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Implementing routine nutritional screening (NS) and interventions (NI) for disease-related malnutrition (DRM) in hospitals is economically beneficial. This approach reduces hospital stay and generates revenue, offsetting initial costs.

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Area of Science:

  • Health Economics
  • Clinical Nutrition
  • Hospital Management

Background:

  • Disease-related malnutrition (DRM) is a significant independent risk factor impacting patient mortality, morbidity, hospital length of stay (LOS), functional status, and quality of life.
  • DRM presents a substantial economic burden on healthcare systems.
  • Early identification and management of DRM are crucial for improving patient outcomes and hospital efficiency.

Purpose of the Study:

  • To estimate the economic impact of implementing routine nutritional screening (NS) and subsequent nutritional interventions (NI) for patients with potential or manifest DRM in a tertiary hospital.
  • To analyze the financial implications of systematic NS compared to natural detection of at-risk inpatients.
  • To quantify changes in economic activity, including cost savings and revenue generation, following the introduction of a structured NS program.

Main Methods:

  • Economic impact analysis comparing natural DRM detection with systematic NS implementation.
  • Estimation of costs associated with nutritional interventions (NI).
  • Calculation of savings from reduced LOS and additional revenue generated through the SwissDRG system.

Main Results:

  • An estimated 20% prevalence of DRM among 20,000 annual inpatients suggests 4000 patients at risk.
  • Nutritional interventions (NI) were estimated to cost CHF 0.693 million.
  • Savings of CHF 1.582 million from LOS reduction and CHF 0.806 million in additional SwissDRG revenue were projected.
  • Routine NS generated additional costs of CHF 1.181 million, but yielded total savings of CHF 2.043 million and excess revenue of CHF 2.071 million.

Conclusions:

  • Routine nutritional screening (NS) followed by adequate nutritional intervention (NI) demonstrates significant economic potential for hospitals.
  • The implementation of systematic NS is cost-effective, leading to substantial savings and increased revenue.
  • Integrating NS into hospital workflows can improve both patient care and financial performance.