Department of Medicine, University of Missouri School of Medicine, Columbia, Missouri, USA.
Ambulatory Services, University of Maryland, Baltimore, Maryland.
Nutr Clin Pract. 2021 Oct;36(5):1034-1040. doi: 10.1002/ncp.10729. Epub 2021 Jul 10.
Hospital-acquired conditions (HACs) have a direct impact on value, as they decrease quality and increase costs. Numerous interventions have been tried, including nutrition support therapy, with unknown effect on value. Therefore, a value analysis of nutrition support therapy on HACs was performed.
An extensive literature search was performed. Using the Medicare Parts A and B Claims 5% Sample data set, analytic claims modeling was conducted.
The search identified 1099 studies, with eight meeting the inclusion criteria. All studies were performed on adult critically ill patients and focused on HA infections (HAIs) as the HAC. One study underwent Medicare claims modeling and revealed nutrition therapy has the potential of saving at least $104 million annually in Medicare patients with HAIs.
Nutrition support therapy has the potential to reduce costs of Medicare spending in respect to HAIs.
医院获得性疾病（HAC）直接影响医疗价值，因为它们降低了医疗质量并增加了成本。已经尝试了许多干预措施，包括营养支持治疗，但对其价值的影响尚不清楚。因此，对营养支持治疗对 HAC 的价值进行了分析。
进行了广泛的文献检索。使用医疗保险 A 部分和 B 部分索赔 5%抽样数据集，进行了分析性索赔建模。
搜索确定了 1099 项研究，其中 8 项符合纳入标准。所有研究均针对成人重症患者进行，且重点关注医院获得性感染（HAI）作为 HAC。一项研究进行了医疗保险索赔建模，结果表明营养治疗有可能为 Medicare 患有 HAI 的患者每年节省至少 1.04 亿美元的费用。
营养支持治疗有可能降低 Medicare 在医院获得性感染方面的支出成本。
