Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality

Abstract

Malnutrition was evident in up to one third of the inpatients and led to poor hospitalization outcomes and survival as well as increased costs of care, even after matching for DRG. Strategies to prevent and treat malnutrition in the hospital and post-discharge are needed.

Longitudinal follow-up of nutritional status and its influencing factors in adults undergoing allogeneic hematopoietic cell transplantation

“…Patients were classified as well nourished (SGA-A), moderately malnourished (SGA-B) and severely malnourished (SGA-C), the SGA questionnaire classification has been shown to be associated to quality of life, length of hospital stay and survival. 28 Standardized phase angle. Bioelectrical impedance analysis is a validated, non-invasive, portable method to estimate body composition with specific algorithms based on the electrical properties of body tissues.…”

Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: Results from the Nutrition Care Day Survey 2010

“…Numerous studies have suggested that in comparison to well-nourished patients, 83 malnourished patients experience worse outcomes such as prolonged length of 84 hospital stay (LOS), increased readmissions, and mortality [2][3][4][5][6]. There is 85 documented evidence to suggest that malnourished patients incur greater 86 hospitalisation costs [7], related to longer LOS, readmissions, and greater utilisation 87 of hospital resources [2,5].…”

The economic burden of disease-related undernutrition in selected chronic diseases

“…A disturbing fact is that undernutrition is associated with many chronic health conditions, like inflammatory bowel disease (IBD), chronic kidney, lung and liver disease, cancers, and many others. Additionally, undernutrition is a well recognized risk factor for adverse health events, increasing morbidity and mortality, hospitalization rates and the length of hospital stay (13,14). Furthermore, elderly people, the segment of population on a steady increase in almost all countries in the European region of the World Health Organization, are at higher risk of undernutrition (15).…”