Nutrition-Focused Quality Improvement Program Results in Significant Readmission and Length of Stay Reductions for Malnourished Surgical Patients.

Autor: Sriram K; Advocate Health Care, Downers Grove, Illinois, USA., Sulo S; Abbott Nutrition Research & Development, Columbus, Ohio, USA., VanDerBosch G; Advocate Health Care, Downers Grove, Illinois, USA., Kozmic S; Advocate Health Care, Downers Grove, Illinois, USA., Sokolowski M; Advocate Health Care, Downers Grove, Illinois, USA., Summerfelt WT; Convergence CT, Chicago, Illinois, USA., Partridge J; Abbott Nutrition Research & Development, Columbus, Ohio, USA., Hegazi R; Abbott Nutrition Research & Development, Columbus, Ohio, USA., Nikolich S; Advocate Health Care, Downers Grove, Illinois, USA.
Jazyk: angličtina
Zdroj: JPEN. Journal of parenteral and enteral nutrition [JPEN J Parenter Enteral Nutr] 2018 Aug; Vol. 42 (6), pp. 1093-1098. Date of Electronic Publication: 2018 Feb 02.
DOI: 10.1002/jpen.1040
Abstrakt: Background: Addressing nutrition needs of inpatients results in improved health outcomes. We conducted a post hoc analysis of previously published data. The aim of this analysis was to evaluate the clinical benefits of a nutrition quality improvement program (QIP) in surgical patients when compared with medical patients.
Methods: Data were collected from 1269 QIP patients and 1319 historical controls. These combined 2588 patients were categorized into surgical (390, 15%) and medical (2198, 85%) patient subgroups.
Results: Readmission rate relative risk reductions were significantly higher among surgical patients when compared with the medical patients (46.9% vs 20.6%, P < .001). Average length of stay decreased significantly for both groups (29.0% and 29.6%, P = .8).
Conclusion: Malnourished hospitalized surgical and medical patients experienced improved readmission rates and length of stay. However, surgical patients saw a significantly greater reduction in the readmission rate when compared with the medical patients, thus highlighting the importance of nutrition on surgical outcomes. The ClinicalTrials.gov Identifier for this study is NCT02262429.
(© 2018 Abbott Nutrition. Journal of Parenteral and Enteral Nutrition published by Wiley Periodicals, Inc. on behalf of American Society for Parenteral and Enteral Nutrition.)
Databáze: MEDLINE
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