Marta Martínez-Reig1, Isaac Aranda-Reneo2, Luz M Peña-Longobardo3, Juan Oliva-Moreno4, Núria Barcons-Vilardell5, Emiel O Hoogendijk6, Pedro Abizanda7. 1. Geriatrics Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain. Electronic address: m2reig@hotmail.com. 2. Department of Economic Analysis and Finance, Universidad de Castilla-La Mancha, Talavera, Spain. Electronic address: Isaac.Aranda@uclm.es. 3. Department of Economic Analysis and Finance, Universidad de Castilla-La Mancha, Toledo, Spain. Electronic address: LuzMaria.Pena@uclm.es. 4. Department of Economic Analysis and Finance, Universidad de Castilla-La Mancha, Toledo, Spain. Electronic address: Juan.OlivaMoreno@uclm.es. 5. Medical Affairs Department, Nestlé Health Science, Barcelona, Spain. Electronic address: nuria.barcons@es.nestle.com. 6. Department of Epidemiology & Biostatistics, EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. Electronic address: e.hoogendijk@vumc.nl. 7. Geriatrics Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain; CIBERFES, Instituto de Salud Carlos III, Ministerio de Economía y Competitividad, Spain. Electronic address: pabizanda@sescam.jccm.es.
Abstract
BACKGROUND: In spite of its high prevalence and its clinical relevance, the economic impact of malnutrition has not been sufficiently explored. OBJECTIVE: To study whether malnutrition predicts total hospital healthcare costs and costs related to specialist visits, emergency department visits and hospitalization in older adults. METHODS: Concurrent cohort study in Albacete City, Spain. The study sample included 827 subjects aged 70 and over from the FRADEA Study. Mini Nutritional Assessment®-Short Form (MNA®-SF) was recorded at baseline. Use of hospital resources (hospital admissions, emergency visits, and specialist visits), and hospital healthcare costs were recorded at follow-up. Generalized linear models (GLM) adjusted for age, sex, comorbidity, polypharmacy, and disability in basic activities of daily living were used to estimate the impact of nutritional factors on total healthcare costs per person/year (€ base year 2013) as well as specialist visit costs, emergency department visit costs and hospitalization costs. RESULTS: The average cost associated with the use of health resources was 1922€/year. Subjects with MNA®-SF between 0 and 7 had an average total health cost of 3492€/year, 2744€/year in those with MNA®-SF between 8 and 11, and 1542€/year in those with MNA®-SF between 12 and 14. Of the total health cost, 67.2% was associated with hospital admission costs. Adjusted healthcare costs were 714€/year greater in subjects with malnutrition or nutritional risk. Subjects with malnutrition or nutritional risk presented an increased adjusted risk of hospitalization (OR1.72, 95% CI 1.22-2.43). CONCLUSIONS: Malnutrition assessed by MNA®-SF is a prognostic factor of high healthcare cost and use of resources in older adults.
BACKGROUND: In spite of its high prevalence and its clinical relevance, the economic impact of malnutrition has not been sufficiently explored. OBJECTIVE: To study whether malnutrition predicts total hospital healthcare costs and costs related to specialist visits, emergency department visits and hospitalization in older adults. METHODS: Concurrent cohort study in Albacete City, Spain. The study sample included 827 subjects aged 70 and over from the FRADEA Study. Mini Nutritional Assessment®-Short Form (MNA®-SF) was recorded at baseline. Use of hospital resources (hospital admissions, emergency visits, and specialist visits), and hospital healthcare costs were recorded at follow-up. Generalized linear models (GLM) adjusted for age, sex, comorbidity, polypharmacy, and disability in basic activities of daily living were used to estimate the impact of nutritional factors on total healthcare costs per person/year (€ base year 2013) as well as specialist visit costs, emergency department visit costs and hospitalization costs. RESULTS: The average cost associated with the use of health resources was 1922€/year. Subjects with MNA®-SF between 0 and 7 had an average total health cost of 3492€/year, 2744€/year in those with MNA®-SF between 8 and 11, and 1542€/year in those with MNA®-SF between 12 and 14. Of the total health cost, 67.2% was associated with hospital admission costs. Adjusted healthcare costs were 714€/year greater in subjects with malnutrition or nutritional risk. Subjects with malnutrition or nutritional risk presented an increased adjusted risk of hospitalization (OR1.72, 95% CI 1.22-2.43). CONCLUSIONS:Malnutrition assessed by MNA®-SF is a prognostic factor of high healthcare cost and use of resources in older adults.
Authors: Deyu Meng; Hongzhi Guo; Siyu Liang; Zhibo Tian; Ran Wang; Guang Yang; Ziheng Wang Journal: Int J Environ Res Public Health Date: 2022-06-07 Impact factor: 4.614
Authors: Ziyi Wang; Deyu Meng; Shichun He; Hongzhi Guo; Zhibo Tian; Meiqi Wei; Guang Yang; Ziheng Wang Journal: Int J Environ Res Public Health Date: 2022-09-04 Impact factor: 4.614
Authors: E O Hoogendijk; T Flores Ruano; M Martínez-Reig; M López-Utiel; S Lozoya-Moreno; E Dent; P Abizanda Journal: J Nutr Health Aging Date: 2018 Impact factor: 4.075