Impact of Oral Nutrition Supplements on Hospital Outcomes in Pediatric Patients

Lakdawalla, Darius N.; Mascarenhas, Maria R.; Jena, Anupam B.; Vanderpuye‐Orgle, Jacqueline; LaVallee, Chris; Linthicum, Mark T.; Snider, Julia Thornton

doi:10.1177/0148607114549769

Cited by 24 publications

(22 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The notable lack of primary cost analyses in adults and the total absence of identifiable studies in children from the literature search weaken the generalizability of the findings, although one retrospective analysis based on observational data in children has been published since our literature search [46], which suggests that ONS reduces length of hospital stay by 14.8% and costs by 9.7%.…”

Section: Discussionmentioning

confidence: 89%

A systematic review of the cost and cost effectiveness of using standard oral nutritional supplements in the hospital setting

et al. 2016

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 89%

A systematic review of the cost and cost effectiveness of using standard oral nutritional supplements in the hospital setting

et al. 2016

View full text Add to dashboard Cite

show abstract

“…A retrospective, instrumented analysis of 555,348 hospitalized American children (2-8 years old) showed that ONS prescriptions given to 1.09% of the patients reduced average LoS by 14.8% (6.4 days vs 7.5 days) and were associated with a 9.7% decrease in hospital costs (US$16,552 vs US$18,320; US$1,768 [95% CI, US$1,924-US$1,612]) (26).…”

Section: Depletion Of Body Muscle and Fat Tissues Including Intra-mentioning

confidence: 99%

Hospital and Homecare Malnutrition and Nutritional Therapy, in Brazil. Strategies for Alleviating it: A Position Paper

Waitzberg¹,

Aguilar-Nascimento²,

Dias³

et al. 2017

Nutr Hosp

View full text Add to dashboard Cite

“…An excellent review of QI methods may be found in the The Healthcare Quality Book by Joshi et al 37 Multiple studies indicate such work can drastically improve patient outcomes and reduce health care costs. 25,[38][39][40]…”

Section: Role For Pediatric Hospitalistsmentioning

confidence: 99%

Malnutrition in Hospitalized Children: A Responsibility and Opportunity for Pediatric Hospitalists

Shaughnessy

Kirkland

2016

Hospital Pediatrics

View full text Add to dashboard Cite

Poor nutrition is an underrecognized cause of significant morbidity in hospitalized children. 1,2 In addition to presenting with poor nutrition at the time of admission, children often suffer worsening of their nutritional status during the course of a hospitalization, 3,4 often due to providers' underrecognition of ongoing poor intake (see Fig 1). Pediatric hospitalists can and should play a central role in recognizing and treating this common comorbid condition. In this article we highlight the important issue of malnutrition in hospitalized pediatric patients and propose a general approach to nutritional assessment and supplementation for the pediatric hospitalist. DEFINITION OF MALNUTRITION Malnutrition is defined as a state in which a deficiency (or excess) of energy, protein, and other nutrition causes measurable adverse effects on the body and on growth (in children), and may impact clinical outcome. 5 The term "nutritional deterioration" has been used to describe significant weight loss in hospitalized children, a precursor to acute malnutrition. Although the term malnutrition includes both overnutrition (obesity) and undernutrition, in this article we focus specifically on undernutrition. MALNUTRITION IN HOSPITALIZED CHILDREN: INCIDENCE AND OUTCOMES Recent studies in developed countries have estimated the prevalence of malnutrition in hospitalized children as 12% to 24%. 1,3,5,6 Despite many medical advances over the past 20 years, the prevalence of malnutrition among hospitalized children has not decreased. Malnutrition is known to have detrimental effects on clinical outcomes. 7 For example, in children with bronchiolitis in PICUs, poor nutritional status is significantly related to increased length of stay and duration of mechanical ventilation. 2 Malnourished children experience more complications, such as infections after surgery, than well-nourished children, also leading to increased length of stay. 8 Malnutrition also affects growth. Growth depends on a permanent increase in fat and lean body mass, which requires positive energy and nitrogen balance. 7 An increase in nutritional demands due to illness or injury competes with these specific needs of growth. Infancy and adolescence are especially high-risk periods when sustained undernutrition during illness may inhibit growth. Initially, children may show an absence of weight gain,

show abstract

Impact of Oral Nutrition Supplements on Hospital Outcomes in Pediatric Patients

Abstract: ONS use was associated with lower LOS and episode cost among pediatric inpatients. ONS use in hospitalized pediatric patients may provide a cost-effective, evidence-based approach to improving pediatric hospital care.

Cited by 24 publications

References 64 publications

A systematic review of the cost and cost effectiveness of using standard oral nutritional supplements in the hospital setting

A systematic review of the cost and cost effectiveness of using standard oral nutritional supplements in the hospital setting

Hospital and Homecare Malnutrition and Nutritional Therapy, in Brazil. Strategies for Alleviating it: A Position Paper

Malnutrition in Hospitalized Children: A Responsibility and Opportunity for Pediatric Hospitalists

Contact Info

Product

Resources

About