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ASPEN

NEW DATA SHOW U.S. HOSPITAL READMISSIONS ARE 54 PERCENT HIGHER FOR MALNOURISHED PATIENTS

22 febrero, 2017
  • Average cost is nearly $17,000 per patient for readmission following hospitalization involving malnutrition
  • Conditions associated with malnutrition include serious bloodstream infection, pneumonia and congestive heart failure
SILVER SPRING, MD, and DEERFIELD, Ill., Jan. 9, 2017 – The Healthcare Cost and Utilization Project (HCUP) recently published data showing malnutrition in U.S. hospitalized patients is associated with a more than 50 percent higher rate of readmission within 30 days, compared to patient stays not identified with malnutrition. The new statistical brief, “All-Cause Readmissions Following Hospital Stays for Patients With Malnutrition,” was co-authored by the Agency for Healthcare Research and Quality (AHRQ), the American Society for Parenteral and Enteral Nutrition (ASPEN) and Baxter International Inc. (NYSE: BAX). The resulting cost per readmission is nearly $17,000 per patient, depending on the type of malnutrition.
“It’s concerning readmission rates are so frequently associated with malnutrition. While the study looked at U.S. statistics, this is a global healthcare issue,” said Mary Hise Brown, PhD, RDN, CNSC, senior medical director, Baxter, and co-author of the brief. “From both a patient outcomes and healthcare cost perspective, these data point to the critically important need to properly diagnose and treat at-risk patients with nutritional needs during their hospital stay.”
The readmission data came from the HCUP Nationwide Readmissions Database and was studied in response to a Congressional request for research on malnutrition. It is the second malnutrition study co-authored by AHRQ , ASPEN and Baxter in 2016. In September, the collaborators issued a publication,“Characteristics of Hospital Stays Involving Malnutrition,”  which concluded malnutrition is associated with up to five times higher risk of in-hospital deaths, may result in two times longer hospital stays, and creates an estimated $42 billion burden to the healthcare system. 1 
Key findings from the readmissions data for malnourished patients include:
  • 23 percent of patients with malnutrition were readmitted to the hospital within thirty days after discharge, compared to only a 15 percent re-admittance rate of patients without a malnutrition diagnosis.
  • Nearly one in three stays for patients with postsurgical non-absorption were followed by a readmission within 30 days.
  • The highest readmission rates were among adults aged 18–64 years, those stays paid by Medicaid, and for patients residing in metropolitan areas.
  • The readmission rate was similar across income levels for patients with malnutrition at the time of their original admission (index stay) to the hospital. For patients without malnutrition during their original stay, readmission rates were highest among those from low-income areas.
  • The average cost per readmission was $16,900 for patients with protein-calorie malnutrition and $17,900 for patients with postsurgical non-absorption—26 and 34 percent higher, respectively, than the readmission cost for patients without malnutrition ($13,400).
  • Conditions associated with malnutrition include serious bloodstream infection, pneumonia and congestive heart failure.
“It is essential for the healthcare team to recognize the signs of malnutrition while patients are in the hospital in order to expedite healing, offer on-site nutrition interventions and education, and provide a plan for ongoing nutritional support,” said Peggi Guenter, PhD, RN, FAAN, ASPEN senior director of clinical practice, quality and advocacy, and co-author of the brief. “This model of care should reduce the rate of readmissions, lower overall healthcare costs and, most importantly, improve outcomes.”
Both ASPEN and Baxter are committed to raising awareness about the consequences of disease-related malnutrition and the importance of early diagnosis and treatment. ASPEN offers a comprehensiveMalnutrition Solutions Center online for healthcare providers, patients, and caregivers to learn about how to recognize and manage disease-related malnutrition. Healthcare providers also can learn more at Baxter’s Nutrition Academy online, which provides practical guidance on how and when to implement parenteral nutrition, to help make it accessible to more patients with nutritional deficits.
The full Statistical Brief is now available on the AHRQ website.
About ASPEN
The American Society for Parenteral and Enteral Nutrition (ASPEN) is dedicated to improving patient care by advancing the science and practice of nutrition support therapy and metabolism. Founded in 1976, ASPEN is an interdisciplinary organization whose members are involved in the provision of clinical nutrition therapies, including parenteral and enteral nutrition. With more than 6,500 members from around the world, ASPEN is a community of dietitians, nurses, nurse practitioners, pharmacists, physicians, scientists, students, and other health professionals from every facet of nutrition support clinical practice, research, and education. For more information about ASPEN, please visit www.nutritioncare.org.
About Baxter
Baxter provides a broad portfolio of essential renal and hospital products, including home, acute and in-center dialysis; sterile IV solutions; infusion systems and devices; parenteral nutrition; biosurgery products and anesthetics; and pharmacy automation, software and services. The company’s global footprint and the critical nature of its products and services play a key role in expanding access to healthcare in emerging and developed countries. Baxter’s employees worldwide are building upon the company’s rich heritage of medical breakthroughs to advance the next generation of healthcare innovations that enable patient care.

New Data Highlighted, Top Practitioners Recognized at 2017 Clinical Nutrition Week

22 febrero, 2017

ASPEN Founder Stanley J. Dudrick, MD, FACS, FASPEN to Receive the First-ever Lifetime Achievement Award for his Life-Saving Therapy February 18, 2017, Silver Spring, MD: The inaugural Lifetime Achievement Award, given to The American Society for Parenteral and Enteral Nutrition’s (ASPEN) first president, Stanley J. Dudrick, MD, FACS, FASPEN is a focal point for this year’s Clinical Nutrition Week (CNW), taking place in Orlando, Florida. Other highlights from the week will include recognition of leaders in the field as well as discussions on recently published data related to malnutrition among U.S. hospitalized patients. “This year’s CNW will be particularly inspirational as we honor Dr. Dudrick, the individual who truly is the father of parenteral nutrition,” said Charlene Compher, PhD, RD, CNSC, LDN, FADA, FASPEN, President of ASPEN. Dr. Dudrick is widely recognized and respected throughout the scientific, academic, and clinical world for his innovative and pioneering research in the development of the specialized central venous feeding technique known as parenteral nutrition. “Dr. Dudrick’s pioneering spirit, novel research, and dedication to advancing optimal care have inspired other medical professionals to enter the field. His mentorship is legendary. Most importantly, his work has benefited thousands of patients over the years,” explained Compher. The 2017 Stanley Dudrick Research Scholar Award, named in Dr. Dudrick’s honor, will be presented to Sadeq A. Quraishi, MD, MHA, MMSc, Assistant Professor of Anesthesia at Harvard Medical School and Massachusetts General Hospital. Dr. Quraishi’s research focuses on identifying risk factors for suboptimal perioperative outcomes and on promoting cost-effective solutions to improve the care of surgical patients. He will be recognized for his work in the area of immunomodulatory effects of vitamin D, implications of vitamin D in perioperative settings, and its potential impact on critically ill patients. Another highly anticipated and prestigious award, the Harry M. Vars Award, will also be presented at the conference. The award is a tribute to Dr. Vars’ work exploring the role of intravenous nutrition in wound healing, an important catalyst in the development of parenteral nutrition. This award is presented to the early career investigator with the best oral research presentation and manuscript. The five candidates for the 2017 award are:

  • Giliane Belarmino, PhD, RD, Post Grad Student of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil
    • Project Title: Diagnosing Sarcopenia in Patients with Cirrhosis by Dual-Energy X-Ray Absorptiometry Estimates of Appendicular Skeletal Muscle Mass
  • Gregory J. Guthrie, PhD, Pediatric GI Postdoctoral Research Fellow, Children’s Nutrition Research Center, Baylor College of Medicine, Houston, TX
    • Project Title: Phytosterols Synergize with Endotoxin to Augment Inflammation in Kupffer Cells but Alone Have Limited Direct Effect on Hepatocytes
  • Celeste M. Lavallee, BSc, RD, MSc, student, Department of Pediatrics, University of Alberta, Edmonton, AB, Canada; Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, Canada
    • Project Title: Surgical Anatomy Has No Apparent Impact on the Severity of Intestinal Failure Associated Liver Disease in Neonatal Piglets
  • Wilhelmus G. Looijaard, MD, Resident Physician Adult Intensive Care, Department of Intensive Care Medicine, VU University Medical Center Amsterdam, Leiden, Netherlands
    • Project Title: Adequate Protein Nutrition Support Modifies 6 Months Mortality Risk of Low Muscle Mass in Critically Ill Patients
  • Ashley C. Newell, MD, Med, Clinical Fellow, Pediatric Critical Care, Vanderbilt University Medical Center, Nashville, TN
    • Project Title: Obesity: Risk Factor for Increased Resource Utilization at Bidirectional Glenn

Other topics receiving attention at CNW include a new statistical brief, “All-Cause Readmissions Following Hospital Stays for Patients With Malnutrition,” co-authored by ASPEN, the Agency for Healthcare Research and Quality (AHRQ), and Baxter International Inc. (NYSE: BAX). The brief, released shortly before CNW, shows that malnutrition in U.S. hospitalized patients is associated with a more than 50 percent higher rate of readmission within 30 days, compared to patient stays not identified with malnutrition. In addition, the average cost is nearly $17,000 per patient for readmission following hospitalization involving malnutrition. “With the annual cost of disease-associated malnutrition at $156.7 billion, this conference has never been more timely,” said Debra BenAvram, FASAE, CAE, ASPEN’s Chief Executive Officer. “The best practices shared here provide actionable guidance for clinicians as they seek to reduce costs, increase the speed of recovery, and optimize healthy outcomes for all patients.” Clinical Nutrition Week and its activities are not open to the public and the conference is limited to registered attendees and exhibitors only. For more information, please visit http://www.nutritioncare.org/CNW/.

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The American Society for Parenteral and Enteral Nutrition (ASPEN) is dedicated to improving patient care by advancing the science and practice of nutrition support therapy and metabolism. Founded in 1976, ASPEN is an interdisciplinary organization whose members are involved in the provision of clinical nutrition therapies, including parenteral and enteral nutrition. With more than 6,500 members from around the world, ASPEN is a community of dietitians, nurses, nurse practitioners, pharmacists, physicians, scientists, students and other health professionals from every facet of nutrition support clinical practice, research and education. For more information about ASPEN, please visit www.nutritioncare.org.]]>

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