Ökonomische Aspekte der Mangelernährung


Several studies have reported an association with malnutrition and an increased risk of subsequent in-hospital morbidity and mortality. In a recent study at our institution up to 20% of gastroenterological patients were classified to be malnourished according the subjectiv global assesment (SGA) [Pirlich et al.]. Despite its high prevalence, malnutrition is often not recognised and not treated in the abscence of nutritional screening programs. Malnutrition results in higher hospital costs as a result of requiring a higher intensive of care or services, as well as longer length of stay [Ockenga et al. 2005]. In addition, nalnutrition increases health-care cost directly and indirectly and there is growing eveidence that treating malnutrition is economically beneficial [Waitzberg et al. 2004]. The current prospective study evaluates the malnutrition associated cost during hospital stay.
Head of Project:

PD DR. Johann Ockenga
Charité - Universitätsmedizin Berlin
Department of Internal Medicine, Gastroenterology and Hepatology CCM
Tel. 514034
Fax 514923
johann.ockenga@charite.de
Additional Member of Project:

M. Freudenreich; PD Dr. M. Pirlich; K. Norman
Begin/End of Project:

10/2005 - 09/2008
Funded by:

Fresenius Kabi Deutschland GmbH
Publications:

1: Ockenga J, Valentini L.Review article: anorexia and cachexia in gastrointestinal cancer. Aliment Pharmacol Ther. 2005 Oct 1;22(7):583-94. 2: Ockenga J, Borchert K, Stuber E, Lochs H, Manns MP, Bischoff SC. Glutamine-enriched total parenteral nutrition in patients with inflammatory bowel disease. Eur J Clin Nutr. 2005 Nov;59(11):1302-9. 3: Ockenga J, Freudenreich M, Zakonsky R, Norman K, Pirlich M, Lochs H. Nutritional assessment and management in hospitalised patients: Implication for DRG-based reimbursement and health care quality. Clin Nutr. 2005 Jul 18; 4: Pirlich M, Schutz T, Ockenga J, Biering H, Gerl H, Schmidt B, Ertl S, Plauth M, Lochs H.Improved assessment of body cell mass by segmental bioimpedance analysis in malnourished subjects and acromegaly. Clin Nutr. 2003 Apr;22(2):167-74. Erratum in: Clin Nutr. 2004 Apr;23(2):285-6. 5: Kyle UG, Schneider SM, Pirlich M, Lochs H, Hebuterne X, Pichard C. Does nutritional risk, as assessed by Nutritional Risk Index, increase during hospital stay? A multinational population-based study. Clin Nutr. 2005 Aug;24(4):516-24. 6: Pirlich M, Schutz T, Kemps M, Luhman N, Minko N, Lubke HJ, Rossnagel K, Willich SN, Lochs H. Social risk factors for hospital malnutrition. Nutrition. 2005 Mar;21(3):295-300. 7: Norman K, Schutz T, Kemps M, Josef Lubke H, Lochs H, Pirlich M. The Subjective Global Assessment reliably identifies malnutrition-related muscle dysfunction. Clin Nutr. 2005 Feb;24(1):143-50. 8: Kyle UG, Pirlich M, Lochs H, Schuetz T, Pichard C. Increased length of hospital stay in underweight and overweight patients at hospital admission: a controlled population study. Clin Nutr. 2005 Feb;24(1):133-42. 9: Kyle UG, Pirlich M, Schuetz T, Lochs H, Pichard C. Is nutritional depletion by Nutritional Risk Index associated with increased length of hospital stay? A population-based study. JPEN J Parenter Enteral Nutr. 2004 Mar-Apr;28(2):99-104.