Karen Freijer1, Esther van Puffelen2, Koen F Joosten2, Jessie M Hulst2, Marc A Koopmanschap3. 1. Department of Health Services Research, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box, 616, 6200 MD Maastricht, The Netherlands. Electronic address: k.freyer@maastrichtuniversity.nl. 2. Intensive Care Unit, Department of Pediatrics and Pediatric Surgery, Erasmus Medical Centre-Sophia Children's Hospital, P.O. Box 2060, 3000 CB Rotterdam, The Netherlands. 3. Department of Health Policy and Management, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.
Abstract
INTRODUCTION: Disease related malnutrition (DRM) is a serious medical condition which is associated with an increase in morbidity and mortality, augmenting resource use and associated costs. DRM can be detected by actively and fully assessing the nutritional status. Studies in adult malnourished patients have shown that the additional health care costs are about € 2 billion (€ 2000 million) per year. The objective of the current study was to estimate the annual additional costs of DRM for pediatric patients as was done for adults. METHODS: A cost-of-illness analysis was performed to calculate the annual additional costs of DRM in 2015 pediatric patients (aged 1 month up to and including 17 years) admitted to non-academic hospitals in The Netherlands. DRM was assessed with weight-for-age, weight-for-height and height-for-age. Input variables in the formula used were length of stay and prevalence of DRM. The costs were estimated per disease as classified in the International Classification of Diseases by the WHO (ICD-10), per gender and age group. The results were expressed as an absolute monetary value as well as a percentage of the Dutch national health expenditure. Robustness of the results was checked by a sensitivity analysis. RESULTS: The total additional direct medical costs of DRM in pediatric patients in 2013 were estimated to be € 51 million for acute malnutrition, € 46 million when focused on chronic malnutrition and € 80 million in case of overall malnourished children. This equals 5.6% of the total Dutch hospital costs for these hospitalized children. CONCLUSIONS: This study has shown that DRM in hospitalized children is associated with an increase in annual hospital costs with an additional amount of € 80 million, of which acute malnutrition account for the largest part.
INTRODUCTION: Disease related malnutrition (DRM) is a serious medical condition which is associated with an increase in morbidity and mortality, augmenting resource use and associated costs. DRM can be detected by actively and fully assessing the nutritional status. Studies in adult malnourished patients have shown that the additional health care costs are about € 2 billion (€ 2000 million) per year. The objective of the current study was to estimate the annual additional costs of DRM for pediatric patients as was done for adults. METHODS: A cost-of-illness analysis was performed to calculate the annual additional costs of DRM in 2015 pediatric patients (aged 1 month up to and including 17 years) admitted to non-academic hospitals in The Netherlands. DRM was assessed with weight-for-age, weight-for-height and height-for-age. Input variables in the formula used were length of stay and prevalence of DRM. The costs were estimated per disease as classified in the International Classification of Diseases by the WHO (ICD-10), per gender and age group. The results were expressed as an absolute monetary value as well as a percentage of the Dutch national health expenditure. Robustness of the results was checked by a sensitivity analysis. RESULTS: The total additional direct medical costs of DRM in pediatric patients in 2013 were estimated to be € 51 million for acute malnutrition, € 46 million when focused on chronic malnutrition and € 80 million in case of overall malnourished children. This equals 5.6% of the total Dutch hospital costs for these hospitalized children. CONCLUSIONS: This study has shown that DRM in hospitalized children is associated with an increase in annual hospital costs with an additional amount of € 80 million, of which acute malnutrition account for the largest part.
Authors: Yoo Min Lee; Eell Ryoo; Jeana Hong; Ben Kang; Byung-Ho Choe; Ji-Hyun Seo; Ji Sook Park; Hyo-Jeong Jang; Yoon Lee; Eun Jae Chang; Ju Young Chang; Hae Jeong Lee; Ju Young Kim; Eun Hye Lee; Hyun Jin Kim; Ju-Young Chung; You Jin Choi; So Yoon Choi; Soon Chul Kim; Ki-Soo Kang; Dae Yong Yi; Kyung Rye Moon; Ji Hyuk Lee; Yong Joo Kim; Hye Ran Yang Journal: Nutr Res Pract Date: 2020-09-22 Impact factor: 1.926
Authors: Christina N Katsagoni; Olga Cheirakaki; Anastasia Hatzoglou; Ourania Zerva; Alexandra Koulieri; Konstantina Loizou; Emmanouela Vasileiadi; Maria Toilou; Kalliopi-Anna Poulia; Meropi D Kontogianni Journal: Nutrients Date: 2021-04-13 Impact factor: 5.717