A Comprehensive Nutrition-Focused Quality Improvement Program Reduces 30-Day Readmissions and Length of Stay in Hospitalized Patients

@article{Sriram2017ACN,
  title={A Comprehensive Nutrition-Focused Quality Improvement Program Reduces 30-Day Readmissions and Length of Stay in Hospitalized Patients},
  author={Krishnan Sriram and Suela Sulo and Gretchen VanDerBosch and Jamie S. Partridge and Josh Feldstein and Refaat A Hegazi and Wm. Thomas Summerfelt},
  journal={Journal of Parenteral and Enteral Nutrition},
  year={2017},
  volume={41},
  pages={384–391}
}
Background: Although screening patients for malnutrition risk on hospital admission is standard of care, nutrition shortfalls are undertreated. Nutrition interventions can improve outcomes. We tested effects of a nutrition-focused quality improvement program (QIP) on hospital readmission and length of stay (LOS). Materials and Methods: QIP included malnutrition risk screening at admission, prompt initiation of oral nutrition supplements (ONS) for at-risk patients, and nutrition support. A 2… 

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References

SHOWING 1-10 OF 34 REFERENCES
Nutritional assessment: comparison of clinical assessment and objective variables for the prediction of length of hospital stay and readmission.
TLDR
Because food intake in this study was judged days after admission and HGS has a wide range of normal values, SGA is the single best predictor and should be advocated as the primary measure for diagnosis of malnutrition.
Malnutrition at Hospital Admission-Contributors and Effect on Length of Stay: A Prospective Cohort Study From the Canadian Malnutrition Task Force.
TLDR
Malnutrition at admission is prevalent and associated with prolonged LOS, and complex disease and age-related social factors are contributors.
Effect of hospital use of oral nutritional supplementation on length of stay, hospital cost, and 30-day readmissions among Medicare patients with COPD.
TLDR
OnS may be associated with reduced LOS, hospitalization cost, and readmission risk in hospitalized Medicare patients with COPD, and instrumental variables analysis to study the association of ONS with study outcomes.
Health System Quality Improvement: Impact of Prompt Nutrition Care on Patient Outcomes and Health Care Costs
TLDR
A quality improvement program that positioned early nutritional care into the nursing workflow was implemented and pressure ulcer incidence, length of stay, 30-day readmissions, and costs of care were reduced.
Impact of declines in nutritional status on outcomes in adult patients hospitalized for more than 7 days.
The facilitated early enteral and dietary management effectiveness trial in hospitalized patients with malnutrition.
TLDR
Results highlight the positive impact of nutrition intervention in terms of reduced LOS in malnourished hospital patients and reduce the delays in implementing nutrition support to patients by 47%.
Incidence and recognition of malnutrition in hospital
TLDR
Malnutrition remains a largely unrecognised problem in hospital and highlights the need for education on clinical nutrition in different clinical units.
...
1
2
3
4
...