Oral nutritional support in malnourished elderly decreases functional limitations with no extra costs

Neelemaat, F.; Bosmans, Judith E.; Thijs, Abel; Seidell, Jacob C.; Schueren, Marian A.E. de van der

doi:10.1016/j.clnu.2011.10.009

Cited by 69 publications

(77 citation statements)

References 28 publications

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“…Of those studies three were cost utility studies, 22,23,24 with the remaining studies being cost benefit analyses 25,26 and a cost consequence analysis respectively. 27 The cost utility studies 22,23,24 and the cost consequence analysis 27 were based on the results of randomised controlled trials both with sample sizes of 100 participants or more while the cost benefit analyses 25,26 were based on modelled data. All of the studies utilized oral nutritional supplements (ONS) as their intervention, although Norman et al 23 also provided dietary counselling to their intervention and control groups.…”

Section: Results Of Studies Where Participants Were Defined As Malnoumentioning

confidence: 99%

“…Norman et al 23 only included the incremental cost of the intervention in their analysis, excluding any wider effect on the health system, while most other studies took a wider view point including costs of medical treatment and social care in the community. 22,25,27 There was a great variety in outcomes measured as listed in Table 2. The cost utility analysis by Norman et al 23 found that providing 3 months of ONS to malnourished patients with benign gastrointestinal disease was associated with between €9497-12099 per quality-adjusted life year (QALY) gained.…”

Section: Results Of Studies Where Participants Were Defined As Malnoumentioning

confidence: 99%

“…All of the studies utilized oral nutritional supplements (ONS) as their intervention, although Norman et al 23 also provided dietary counselling to their intervention and control groups. The participants were from different clinical groups with two studies focusing on patients with gastrointestinal disease, 23,26 two with older adults admitted to hospital, 22,27 one with older adults in residential care facilities, 24 and one in community dwelling older adults. 25 The studies also differed in the costs they included in their analysis.…”

Section: Results Of Studies Where Participants Were Defined As Malnoumentioning

confidence: 99%

“…This study found that ONS was cost effective. In general, it was found that the more recently published Cost Utility 22,23,29 and Cost Effectiveness studies [30][31][32][33] were of a higher quality than older published studies in terms of their adherence to the Drummond criteria. A few studies included only a partial report of healthcare costs such as general practitioner or health service visits.…”

Section: Quality Of Studiesmentioning

confidence: 99%

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Economic evaluation for protein and energy supplementation in adults: opportunities to strengthen the evidence

et al. 2013

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Malnutrition is a costly problem for health care systems internationally. Malnourished individuals require longer hospital stays and more intensive nursing care than adequately nourished individuals and have been estimated to cost an additional £7.3 billion in health care expenditures in the United Kingdom alone. However, treatments for malnutrition have rarely been considered from an economic perspective. The aim of this systematic review was to identify the cost effectiveness of using protein and energy supplementation, as a widely used intervention to treat adults with and at risk of malnutrition. Papers were identified that included economic evaluations of protein or energy supplementation for the treatment or prevention of malnutrition in adults. While the variety of outcome measures reported for cost effectiveness studies made synthesis of results challenging, cost benefit studies indicated that the savings for the health system could be substantial due to reduced lengths of hospital stay and less intensive use of health services after discharge. In summary the available economic evidence indicates that protein and energy supplementation in treatment or prevention of malnutrition provides an opportunity to improve patient wellbeing and lower health system costs.

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Section: Results Of Studies Where Participants Were Defined As Malnoumentioning

confidence: 99%

Section: Results Of Studies Where Participants Were Defined As Malnoumentioning

confidence: 99%

Section: Results Of Studies Where Participants Were Defined As Malnoumentioning

confidence: 99%

Section: Quality Of Studiesmentioning

confidence: 99%

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Economic evaluation for protein and energy supplementation in adults: opportunities to strengthen the evidence

et al. 2013

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“…27 Pela faixa etária da amostra, com uma grande proporção de pacientes acima dos setenta anos, a pontuação adicional pela idade colaborou em 61,4% dos casos para caracterizar o indivíduo em risco nutricional, corroborando com outros estudos realizados em diferentes países. 3,25,26,29,30 Uma das limitações do método utilizado é que depende das respostas do paciente, o qual se encontra no hospital para tratar de algum dano à sua saúde. Nessa situação, o paciente apresenta-se indisposto para o diálogo com os profissionais.…”

Section: Artigo Original / Original Articleunclassified

Risco nutricional em pacientes adultos e idosos de um hospital do sul do Brasil

Gabbardo¹,

Boscaini²

2014

Sci Med

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RESUMOObjetivos: Verificar a prevalência do risco nutricional na admissão hospitalar, utilizando o protocolo Nutrition Risk Screening (NRS 2002) e identificar quais foram os aspectos desse protocolo que mais contribuiram para o escore final. Métodos: Foi realizado um estudo transversal com pacientes adultos e idosos de ambos os sexos, admitidos nos departamentos de internação clínica (exceto maternidade, emergência e unidade de saúde mental) de um hospital da cidade de Farroupilha, Rio Grande do Sul. Os indivíduos foram avaliados através do protocolo NRS 2002, nos primeiros três dias após admissão hospitalar. Resultados: Foram avaliados 386 pacientes, com idade média de 56,7±20,7 anos, sendo 198 (51,3%) do sexo feminino. O risco nutricional esteve presente em 57 (14,8%) dos pacientes. Na primeira parte da triagem nutricional, 315 (81,6%) pacientes tiveram pelo menos uma resposta positiva indicando risco nutricional, sendo a redução de ingestão alimentar na última semana a mais prevalente. Na segunda parte observou-se que em relação ao estado nutricional, a proporção do estado grave esteve presente em 21 pacientes (36,8% da amostra em risco). Quanto à gravidade da doença, prevaleceu o fator de risco leve em 29 (50,9%) pacientes. A pontuação adicional, através da pontuação da variável idade acima de 70 anos, contribuiu para caracterizar o risco nutricional em 35 pacientes (61,4%). Conclusões: Observou-se elevada proporção de pacientes em risco nutricional, sendo a redução na ingestão alimentar na última semana a variável que mais contribuiu para dar sequência à segunda etapa do processo de triagem nutricional. DESCRITORES: AVALIAÇÃO NUTRICIONAL; INGESTÃO DE ALIMENTOS; ASSISTÊNCIA AO PACIENTE. ABSTRACT Aims:To determine the prevalence of nutritional risk at admission using the Nutrition Risk Screening (NRS 2002) protocol, and to identify which aspects of this protocol contributed most to the final score. Methods: A cross-sectional study included adult and elderly patients of both sexes, admitted to clinical departments (except maternity, emergency and mental health unit) of a hospital in the city of Farroupilha, Rio Grande do Sul state, Brazil. Individuals were assessed through NRS 2002 in the first three days after admission. Results: A total of 386 patients were evaluated. They had a mean age of 56.7±20.7 years, and 198 (51.3%) were female. Nutritional risk was present in 57 (14.8%) patients. In the first part of the nutritional screening, 315 (81.6%) patients had at least one positive response indicating nutritional risk, being the reduction of food intake in the last week the most prevalent. In the second part it was noted that, in relation to nutritional status, the proportion of the severe condition was present in 21 patients (36.8% of the sample at risk). In relation to severity of disease, the prevailing condition was mild disease, in 29 (50.9%) patients. Additional score given by age over 70 years helped to characterize nutritional risk in 35 patients (61.4%). Conclusions: There was a high proportion of p...

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Dietary advice with or without oral nutritional supplements for disease-related malnutrition in adults

Baldwin

Schueren

Kruizenga

et al. 2021

Cochrane Database of Systematic Reviews

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Oral nutritional support in malnourished elderly decreases functional limitations with no extra costs

Cited by 69 publications

References 28 publications

Economic evaluation for protein and energy supplementation in adults: opportunities to strengthen the evidence

Economic evaluation for protein and energy supplementation in adults: opportunities to strengthen the evidence

Risco nutricional em pacientes adultos e idosos de um hospital do sul do Brasil

Dietary advice with or without oral nutritional supplements for disease-related malnutrition in adults

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