| アブストラクト | BACKGROUND & AIMS: To examine the effect of malnutrition on clinical outcomes and healthcare resource use from initial diagnosis by a general practitioner (GP) in the UK. METHODS: 1000 records of malnourished patients were randomly selected from The Health Improvement Network database and matched with a sample of 996 patients' records with no previous history of malnutrition. Patients' outcomes and resource use were quantified for six months following diagnosis. RESULTS: Malnourished patients utilised significantly more healthcare resources (e.g. 18.90 versus 9.12 GP consultations; p < 0.001, and 13% versus 5% were hospitalised; p < 0.05). The six-monthly cost of managing the malnourished and non-malnourished group was pound1753 and pound750 per patient respectively, generating an incremental cost of care following a diagnosis of malnutrition of pound1003 per patient. Thirteen percent and 2% of patients died in the malnourished and non-malnourished group respectively (p < 0.001). Independent predictors of mortality were: malnutrition (OR: 7.70); age (per 10 years) (OR: 10.46); and the Charlson Comorbidity Index Score (per unit score) (OR: 1.24). CONCLUSION: The healthcare cost of managing malnourished patients was more than twice that of managing non-malnourished patients, due to increased use of healthcare resources. After adjusting for age and comorbidity, malnutrition remained an independent predictor of mortality. |
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| ジャーナル名 | Clinical nutrition (Edinburgh, Scotland) |
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| 投稿日 | 2011/3/17 |
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| 投稿者 | Guest, Julian F; Panca, Monica; Baeyens, Jean-Pierre; de Man, Frank; Ljungqvist, Olle; Pichard, Claude; Wait, Suzanne; Wilson, Lisa |
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| 組織名 | Catalyst Health Economics Consultants, Northwood, Middlesex, UK.;julian.guest@catalyst-health.co.uk |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/21406315/ |
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