Malnutrition in the era of DRG

Vonzun, Nick; Rühlin, Maya; Sterchi, Anna-Barbara (2014). Malnutrition in the era of DRG. Therapeutische Umschau, 71(3), pp. 185-189. Huber 10.1024/0040-5930/a000501

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Malnutrition in hospital patients is of important medical and economic significance. The adverse consequences of malnutrition on quality of life and many more factors such as morbidity, mortality, tolerance of treatments and length of hospital stay are well documented in the medical literature. Nevertheless, the effects of malnutrition are still often underestimated and hence malnutrition is not recognised as a distinct diagnosis. Moreover, malnutrition is rarely documented in medical reports and often not adequately treated with adverse effects. The reason for this neglectfulness are diverse, e. g. inadequate training of doctors and nurses in clinical nutrition and lack of sensibilisation of the hospital staff for the problem of malnutrition. Therefore, a systematic screening for malnutrition is rarely undertaken in Swiss hospitals. The introduction of the Swiss-DRG system (DRG, diagnosis related groups) in January 2012 gave the chance to boost recording and to document malnutrition in a standardised way in the patient history, and to code precisely malnutrition as a distinct diagnosis. Moreover, this approach allowed to document the specific nutritional therapy. Here, we describe the way of documenting and coding malnutrition in the Swiss-DRG system and the medical and economic consequences of this procedure.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Endocrinology, Diabetology and Clinical Nutrition
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE)

UniBE Contributor:

Sterchi, Anna-Barbara

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0040-5930

Publisher:

Huber

Language:

German

Submitter:

Hannah Loher

Date Deposited:

25 Jun 2015 07:37

Last Modified:

05 Dec 2022 14:48

Publisher DOI:

10.1024/0040-5930/a000501

PubMed ID:

24568859

BORIS DOI:

10.7892/boris.69794

URI:

https://boris.unibe.ch/id/eprint/69794

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