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The Impact of Malnutrition
The problems associated with malnutrition translate
into significant institutional costs, both as a direct
result of complications and from increased length
of stay:
- Malnourished patients have an average length
of stay (ALOS) twice that of adequately nourished
patients
- An estimated 40% to 70% of patient hospital
days are utilized by patients who are malnourished

Source: Weinsier 1979,
n=134
The following
chart illustrates the costs incurred by 770 surgical
and medical patients at a major urban medical center
who were classified as either malnourished or adequately
nourished:


Source: Reilly et al, JPEN,
1988
Another study
(P. Smith 1988) calculated the "malnutrition penalty
cost" to both a small town hospital and a large
urban teaching hospital; malnutrition increased the
small town hospital's costs by 19.4%, and the teaching
hospital's costs by 37.6%. An analysis of the costs
incurred by 100 patients at the latter institution revealed
that the malnourished patients consumed a disproportionate
share of the hospital's resources, as illustrated in
the chart below:

Source: Smith 1988
Attacking Malnutrition: A Win/Win
Scenario
The enormous real costs of malnutrition in terms
of patient outcomes and institutional revenues and
resources have begun to be recognized by healthcare
professionals and administrators. Attacking malnutrition,
using resources already in place, has resulted in
significant cost reductions, increased reimbursement,
and most importantly, improved patient outcomes.
To learn more about this problem and how to cost-effectively
and efficiently identify the patients at risk, please click
here or use the Navigation Bar to select a specific
page to visit.
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