Nutrition-Focused Quality Improvement Program Results in Significant Readmission and Length of Stay Reductions for Malnourished Surgical Patients
| Autor: | Sarah Kozmic, Sanja Nikolich, Jamie Partridge, Malgorzata Sokolowski, Gretchen VanDerBosch, Wm. Thomas Summerfelt, Suela Sulo, Krishnan Sriram, Refaat Hegazi |
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| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty Quality management Nutrition quality Patient subgroups Medicine (miscellaneous) Nutritional Status Health outcomes Patient Readmission 03 medical and health sciences Postoperative Complications Post-hoc analysis medicine Humans Aged Inpatients 030109 nutrition & dietetics Nutrition and Dietetics business.industry Malnutrition Length of Stay Middle Aged Readmission rate Quality Improvement Relative risk Surgical Procedures Operative Emergency medicine Female business Surgical patients |
| Zdroj: | JPEN. Journal of parenteral and enteral nutrition. 42(6) |
| ISSN: | 1941-2444 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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