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Nutrition Therapy Cost‐Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems

BACKGROUND: Malnutrition is highly prevalent in hospitalized patients but seldom recognized and treated. Malnutrition poses several adverse events, such as increased infection rates, length of hospital stay, and mortality, as well as costs. Early nutrition interventions have been shown to decrease t...

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Autores principales: Toulson Davisson Correia, Maria Isabel, Castro, Melina, de Oliveira Toledo, Diogo, Farah, Daniela, Sansone, Dayan, de Morais Andrade, Tereza Raquel, Tannus Branco de Araújo, Gabriela, Fonseca, Marcelo Cunio Machado
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8697995/
https://www.ncbi.nlm.nih.gov/pubmed/33241592
http://dx.doi.org/10.1002/jpen.2052
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author Toulson Davisson Correia, Maria Isabel
Castro, Melina
de Oliveira Toledo, Diogo
Farah, Daniela
Sansone, Dayan
de Morais Andrade, Tereza Raquel
Tannus Branco de Araújo, Gabriela
Fonseca, Marcelo Cunio Machado
author_facet Toulson Davisson Correia, Maria Isabel
Castro, Melina
de Oliveira Toledo, Diogo
Farah, Daniela
Sansone, Dayan
de Morais Andrade, Tereza Raquel
Tannus Branco de Araújo, Gabriela
Fonseca, Marcelo Cunio Machado
author_sort Toulson Davisson Correia, Maria Isabel
collection PubMed
description BACKGROUND: Malnutrition is highly prevalent in hospitalized patients but seldom recognized and treated. Malnutrition poses several adverse events, such as increased infection rates, length of hospital stay, and mortality, as well as costs. Early nutrition interventions have been shown to decrease the associated malnutrition burdens, leading to relevant savings. Thus, this study aims to evaluate the cost‐effectiveness of nutrition therapy, including oral supplements to at‐risk or malnourished adult inpatients admitted to the Brazilian Public System (SUS) hospitals. METHOD: A cost‐effectiveness model, encompassing a 1‐year period and regarding total costs, length of hospital stay, readmissions, and mortality related to malnutrition, was developed, having the provision of early nutrition therapy as the intervention variable. The number of avoided hospitalization days, prevented hospital readmissions, and prevented deaths defined the effectiveness of the model. All the costs were estimated based on the SUS database. RESULTS: Early nutrition therapy provided to all at‐risk or malnourished patients would represent cost‐effectiveness of US $92.24, US $544.59, US $1848.12, and US $3698.92, for each day of hospitalization avoided, for additional patients having access to hospitalization, for preventing readmission, and for prevented death, respectively. The highest impact on savings was represented by the mean reduction in the length of hospital stay. CONCLUSION: Early oral nutrition intervention for patients malnourished or at risk of malnutrition resulted in overall reduced hospital costs. These findings provide a rationale to tackle the implementation of educational programs focusing on the care of inpatients with malnutrition or its risk.
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spelling pubmed-86979952021-12-30 Nutrition Therapy Cost‐Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems Toulson Davisson Correia, Maria Isabel Castro, Melina de Oliveira Toledo, Diogo Farah, Daniela Sansone, Dayan de Morais Andrade, Tereza Raquel Tannus Branco de Araújo, Gabriela Fonseca, Marcelo Cunio Machado JPEN J Parenter Enteral Nutr Original Communications BACKGROUND: Malnutrition is highly prevalent in hospitalized patients but seldom recognized and treated. Malnutrition poses several adverse events, such as increased infection rates, length of hospital stay, and mortality, as well as costs. Early nutrition interventions have been shown to decrease the associated malnutrition burdens, leading to relevant savings. Thus, this study aims to evaluate the cost‐effectiveness of nutrition therapy, including oral supplements to at‐risk or malnourished adult inpatients admitted to the Brazilian Public System (SUS) hospitals. METHOD: A cost‐effectiveness model, encompassing a 1‐year period and regarding total costs, length of hospital stay, readmissions, and mortality related to malnutrition, was developed, having the provision of early nutrition therapy as the intervention variable. The number of avoided hospitalization days, prevented hospital readmissions, and prevented deaths defined the effectiveness of the model. All the costs were estimated based on the SUS database. RESULTS: Early nutrition therapy provided to all at‐risk or malnourished patients would represent cost‐effectiveness of US $92.24, US $544.59, US $1848.12, and US $3698.92, for each day of hospitalization avoided, for additional patients having access to hospitalization, for preventing readmission, and for prevented death, respectively. The highest impact on savings was represented by the mean reduction in the length of hospital stay. CONCLUSION: Early oral nutrition intervention for patients malnourished or at risk of malnutrition resulted in overall reduced hospital costs. These findings provide a rationale to tackle the implementation of educational programs focusing on the care of inpatients with malnutrition or its risk. John Wiley and Sons Inc. 2020-12-21 2021-09 /pmc/articles/PMC8697995/ /pubmed/33241592 http://dx.doi.org/10.1002/jpen.2052 Text en © 2020 The Authors. Journal of Parenteral and Enteral Nutrition published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Communications
Toulson Davisson Correia, Maria Isabel
Castro, Melina
de Oliveira Toledo, Diogo
Farah, Daniela
Sansone, Dayan
de Morais Andrade, Tereza Raquel
Tannus Branco de Araújo, Gabriela
Fonseca, Marcelo Cunio Machado
Nutrition Therapy Cost‐Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems
title Nutrition Therapy Cost‐Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems
title_full Nutrition Therapy Cost‐Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems
title_fullStr Nutrition Therapy Cost‐Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems
title_full_unstemmed Nutrition Therapy Cost‐Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems
title_short Nutrition Therapy Cost‐Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems
title_sort nutrition therapy cost‐effectiveness model indicating how nutrition may contribute to the efficiency and financial sustainability of the health systems
topic Original Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8697995/
https://www.ncbi.nlm.nih.gov/pubmed/33241592
http://dx.doi.org/10.1002/jpen.2052
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