Economic Challenges in Nutritional Management.

Reber, Emilie; Norman, Kristina; Endrich, Olga; Schuetz, Philipp; Frei, Andreas; Stanga, Zeno (2019). Economic Challenges in Nutritional Management. Journal of clinical medicine, 8(7) MDPI 10.3390/jcm8071005

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Disease-related malnutrition (DRM) is a highly prevalent independent risk and cost factor with significant influence on mortality, morbidity, length of hospital stay (LOS), functional impairment and quality of life. The aim of our research was to estimate the economic impact of the introduction of routinely performed nutritional screening (NS) in a tertiary hospital, with subsequent nutritional interventions (NI) in patients with potential or manifest DRM. Economic impact analysis of natural detection of inpatients at risk and estimation of the change in economic activity after the implementation of a systematic NS were performed. The reference population for natural detection of DRM is about 20,000 inpatients per year. Based on current data, DRM prevalence is estimated at 20%, so 4000 patients with potential and manifest DRM should be detected. The NI costs were estimated at CHF 0.693 million, with savings of CHF 1.582 million (LOS reduction) and CHF 0.806 million in additional revenue (SwissDRG system). Thus, the introduction of routine NS generates additional costs of CHF 1.181 million that are compensated by additional savings of CHF 2.043 million and an excess in additional revenue of CHF 2.071 million. NS with subsequent adequate nutritional intervention shows an economic potential for hospitals.

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

UniBE Contributor:

Aubry, Emilie; Endrich, Olga and Stanga-Nodari, Zeno

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2077-0383

Publisher:

MDPI

Language:

English

Submitter:

Regula Maria Schneider

Date Deposited:

23 Jan 2020 13:30

Last Modified:

23 Jan 2020 13:30

Publisher DOI:

10.3390/jcm8071005

PubMed ID:

31295852

Uncontrolled Keywords:

economic challenges malnutrition nutritional management

BORIS DOI:

10.7892/boris.138383

URI:

https://boris.unibe.ch/id/eprint/138383

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