Economic burden of hospital malnutrition: A cost-of-illness model

International Declaration on the Human Right to Nutritional Care: A global commitment to recognize nutrition care as a human right

“…8 Although this type of malnutrition is currently insufficiently diagnosed and recognized worldwide, 9 the global health and economic burden of DRM is substantial in the hospital care setting. 9,10 Given the potential for malnutrition risk screening/diagnosis and assessment and for medical nutrition treatments to prevent and treat malnutrition, [11][12][13] political actions are needed to address and alleviate this burden. The Vienna Declaration is grounded on the international instruments of human rights and bioethics (among others: the Universal Declaration of Human Rights, the International Covenant on Economic, Social, and Cultural Rights, and the Declaration of Bioethics), which provide a solid basis for its principles.…”

“…This global effort underscores the need to design effective strategies to grant access to nutrition care in the context of DRM, a condition that affects 30%–50% of hospitalized patients 8 . Although this type of malnutrition is currently insufficiently diagnosed and recognized worldwide, 9 the global health and economic burden of DRM is substantial in the hospital care setting 9,10 . Given the potential for malnutrition risk screening/diagnosis and assessment and for medical nutrition treatments to prevent and treat malnutrition, 11–13 political actions are needed to address and alleviate this burden.…”

Modelo de nutrición en el Hospital Universitario Nacional de Colombia: aportes desde el Departamento de Nutrición de la Facultad de Medicina de la Universidad Nacional de Colombia

“…Malnutrition is a complex and multifactorial condition with clinical and economic implications that negatively impact healthcare systems and the quality of life of patients. 7,16 It has been demonstrated that malnutrition makes the healthcare process more expensive because its occurrence increases morbidity and mortality and postoperative complications, makes patients require additional treatments, increases the frequency of readmissions, and leads to a greater use of drugs, among others. 1,8,9,17,18 In a study conducted in 11 Asian countries, Inciong et al 16 used country-specific prevalence and cost data to estimate the cost of hospital malnutrition and found that it had an estimated annual economic burden of more than $30 billion dollars and that increased hospital stay accounted for 89% of the additional cost.…”

“…7,16 It has been demonstrated that malnutrition makes the healthcare process more expensive because its occurrence increases morbidity and mortality and postoperative complications, makes patients require additional treatments, increases the frequency of readmissions, and leads to a greater use of drugs, among others. 1,8,9,17,18 In a study conducted in 11 Asian countries, Inciong et al 16 used country-specific prevalence and cost data to estimate the cost of hospital malnutrition and found that it had an estimated annual economic burden of more than $30 billion dollars and that increased hospital stay accounted for 89% of the additional cost. Likewise, Ruiz et al, 19 in a study carried out in a university hospital in Malaga (Spain) with 266 oncology patients, found that errors in the diagnosis of malnutrition in patients with this condition caused a 10.63% loss of resources from the total reimbursement that the hospital should have received for treating malnourished patients.…”

Assessment of Nutritional Status in Critically Ill Patients Using the Malnutrition Universal Screening Tool—MUST

“…It is associated with a higher risk of adverse events, encompassing both infectious and noninfectious complications, prolonged need for mechanical ventilation, and longer rehabilitation process [13][14][15]. Consequently, this results in 2 extended hospital stay and heightened mortality risk [16], thereby increasing healthcare expenses, compromising patients' quality of life, and imposing additional financial burdens on healthcare institutions [6,17].…”