Advocate Health Care, Downers Grove, Illinois, USA.
Abbott Nutrition Research & Development, Columbus, Ohio, USA.
JPEN J Parenter Enteral Nutr. 2018 Aug;42(6):1093-1098. doi: 10.1002/jpen.1040. Epub 2018 Feb 2.
Addressing nutrition needs of inpatients results in improved health outcomes. We conducted a post hoc analysis of previously published data. The aim of this analysis was to evaluate the clinical benefits of a nutrition quality improvement program (QIP) in surgical patients when compared with medical patients.
Data were collected from 1269 QIP patients and 1319 historical controls. These combined 2588 patients were categorized into surgical (390, 15%) and medical (2198, 85%) patient subgroups.
Readmission rate relative risk reductions were significantly higher among surgical patients when compared with the medical patients (46.9% vs 20.6%, P < .001). Average length of stay decreased significantly for both groups (29.0% and 29.6%, P = .8).
Malnourished hospitalized surgical and medical patients experienced improved readmission rates and length of stay. However, surgical patients saw a significantly greater reduction in the readmission rate when compared with the medical patients, thus highlighting the importance of nutrition on surgical outcomes. The ClinicalTrials.gov Identifier for this study is NCT02262429.
满足住院患者的营养需求可改善健康结局。我们对先前发表的数据进行了事后分析。本分析旨在评估与内科患者相比，外科患者的营养质量改进计划（QIP）的临床获益。
从 1269 名 QIP 患者和 1319 名历史对照患者中收集数据。这两组共 2588 名患者分为外科（390 例，15%）和内科（2198 例，85%）患者亚组。
与内科患者相比，外科患者的再入院率相对风险降低显著更高（46.9%比 20.6%，P<0.001）。两组的平均住院时间均显著缩短（29.0%和 29.6%，P=0.8）。
营养不良的住院外科和内科患者的再入院率和住院时间均有所改善。然而，与内科患者相比，外科患者的再入院率显著降低，这突出了营养对手术结局的重要性。本研究的 ClinicalTrials.gov 标识符为 NCT02262429。
