The costs of disease related malnutrition in hospitalized children
| Autor: | Marc A. Koopmanschap, Koen F.M. Joosten, Jessie M. Hulst, Esther van Puffelen, Karen Freijer |
|---|---|
| Přispěvatelé: | Pediatric Surgery, Pediatrics, RS: CAPHRI - R2 - Creating Value-Based Health Care, Promovendi PHPC, Health Services Research |
| Rok vydání: | 2018 |
| Předmět: |
Male
0301 basic medicine Disease related malnutrition (DRM) Pediatrics medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism Disease related malnutrition Nutritional Status Disease Sensitivity and Specificity PEDIATRIC MALNUTRITION 03 medical and health sciences 0302 clinical medicine Cost of Illness International Classification of Diseases Monetary value 030225 pediatrics Health care Prevalence medicine Humans Costs of malnutrition children Child Netherlands 030109 nutrition & dietetics Nutrition and Dietetics business.industry Malnutrition Infant Nutritional status Health Care Costs Length of Stay medicine.disease Hospitalization Chronic malnutrition Child Preschool Health economic costs UNDERNUTRITION Resource use Female NUTRITION business |
| Zdroj: | Clinical Nutrition ESPEN, 23, 228-233. Elsevier Ltd. Clinical Nutrition ESPEN, 23, 228-233. Elsevier Science |
| ISSN: | 2405-4577 |
| DOI: | 10.1016/j.clnesp.2017.09.009 |
| Popis: | Introduction: Disease related malnutrition (DRM) is a serious medical condition which is associated with an increase in morbidity and mortality, augmenting resource use and associated costs. DRM can be detected by actively and fully assessing the nutritional status. Studies in adult malnourished patients have shown that the additional health care costs are about (sic) 2 billion ((sic) 2000 million) per year. The objective of the current study was to estimate the annual additional costs of DRM for pediatric patients as was done for adults. Methods: A cost-of-illness analysis was performed to calculate the annual additional costs of DRM in 2015 pediatric patients (aged 1 month up to and including 17 years) admitted to non-academic hospitals in The Netherlands. DRM was assessed with weight-for-age, weight-for-height and height-for-age. Input variables in the formula used were length of stay and prevalence of DRM. The costs were estimated per disease as classified in the International Classification of Diseases by the WHO (ICD-10), per gender and age group. The results were expressed as an absolute monetary value as well as a percentage of the Dutch national health expenditure. Robustness of the results was checked by a sensitivity analysis. Results: The total additional direct medical costs of DRM in pediatric patients in 2013 were estimated to be (sic) 51 million for acute malnutrition, (sic) 46 million when focused on chronic malnutrition and (sic) 80 million in case of overall malnourished children. This equals 5.6% of the total Dutch hospital costs for these hospitalized children. Conclusions: This study has shown that DRM in hospitalized children is associated with an increase in annual hospital costs with an additional amount of (sic) 80 million, of which acute malnutrition account for the largest part. (c) 2017 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect