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Patient-Led, Technology-Assisted Malnutrition Risk Screening in Hospital: A Feasibility Study.
Roberts, Shelley; Marshall, Andrea P; Bromiley, Leisa; Hopper, Zane; Byrnes, Joshua; Ball, Lauren; Collins, Peter F; Kelly, Jaimon.
Afiliación
  • Roberts S; School of Health Sciences and Social Work, Griffith University, Southport, QLD 4222, Australia.
  • Marshall AP; Allied Health Research, Gold Coast Hospital and Health Service, Southport, QLD 4215, Australia.
  • Bromiley L; School of Nursing and Midwifery, Griffith University, Southport, QLD 4222, Australia.
  • Hopper Z; Nursing and Midwifery Education and Research Unit, Gold Coast Hospital and Health Service, Southport, QLD 4215, Australia.
  • Byrnes J; Nutrition and Food Services, Gold Coast Hospital and Health Service, Southport, QLD 4215, Australia.
  • Ball L; School of Health Sciences and Social Work, Griffith University, Southport, QLD 4222, Australia.
  • Collins PF; Nutrition and Food Services, Gold Coast Hospital and Health Service, Southport, QLD 4215, Australia.
  • Kelly J; Centre for Applied Health Economics, Menzies Health Institute Queensland, Griffith University, Southport, QLD 4222, Australia.
Nutrients ; 16(8)2024 Apr 12.
Article en En | MEDLINE | ID: mdl-38674830
ABSTRACT
Malnutrition risk screening is crucial to identify at-risk patients in hospitals; however, screening rates can be suboptimal. This study evaluated the feasibility, acceptability, and potential cost-effectiveness of patient-led, technology-assisted malnutrition risk screening. A prospective multi-methods study was conducted in a 750-bed public hospital in Australia. Patients were recruited from seven wards and asked to complete an electronic version of the Malnutrition Screening Tool (e-MST) on bedside computer screens. Data were collected on feasibility, acceptability, and cost. Feasibility data were compared to pre-determined criteria on recruitment (≥50% recruitment rate) and e-MST completion (≥75% completion rate). Quantitative acceptability (survey) data were analyzed descriptively. Patient interview data were analyzed thematically. The economic evaluation was from the perspective of the health service using a decision tree analytic model. Both feasibility criteria were met; the recruitment rate was 78% and all 121 participants (52% male, median age 59 [IQR 48-69] years) completed the e-MST. Patient acceptability was high. Patient-led e-MST was modeled to save $3.23 AUD per patient and yield 6.5 more true malnutrition cases (per 121 patients) with an incremental cost saving per additional malnutrition case of 0.50 AUD. Patient-led, technology-assisted malnutrition risk screening was found to be feasible, acceptable to patients, and cost-effective (higher malnutrition yield and less costly) compared to current practice at this hospital.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estudios de Factibilidad / Tamizaje Masivo / Análisis Costo-Beneficio / Desnutrición Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Nutrients Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estudios de Factibilidad / Tamizaje Masivo / Análisis Costo-Beneficio / Desnutrición Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Nutrients Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Suiza