Pengaruh Perubahan Status Gizi Pasien Dewasa terhadap Lama Rawat Inap dan Biaya Rumah Sakit

https://doi.org/10.22146/ijcn.15359

R Dwi Budiningsari(1*)

(1) Program Studi S1 Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: The decline in nutritional status of hospitalized patients was reported to be assossiated with longer length of stay and higher hospital charges. However, the effect of changes in nutritional status on hospital outcomes in Indonesia is still unknown.

Objective: To determine the effect of changes in nutritional status on length of stay and hospital charge among adult hospitalized patients.

Method: A total subjects of 262 adult patients who were admitted to internal and neurology departments of Dr. Sardjito, Dr.M.Jamil, and Sanglah hospitals were included in this study. Nutritional status of each patient was assessed using Subjective Global Assessment (SGA) method. Information on length of stay and hospital charge was collected based on medical records.

Results: Subjects with nutritional status declined from normally to moderately, normally to severely, and moderately to severely malnourished were 6,3 (OR=6.32, 95% CI=1,3-29,8); 11,9 (OR=11.94, 95% CI=1,02-139,1); and 6,90 (OR=6.9, 95%CI=1,5-32,0 )times more likely to stay longer than those with nutritional status stayed normal during hospitalitation. They also had 3,3; unlimited; and 1,76 times risk on higher hospital charges than reference group (95% CI=1,123-9,529; unlimited; and 0,590-5,245).

Conclusions: The declines of nutritional status from normally to moderately, normally to severely, and moderately to severely malnourished in hospitalized patients influenced to longer length of stay. Normally to moderately and normally to severely malnourished in hospitalized patients influenced to higher hospital charges.


Keywords


hospital malnutrition; length of stay; hospital charges

Full Text:

PDF


References

Fischer FE. The dietitian in the hospital setting. In: Schneider HA, Anderson CE, Coursin DB, editors. Nutritional support of medical practice. Hargerstown: Medical Department Harper & Row Publishers; 1977.

Weinsier RL, Hunker EM, Krumdieck CL, et al. Hospital malnutrition. A prospective evaluation of general medical patients during the course of hospitalization. Am J Clin Nutr 1979;32:418-26.

McWhirter JP, and Pennington CR. Incidence and recognition of malnutrition in hospital. British Medical

Journal 1994;308:945-948.

Braunschweig C, Gomez S, and Sheean PM. Impact of declines in nutritional status on outcomes in adult patients hospitalized for more than 7 days. J Am Diet Assoc 2000;100:1316-22.

Wyszynski DF, Crivelli A, Ezquerro S, et al. Assessment of nutritional status in a population of recently hospitalized patients. Medicina (B Aires) 1998;58:51-7.

Smith PE, and Smith A. High nutritional interventions reduce costs. Healthcare Financial Management 1997;66-9.

Detsky AS, McLaughlin JR, Baker JP, et al. What is subjective global assessment of nutritional status?

JPEN 1987;11:8-13.

Messner RL, Stephens N, Wheeler WE, et al. Effect of admission nutritional status on length of stay. Society of Gastroenterology Nurses and Associates 1991;202-5.

Robinson RN, Goldstein MSN, and Levine GM. Impact of nutritional status on DRG length of stay. JPEN 1987;11(1):49-51.

Chima CS, Barco K, Dewitt ML, et al. Relationship of nutritional status to length of stay, hospital costs and discharge status of patient hospitalized in the medicine service. J Am Diet Assoc 1997;97(9):975-8.

Naber THJ, Schermer T, Bree A, et al. Prevalence of malnutrition in nonsurgical hospitalized patients and its association with disease complication. Am J Clin Nutr 1997;97(66):1232-9.

Chu L., Eberhardie C, Forte D, et al. An audit of measuring equipment in elderly care. Professional Nurse 1999;14(7):463-6.

Rackow JR. Nutritional care of the patients in office practice. Hargerstown: Medical Department Harper & Row Publishers; 1981.



DOI: https://doi.org/10.22146/ijcn.15359

Article Metrics

Abstract views : 1150 | views : 3948

Refbacks

  • There are currently no refbacks.




Copyright (c) 2016 Jurnal Gizi Klinik Indonesia (The Indonesian Journal of Clinical Nutrition)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
 Crossref   Google Scholar Indonesian Scientific Journal Database (ISJD) Indonesia OneSearch (IOS)  CORE   

  Creative Commons License

JGKI is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

free
web stats View My Stats