Effects of malnutrition on complication rates, length of hospital stay, and revenue in elective surgical patients in the G-DRG-system

Nutrition

Volumn 32, Issue 2, 2016, Pages 249-254

  Thomas, Michael N ^a   Kufeldt, Johannes ^a   Kisser, Ulrich ^a   Hornung, Hans Martin ^a   Hoffmann, Jessica ^a   Andraschko, Monika ^a   Werner, Jens ^a   Rittler, Peter ^a  

^a LUDWIG MAXIMILIANS UNIVERSITY   (Germany)

Author keywords

Hospital costs; Length of stay; Malnutrition; Nutrition; Nutritional risk

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; BODY MASS; BODY WEIGHT; COHORT ANALYSIS; CONTROLLED STUDY; DIETARY INTAKE; DISEASE SEVERITY; FEMALE; HEALTH CARE COST; HOSPITALIZATION; HUMAN; LENGTH OF STAY; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MALNUTRITION; MORBIDITY; MORTALITY; NUTRITIONAL ASSESSMENT; NUTRITIONAL STATUS; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; REIMBURSEMENT; SURGICAL PATIENT; ADVERSE EFFECTS; ELECTIVE SURGERY; MIDDLE AGED; MULTIVARIATE ANALYSIS; POSTOPERATIVE COMPLICATIONS; PREVALENCE; RISK FACTOR; STATISTICAL MODEL; YOUNG ADULT;

ADULT; AGED; BODY MASS INDEX; ELECTIVE SURGICAL PROCEDURES; FEMALE; HOSPITALIZATION; HUMANS; LENGTH OF STAY; LOGISTIC MODELS; MALE; MALNUTRITION; MIDDLE AGED; MORBIDITY; MULTIVARIATE ANALYSIS; NUTRITION ASSESSMENT; NUTRITIONAL STATUS; POSTOPERATIVE COMPLICATIONS; PREVALENCE; RISK FACTORS; YOUNG ADULT;

EID: 84955739339     PISSN: 08999007     EISSN: 18731244     Source Type: Journal    
DOI: 10.1016/j.nut.2015.08.021     Document Type: Article

References (26)

1. Haydock D.A., Hill G.L. Impaired wound healing in surgical patients with varying degrees of malnutrition. JPEN J Parenter Enteral Nutr 1986, 10:550-554.
2. Hill G.L., Blackett R.L., Pickford I., Burkinshaw L., Young G.A., Warren J.V., et al. Malnutrition in surgical patients. An unrecognised problem. Lancet 1977, 1:689-692.
3. Waitzberg D.L., Caiaffa W.T., Correia M.I. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition 2001, 17:573-580.
4. Burgos R., Sarto B., Elio I., Planas M., Forga M., Canton A., et al. Prevalence of malnutrition and its etiological factors in hospitals. Nutr Hosp 2012, 27:469-476.
5. Correia M.I., Waitzberg D.L. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr 2003, 22:235-239.
6. Pirlich M., Schutz T., Norman K., Gastell S., Lubke H.J., Bischoff S.C., et al. The German hospital malnutrition study. Clin Nutr 2006, 25:563-572.
7. Leide da Silva Nunes F., Calado Ferreira Pinheiro Gadelha P., Damasceno de Souza Costa M., Carolina Ribeiro de Amorim A.C., Bezerra da Silva Mda G. Nutritional status and its impact on time and relocation in postoperative complications of abdominal patients undergoing surgery. Nutr Hosp 2014, 30:629-635.
8. Sungurtekin H., Sungurtekin U., Balci C., Zencir M., Erdem E. The influence of nutritional status on complications after major intraabdominal surgery. J Am Coll Nutr 2004, 23:227-232.
9. Lim S.L., Daniels L. Reply-malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr 2013, 32:489-490.
10. Kuppinger D., Hartl W.H., Bertok M., Hoffmann J.M., Cederbaum J., Kuchenhoff H., et al. Nutritional screening for risk prediction in patients scheduled for abdominal operations. Br J Surg 2012, 99:728-737.
11. Kuppinger D., Hartl W.H., Bertok M., Hoffmann J.M., Cederbaum J., Bender A., et al. Nutritional screening for risk prediction in patients scheduled for extra-abdominal surgery. Nutrition 2013, 29:399-404.
12. Giannopoulos G.A., Merriman L.R., Rumsey A., Zwiebel D.S. Malnutrition coding 101: financial impact and more. Nutr Clin Pract 2013, 28:698-709.
13. Ockenga J., Freudenreich M., Zakonsky R., Norman K., Pirlich M., Lochs H. Nutritional assessment and management in hospitalised patients: implication for DRG-based reimbursement and health care quality. Clin Nutr 2005, 24:913-919.
14. Kondrup J., Rasmussen H.H., Hamberg O., Stanga Z. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr 2003, 22:321-336. Ad Hoc ESPEN Working Group.
15. Jean-Claude M., Emmanuelle P., Juliette H., Michele B., Gerard D., Eric F., et al. Clinical and economic impact of malnutrition per se on the postoperative course of colorectal cancer patients. Clin Nutr 2012, 31:896-902.
16. Karateke F., Ikiz G.Z., Kuvvetli A., Menekse E., Das K., Ozyazici S., et al. Evaluation of nutritional risk screening-2002 and subjective global assessment for general surgery patients: a prospective study. J Pak Med Assoc 2013, 63:1405-1408.
17. Barker L.A., Gray C., Wilson L., Thomson B.N., Shedda S., Crowe T.C. Preoperative immunonutrition and its effect on postoperative outcomes in well-nourished and malnourished gastrointestinal surgery patients: a randomised controlled trial. Eur J Clin Nutr 2013, 67:802-807.
18. Faggioni R., Feingold K.R., Grunfeld C. Leptin regulation of the immune response and the immunodeficiency of malnutrition. FASEB J 2001, 15:2565-2571.
19. Schaible U.E., Kaufmann S.H. Malnutrition and infection: complex mechanisms and global impacts. PLoS Med 2007, 4:e115.
20. Norman K., Pichard C., Lochs H., Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr 2008, 27:5-15.
21. Lobo Tamer G., Ruiz Lopez M.D., Perez de la Cruz A.J. Med Clin 2009, 132:377-384.
22. Anthony P.S. Nutrition screening tools for hospitalized patients. Nutr Clin Pract 2008, 23:373-382.
23. Amaral T.F., Matos L.C., Tavares M.M., Subtil A., Martins R., Nazare M., et al. The economic impact of disease-related malnutrition at hospital admission. Clin Nutr 2007, 26:778-784.
24. Hickson M. Malnutrition and ageing. Postgrad Med J 2006, 82:2-8.
25. Loser C. Malnutrition in hospital: the clinical and economic implications. Dtsch Arztebl Int 2010, 107:911-917.
26. Reinbold T., Lenfers B. Malnutrition in the G-DRG-system-effects of a structured nutritional management on codification and revenues. Aktuel Ernaehrungsmed 2013, 38:24-29.