By M. Elia, B.R. Bistrian
Malnutrition has been recognized in health facility and outpatient deal with greater than 30 years. it truly is anticipated that a typical of 30% of sufferers are affected, and within the majority of situations the matter continues to be unrecognized and untreated. additionally, this disease-related malnutrition raises well-being bills through 30-70% as contemporary reports have proven, exceeding even the prices of weight problems. nutrients interventions, producing compared just a small price, might hence bring about large absolute discount rates. This book supplies an outline of the present scenario in Europe and the USA, additionally reading the economics of malnutrition. additionally mentioned are compensation versions for enteral foodstuff in addition to regulatory points and their influence on perform. The e-book closes with a dialogue of destiny demanding situations and possibilities. contemplating the level of the matter, this ebook may be of curiosity not just to medical professionals without delay fascinated by the care of sufferers, but in addition to coverage makers and administrative team of workers.
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Additional resources for The Economic, Medical Scientific and Regulatory Aspects of Clinical Nutrition Practice: What Impacts What?: Peebles, Scotland, March 2007 (Nestle ... Series: Clinical & Performance Program)
Example text
The increased hospital costs associated with disease-related malnutrition have also been reported in European [2, 8–10] and other countries, including 30 The Economics of Malnutrition 8 other Long-term care Hospital 7 £billion/year 6 5 4 3 2 1 0 Cost Incremental Cost Fig. 1. The estimated annual cost and incremental cost (public cost only) of diseaserelated malnutrition in the UK in 2003. The incremental cost is the additional cost of treating patients with malnutrition compared to treating the same number of patients without malnutrition (low risk of malnutrition according to MUST).
Dr. Jensen: This ultimately gets back to something we have highlighted repeatedly, which is the need for some definitions that we can use systematically throughout the world. In the United States, part of what drives this is that, for reimbursement purposes, to administer nutrition support to an acutely ill trauma patient, for example, we have to label him as something. The DRG code for some of those people would be protein-energy malnutrition. While, strictly speaking, that may or may not be what they have; they certainly have a robust inflammatory response that puts them at great risk.
Curr Opin Clin Nutr Metab Care 2006;9:489–496. 16 Roubenoff R, Heymsfield SB, Kehayias JJ, et al: Standardization of nomenclature of body composition in weight loss. Am J Clin Nutr 1997;66:192–196. 17 Committee on Nutrition Services for Medicare Beneficiaries, Food and Nutrition Board, Institute of Medicine: The Role of Nutrition in Maintaining Health in the Nation’s Elderly. Washington, National Academy Press. 2000. 18 Vellas B, Guigoz Y, Garry PJ, et al: The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients.