Journal article
Malnutrition diagnoses in hospitalized patients: United States, 2010
JPEN. Journal of parenteral and enteral nutrition, v 38(2)
Feb 2014
PMID: 24247093
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Malnutrition is common among hospitalized patients in the United States, and its coded prevalence is increasing. Malnutrition is known to be associated with increased morbidity, mortality and healthcare costs. Although national data indicate that the number of malnutrition diagnoses among hospital discharges has been steadily rising, an in-depth examination of the demographic and clinical characteristics of these patients has not been conducted. We examined data from the 2010 Healthcare Cost and Utilization Project (HCUP), the most recent nationally-representative data describing U.S. hospital discharges. Using ICD-9 codes, we constructed a composite variable indicating a diagnosis of malnutrition. Based on our definition, 3.2% of all U.S. hospital discharges in 2010 had this diagnosis. Relative to patients without a malnutrition diagnosis, those with the diagnosis were older, had longer lengths of stay and incurred higher costs. These patients were more likely to have 27 of 29 comorbidities assessed in HCUP. Finally, discharge to home care was twice as common among malnourished patients, and a discharge of death was more than 5 times as common among patients with a malnutrition diagnosis. Taken together, these nationally representative, cross-sectional data indicate that hospitalized patients discharged with a diagnosis of malnutrition are older and sicker and their inpatient care is more expensive than their counterparts without this diagnosis.
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Details
- Title
- Malnutrition diagnoses in hospitalized patients: United States, 2010
- Creators
- Mark R Corkins - Le Bonheur Children's HospitalPeggi Guenter - American Society for Parenteral and Enteral NutritionRose Ann DiMaria-Ghalili - Drexel UniversityGordon L Jensen - Pennsylvania State UniversityAinsley Malone - #N# 5Mt. Carmel West Hospital, Columbus, OhioSarah Miller - University of MontanaVihas Patel - Brigham and Women's HospitalSteve Plogsted - Nationwide Children's HospitalHelaine E Resnick - American Society for Parenteral and Enteral NutritionAmerican Society for Parenteral and Enteral Nutrition
- Publication Details
- JPEN. Journal of parenteral and enteral nutrition, v 38(2)
- Publisher
- Sage
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- School of Education; College of Nursing and Health Professions
- Web of Science ID
- WOS:000331124600007
- Scopus ID
- 2-s2.0-84893075896
- Other Identifier
- 991019167948704721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nutrition & Dietetics