A Cost-Consequence Analysis of Nutritional Interventions Used in Hospital Settings for Older Adults with or at Risk of Malnutrition
Malnutrition is a significant and prevalent issue in hospital settings, associated with increased morbidity and mortality, longer hospital stays, higher readmission rates, and greater healthcare costs. Despite the potential impact of nutritional interventions on patient outcomes, there is a paucity...
Gespeichert in:
| Veröffentlicht in: | Healthcare (Basel) 2024-05, Vol.12 (10), p.1041 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 10 |
| container_start_page | 1041 |
| container_title | Healthcare (Basel) |
| container_volume | 12 |
| creator | Wong, Alvin Huang, Yingxiao Banks, Merrilyn D Sowa, P Marcin Bauer, Judy D |
| description | Malnutrition is a significant and prevalent issue in hospital settings, associated with increased morbidity and mortality, longer hospital stays, higher readmission rates, and greater healthcare costs. Despite the potential impact of nutritional interventions on patient outcomes, there is a paucity of research focusing on their economic evaluation in the hospital setting. This study aims to fill this gap by conducting a cost-consequence analysis (CCA) of nutritional interventions targeting malnutrition in the hospital setting.
We performed a CCA using data from recent systematic reviews and meta-analyses, focusing on older adult patients with or at risk of malnutrition in the hospital setting. The analysis included outcomes such as 30-day, 6-month, and 12-month mortality; 30-day and 6-month readmissions; hospital complications; length of stay; and disability-adjusted life years (DALYs). Sensitivity analyses were conducted to evaluate the impact of varying success rates in treating malnutrition and the proportions of malnourished patients seen by dietitians in SingHealth institutions.
The CCA indicated that 28.15 DALYs were averted across three SingHealth institutions due to the successful treatment or prevention of malnutrition by dietitians from 1 April 2021 to 31 March 2022, for an estimated 45,000 patients. The sensitivity analyses showed that the total DALYs averted ranged from 21.98 (53% success rate) to 40.03 (100% of malnourished patients seen by dietitians). The cost of implementing a complex nutritional intervention was USD 218.72 (USD 104.59, USD 478.40) per patient during hospitalization, with additional costs of USD 814.27 (USD 397.69, USD 1212.74) when the intervention was extended for three months post-discharge and USD 638.77 (USD 602.05, USD 1185.90) for concurrent therapy or exercise interventions.
Nutritional interventions targeting malnutrition in hospital settings can have significant clinical and economic benefits. The CCA provides valuable insights into the costs and outcomes associated with these interventions, helping healthcare providers and policymakers to make informed decisions on resource allocation and intervention prioritization. |
| doi_str_mv | 10.3390/healthcare12101041 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_3060376624</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A795392231</galeid><sourcerecordid>A795392231</sourcerecordid><originalsourceid>FETCH-LOGICAL-c354t-c4e6098ad3f3410b090566309b20dcfae8def5461db031f2d71d50a2d8da97c03</originalsourceid><addsrcrecordid>eNplkUFvFSEQx4nR2Kb2C3gwJF68rAKz7C7HzYvaJtUmas8bHgx91H3wBFbTs19cNm3V6FxmGH7zD8OfkOecvQZQ7M0O9Vx2RifkgjPOWv6IHAsh-kYxEI__qo_Iac43rIbiMIB8So5g6IeulfyY_BzpJubSbGLI-G3BYJCOQc-32WcaHf24lOSLj7VFz0PB9B3Desz0KqOlPtCzmA--1OvPWIoP15m6mOjlbDHR0S5zyfSHLztam7rQTz5_XXU_6Dk8SD8jT5yeM57e5xNy9e7tl81Zc3H5_nwzXjQGZFsa02LH1KAtOGg52zLFZNcBU1vBrHEaB4tOth23WwbcCdtzK5kWdrBa9YbBCXl1p3tIsa6ay7T32eA864BxyROwjkHfdaKt6Mt_0Ju4pPoJKyUVtFIMwx_qWs84-eBiSdqsotPYKwlKCOCVEneUSTHnhG46JL_X6XbibFq9nP73sg69uH_Ast2j_T3y4Bz8AuHRnD4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3059345288</pqid></control><display><type>article</type><title>A Cost-Consequence Analysis of Nutritional Interventions Used in Hospital Settings for Older Adults with or at Risk of Malnutrition</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Wong, Alvin ; Huang, Yingxiao ; Banks, Merrilyn D ; Sowa, P Marcin ; Bauer, Judy D</creator><creatorcontrib>Wong, Alvin ; Huang, Yingxiao ; Banks, Merrilyn D ; Sowa, P Marcin ; Bauer, Judy D</creatorcontrib><description>Malnutrition is a significant and prevalent issue in hospital settings, associated with increased morbidity and mortality, longer hospital stays, higher readmission rates, and greater healthcare costs. Despite the potential impact of nutritional interventions on patient outcomes, there is a paucity of research focusing on their economic evaluation in the hospital setting. This study aims to fill this gap by conducting a cost-consequence analysis (CCA) of nutritional interventions targeting malnutrition in the hospital setting.
We performed a CCA using data from recent systematic reviews and meta-analyses, focusing on older adult patients with or at risk of malnutrition in the hospital setting. The analysis included outcomes such as 30-day, 6-month, and 12-month mortality; 30-day and 6-month readmissions; hospital complications; length of stay; and disability-adjusted life years (DALYs). Sensitivity analyses were conducted to evaluate the impact of varying success rates in treating malnutrition and the proportions of malnourished patients seen by dietitians in SingHealth institutions.
The CCA indicated that 28.15 DALYs were averted across three SingHealth institutions due to the successful treatment or prevention of malnutrition by dietitians from 1 April 2021 to 31 March 2022, for an estimated 45,000 patients. The sensitivity analyses showed that the total DALYs averted ranged from 21.98 (53% success rate) to 40.03 (100% of malnourished patients seen by dietitians). The cost of implementing a complex nutritional intervention was USD 218.72 (USD 104.59, USD 478.40) per patient during hospitalization, with additional costs of USD 814.27 (USD 397.69, USD 1212.74) when the intervention was extended for three months post-discharge and USD 638.77 (USD 602.05, USD 1185.90) for concurrent therapy or exercise interventions.
Nutritional interventions targeting malnutrition in hospital settings can have significant clinical and economic benefits. The CCA provides valuable insights into the costs and outcomes associated with these interventions, helping healthcare providers and policymakers to make informed decisions on resource allocation and intervention prioritization.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare12101041</identifier><identifier>PMID: 38786451</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Aged patients ; Analysis ; Clinical outcomes ; Costs ; Diet therapy ; Economic aspects ; Food fortification ; Health care expenditures ; Hospitals ; Intervention ; Malnutrition ; Meals ; Medical care, Cost of ; Meta-analysis ; Methods ; Mortality ; Older people ; Patient outcomes ; Prevention ; Sociodemographics ; Software reviews</subject><ispartof>Healthcare (Basel), 2024-05, Vol.12 (10), p.1041</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c354t-c4e6098ad3f3410b090566309b20dcfae8def5461db031f2d71d50a2d8da97c03</cites><orcidid>0000-0002-8187-7415 ; 0000-0001-8892-4133 ; 0000-0002-3830-5147 ; 0000-0002-5242-1072 ; 0000-0003-4467-4608</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38786451$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Alvin</creatorcontrib><creatorcontrib>Huang, Yingxiao</creatorcontrib><creatorcontrib>Banks, Merrilyn D</creatorcontrib><creatorcontrib>Sowa, P Marcin</creatorcontrib><creatorcontrib>Bauer, Judy D</creatorcontrib><title>A Cost-Consequence Analysis of Nutritional Interventions Used in Hospital Settings for Older Adults with or at Risk of Malnutrition</title><title>Healthcare (Basel)</title><addtitle>Healthcare (Basel)</addtitle><description>Malnutrition is a significant and prevalent issue in hospital settings, associated with increased morbidity and mortality, longer hospital stays, higher readmission rates, and greater healthcare costs. Despite the potential impact of nutritional interventions on patient outcomes, there is a paucity of research focusing on their economic evaluation in the hospital setting. This study aims to fill this gap by conducting a cost-consequence analysis (CCA) of nutritional interventions targeting malnutrition in the hospital setting.
We performed a CCA using data from recent systematic reviews and meta-analyses, focusing on older adult patients with or at risk of malnutrition in the hospital setting. The analysis included outcomes such as 30-day, 6-month, and 12-month mortality; 30-day and 6-month readmissions; hospital complications; length of stay; and disability-adjusted life years (DALYs). Sensitivity analyses were conducted to evaluate the impact of varying success rates in treating malnutrition and the proportions of malnourished patients seen by dietitians in SingHealth institutions.
The CCA indicated that 28.15 DALYs were averted across three SingHealth institutions due to the successful treatment or prevention of malnutrition by dietitians from 1 April 2021 to 31 March 2022, for an estimated 45,000 patients. The sensitivity analyses showed that the total DALYs averted ranged from 21.98 (53% success rate) to 40.03 (100% of malnourished patients seen by dietitians). The cost of implementing a complex nutritional intervention was USD 218.72 (USD 104.59, USD 478.40) per patient during hospitalization, with additional costs of USD 814.27 (USD 397.69, USD 1212.74) when the intervention was extended for three months post-discharge and USD 638.77 (USD 602.05, USD 1185.90) for concurrent therapy or exercise interventions.
Nutritional interventions targeting malnutrition in hospital settings can have significant clinical and economic benefits. The CCA provides valuable insights into the costs and outcomes associated with these interventions, helping healthcare providers and policymakers to make informed decisions on resource allocation and intervention prioritization.</description><subject>Aged patients</subject><subject>Analysis</subject><subject>Clinical outcomes</subject><subject>Costs</subject><subject>Diet therapy</subject><subject>Economic aspects</subject><subject>Food fortification</subject><subject>Health care expenditures</subject><subject>Hospitals</subject><subject>Intervention</subject><subject>Malnutrition</subject><subject>Meals</subject><subject>Medical care, Cost of</subject><subject>Meta-analysis</subject><subject>Methods</subject><subject>Mortality</subject><subject>Older people</subject><subject>Patient outcomes</subject><subject>Prevention</subject><subject>Sociodemographics</subject><subject>Software reviews</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNplkUFvFSEQx4nR2Kb2C3gwJF68rAKz7C7HzYvaJtUmas8bHgx91H3wBFbTs19cNm3V6FxmGH7zD8OfkOecvQZQ7M0O9Vx2RifkgjPOWv6IHAsh-kYxEI__qo_Iac43rIbiMIB8So5g6IeulfyY_BzpJubSbGLI-G3BYJCOQc-32WcaHf24lOSLj7VFz0PB9B3Desz0KqOlPtCzmA--1OvPWIoP15m6mOjlbDHR0S5zyfSHLztam7rQTz5_XXU_6Dk8SD8jT5yeM57e5xNy9e7tl81Zc3H5_nwzXjQGZFsa02LH1KAtOGg52zLFZNcBU1vBrHEaB4tOth23WwbcCdtzK5kWdrBa9YbBCXl1p3tIsa6ay7T32eA864BxyROwjkHfdaKt6Mt_0Ju4pPoJKyUVtFIMwx_qWs84-eBiSdqsotPYKwlKCOCVEneUSTHnhG46JL_X6XbibFq9nP73sg69uH_Ast2j_T3y4Bz8AuHRnD4</recordid><startdate>20240517</startdate><enddate>20240517</enddate><creator>Wong, Alvin</creator><creator>Huang, Yingxiao</creator><creator>Banks, Merrilyn D</creator><creator>Sowa, P Marcin</creator><creator>Bauer, Judy D</creator><general>MDPI AG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8187-7415</orcidid><orcidid>https://orcid.org/0000-0001-8892-4133</orcidid><orcidid>https://orcid.org/0000-0002-3830-5147</orcidid><orcidid>https://orcid.org/0000-0002-5242-1072</orcidid><orcidid>https://orcid.org/0000-0003-4467-4608</orcidid></search><sort><creationdate>20240517</creationdate><title>A Cost-Consequence Analysis of Nutritional Interventions Used in Hospital Settings for Older Adults with or at Risk of Malnutrition</title><author>Wong, Alvin ; Huang, Yingxiao ; Banks, Merrilyn D ; Sowa, P Marcin ; Bauer, Judy D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-c4e6098ad3f3410b090566309b20dcfae8def5461db031f2d71d50a2d8da97c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged patients</topic><topic>Analysis</topic><topic>Clinical outcomes</topic><topic>Costs</topic><topic>Diet therapy</topic><topic>Economic aspects</topic><topic>Food fortification</topic><topic>Health care expenditures</topic><topic>Hospitals</topic><topic>Intervention</topic><topic>Malnutrition</topic><topic>Meals</topic><topic>Medical care, Cost of</topic><topic>Meta-analysis</topic><topic>Methods</topic><topic>Mortality</topic><topic>Older people</topic><topic>Patient outcomes</topic><topic>Prevention</topic><topic>Sociodemographics</topic><topic>Software reviews</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Alvin</creatorcontrib><creatorcontrib>Huang, Yingxiao</creatorcontrib><creatorcontrib>Banks, Merrilyn D</creatorcontrib><creatorcontrib>Sowa, P Marcin</creatorcontrib><creatorcontrib>Bauer, Judy D</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Healthcare (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Alvin</au><au>Huang, Yingxiao</au><au>Banks, Merrilyn D</au><au>Sowa, P Marcin</au><au>Bauer, Judy D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Cost-Consequence Analysis of Nutritional Interventions Used in Hospital Settings for Older Adults with or at Risk of Malnutrition</atitle><jtitle>Healthcare (Basel)</jtitle><addtitle>Healthcare (Basel)</addtitle><date>2024-05-17</date><risdate>2024</risdate><volume>12</volume><issue>10</issue><spage>1041</spage><pages>1041-</pages><issn>2227-9032</issn><eissn>2227-9032</eissn><abstract>Malnutrition is a significant and prevalent issue in hospital settings, associated with increased morbidity and mortality, longer hospital stays, higher readmission rates, and greater healthcare costs. Despite the potential impact of nutritional interventions on patient outcomes, there is a paucity of research focusing on their economic evaluation in the hospital setting. This study aims to fill this gap by conducting a cost-consequence analysis (CCA) of nutritional interventions targeting malnutrition in the hospital setting.
We performed a CCA using data from recent systematic reviews and meta-analyses, focusing on older adult patients with or at risk of malnutrition in the hospital setting. The analysis included outcomes such as 30-day, 6-month, and 12-month mortality; 30-day and 6-month readmissions; hospital complications; length of stay; and disability-adjusted life years (DALYs). Sensitivity analyses were conducted to evaluate the impact of varying success rates in treating malnutrition and the proportions of malnourished patients seen by dietitians in SingHealth institutions.
The CCA indicated that 28.15 DALYs were averted across three SingHealth institutions due to the successful treatment or prevention of malnutrition by dietitians from 1 April 2021 to 31 March 2022, for an estimated 45,000 patients. The sensitivity analyses showed that the total DALYs averted ranged from 21.98 (53% success rate) to 40.03 (100% of malnourished patients seen by dietitians). The cost of implementing a complex nutritional intervention was USD 218.72 (USD 104.59, USD 478.40) per patient during hospitalization, with additional costs of USD 814.27 (USD 397.69, USD 1212.74) when the intervention was extended for three months post-discharge and USD 638.77 (USD 602.05, USD 1185.90) for concurrent therapy or exercise interventions.
Nutritional interventions targeting malnutrition in hospital settings can have significant clinical and economic benefits. The CCA provides valuable insights into the costs and outcomes associated with these interventions, helping healthcare providers and policymakers to make informed decisions on resource allocation and intervention prioritization.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38786451</pmid><doi>10.3390/healthcare12101041</doi><orcidid>https://orcid.org/0000-0002-8187-7415</orcidid><orcidid>https://orcid.org/0000-0001-8892-4133</orcidid><orcidid>https://orcid.org/0000-0002-3830-5147</orcidid><orcidid>https://orcid.org/0000-0002-5242-1072</orcidid><orcidid>https://orcid.org/0000-0003-4467-4608</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2227-9032 |
| ispartof | Healthcare (Basel), 2024-05, Vol.12 (10), p.1041 |
| issn | 2227-9032 2227-9032 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3060376624 |
| source | MDPI - Multidisciplinary Digital Publishing Institute; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Aged patients Analysis Clinical outcomes Costs Diet therapy Economic aspects Food fortification Health care expenditures Hospitals Intervention Malnutrition Meals Medical care, Cost of Meta-analysis Methods Mortality Older people Patient outcomes Prevention Sociodemographics Software reviews |
| title | A Cost-Consequence Analysis of Nutritional Interventions Used in Hospital Settings for Older Adults with or at Risk of Malnutrition |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T00%3A48%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Cost-Consequence%20Analysis%20of%20Nutritional%20Interventions%20Used%20in%20Hospital%20Settings%20for%20Older%20Adults%20with%20or%20at%20Risk%20of%20Malnutrition&rft.jtitle=Healthcare%20(Basel)&rft.au=Wong,%20Alvin&rft.date=2024-05-17&rft.volume=12&rft.issue=10&rft.spage=1041&rft.pages=1041-&rft.issn=2227-9032&rft.eissn=2227-9032&rft_id=info:doi/10.3390/healthcare12101041&rft_dat=%3Cgale_proqu%3EA795392231%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3059345288&rft_id=info:pmid/38786451&rft_galeid=A795392231&rfr_iscdi=true |