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COST-EFFECTIVENESS OF EARLY NUTRITIONAL THERAPY IN MALNOURISHED ADULT PATIENTS IN A HIGH COMPLEXITY HOSPITAL.

Overview of attention for article published in Nutrición Hospitalaria, December 2015
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Title
COST-EFFECTIVENESS OF EARLY NUTRITIONAL THERAPY IN MALNOURISHED ADULT PATIENTS IN A HIGH COMPLEXITY HOSPITAL.
Published in
Nutrición Hospitalaria, December 2015
DOI 10.3305/nh.2015.32.6.9859
Pubmed ID
Authors

Nubia Amparo Giraldo Giraldo, Johanna Vásquez Velásquez, Paula Andrea Roldán Cano, Carolina Ospina Astudillo, Yuliet Paulina Sosa Cardona

Abstract

hospital malnutrition is a frequent worldwide problem and its potential issues related include increased complications, length of stay, mortality, and healthcare costs. the aim of this study was to establish the cost-effectiveness of early nutritional therapy for malnourished patients in a high complexity hospital. this analytical study with economic assessment included 227 adult hospitalised and malnourished according to the Subjective Global Assessment. The cohort prospective received Early Nutrition Therapy (ENT), whereas the cohort retrospective received Delayed Nutrition Therapy (DNT). The measures of cost-effectiveness included costs by: length of stay, complications and discharge condition. the cohorts were similar in demographic and clinical characteristics, except that the median age, for the ENT was 61 years (interquartile range [IQR]: 48-71) and for the DNT was 55 years (IQR: 44-67) (p = 0.024). The median length of stay was lower in the ENT (11 days, IQR: 7-17) than in the DNT (18 days, IQR: 10-28) (p < 0.001). The cost per patient discharged alive was US $ 10,261.55 in the ENT and US $ 15,553.11 in the DNT (p=0.043); the cost per patient with complications was US $ 13,663.90 in the ENT and US $ 17,860.32 in the DNT (p= 0.058). ENT increased the likelihood of being discharged alive, RR adjusted=0.31; 95% confidence interval (CI): 0.1; 0.6; (p.

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Geographical breakdown

Country Count As %
Unknown 18 100%

Demographic breakdown

Readers by professional status Count As %
Lecturer 1 6%
Student > Bachelor 1 6%
Professor 1 6%
Student > Ph. D. Student 1 6%
Professor > Associate Professor 1 6%
Other 0 0%
Unknown 13 72%
Readers by discipline Count As %
Nursing and Health Professions 2 11%
Medicine and Dentistry 2 11%
Unknown 14 78%