visit that might increase dissatisfaction risk, we found no difference in satisfaction scores between nonobese and obese patients.

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