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Nutrition-Focused Quality Improvement Program Results in Significant Readmission and Length of Stay Reductions for Malnourished Surgical Patients.
Sriram, Krishnan; Sulo, Suela; VanDerBosch, Gretchen; Kozmic, Sarah; Sokolowski, Malgorzata; Summerfelt, Wm Thomas; Partridge, Jamie; Hegazi, Refaat; Nikolich, Sanja.
Afiliación
  • 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.
JPEN J Parenter Enteral Nutr ; 42(6): 1093-1098, 2018 08.
Article en En | MEDLINE | ID: mdl-29392736
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Readmisión del Paciente / Complicaciones Posoperatorias / Desnutrición / Mejoramiento de la Calidad / Pacientes Internos / Tiempo de Internación Tipo de estudio: Etiology_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude / Implementation_research Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: JPEN J Parenter Enteral Nutr Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Readmisión del Paciente / Complicaciones Posoperatorias / Desnutrición / Mejoramiento de la Calidad / Pacientes Internos / Tiempo de Internación Tipo de estudio: Etiology_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude / Implementation_research Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: JPEN J Parenter Enteral Nutr Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos