Economic evaluation of individualized nutritional support in medical inpatients: Secondary analysis of the EFFORT trial.

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
Philipp SchuetzEFFORT trial collaborators

Abstract

Existing guidelines support the importance of nutritional interventions for medical inpatients at malnutrition risk to alleviate the impact of malnutrition on outcomes. While recent studies have reported positive effects of nutritional support on health outcomes, limited evidence exists on whether in-hospital nutritional support also results in economic advantages. We report the results of the economic evaluation of EFFORT-a pragmatic, investigator-initiated, open-label, multicenter trial. A total of 2028 medical inpatients at nutritional risk were randomly assigned to receive individualized nutritional support to reach protein and energy goals (intervention group; n = 1015) or standard hospital food (control group; n = 1013). To calculate the economic impact of nutritional support, a Markov model was developed with relevant health states. Costs were estimated for days in normal hospital ward and in the Intensive Care Unit (ICU), hospital-acquired complications, and nutritional support. We used a Euro conversion rate of 0.93216 Euro for 1 Swiss Franc (CHF). The estimated per-patient cost was CHF90 (83.78 €) for the in-hospital nutritional support and CHF283.85 (264.23 €) when also considering dietitian consultation time. Overal...Continue Reading

Citations

Sep 14, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Nina Kaegi-BraunPhilipp Schuetz
Feb 18, 2021·JPEN. Journal of Parenteral and Enteral Nutrition·Jennifer Wills-GallagherSuela Sulo
Mar 21, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Andriana EfthymiouUNKNOWN EFFORT study group
Mar 23, 2021·Clinical Nutrition ESPEN·Suela SuloM Isabel T D Correia
May 8, 2021·Journal of the American College of Cardiology·Lara HersbergerPhilipp Schuetz
May 3, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Annika BargetziPhilipp Schuetz
Aug 30, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Tristan StrujaPhilipp Schuetz

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