圣佩德罗德阿尔坎塔拉医院疾病相关营养不良的财务影响。与专业营养调查相关的估计成本节约。
Financial impact of disease-related malnutrition at the San Pedro de Alcántara hospital. Estimated cost savings associated to a specialized nutritional survey.
作者信息
Morán López Jesús Manuel, Enciso Izquierdo Fidel Jesús, Luengo Pérez Luis Miguel, Beneítez Moralejo Belén, Piedra León María, de Luis Daniel A, Amado Señaris José Antonio
机构信息
Endocrinología y Nutrición, Hospital Virgen del Puerto, Plasencia (Cáceres), España. Sociedad Extremeña de Diabetes, Endocrinología y Nutrición (SEDEN).
Endocrinología y Nutrición, Complejo Hospitalario de Cáceres, Cáceres, España. Sociedad Extremeña de Diabetes, Endocrinología y Nutrición (SEDEN).
出版信息
Endocrinol Diabetes Nutr. 2017 Oct;64(8):446-450. doi: 10.1016/j.endinu.2017.05.004. Epub 2017 Jul 13.
INTRODUCTION AND OBJECTIVES
DRM is a highly prevalent condition in Spanish hospitals and is associated to increased healthcare costs. Costs associated to DRM were calculated using the methods of the PREDyCES study. The potential savings derived from specialized nutritional treatment were calculated by extrapolating the results of the SNAQ strategy.
RESULTS
Median cost per procedure in patients with DRM was €9,679.85, with a final cost of €28,700,775.2. The cost of each patient with DRM was 2.63 times higher than the cost of patients with no DRM. The potential cost saving associated to specialized nutritional treatment was estimated at €1,682,317.28 (5.86% of total cost associated to DRM).
CONCLUSIONS
Patients with DRM showed a higher consumption of financial resources as compared to well-nourished patients. Specialized nutritional treatment is a potential cost-saving procedure.
引言与目标
在西班牙医院中，营养不良风险（DRM）是一种非常普遍的情况，并且与医疗成本增加相关。采用PREDyCES研究的方法计算与DRM相关的成本。通过推断SNAQ策略的结果来计算专业营养治疗带来的潜在节省费用。
结果
患有DRM的患者每次治疗的平均成本为9,679.85欧元，最终总成本为28,700,775.2欧元。每位患有DRM的患者的成本比没有DRM的患者高出2.63倍。专业营养治疗带来的潜在成本节省估计为1,682,317.28欧元（占与DRM相关的总成本的5.86%）。
结论
与营养良好的患者相比，患有DRM的患者消耗了更多的财政资源。专业营养治疗是一种潜在的节省成本的治疗方法。
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