Dataset Information

Cost-effectiveness of the hospital nutrition screening tool CIPA.

ABSTRACT:

Introduction

Hospital malnutrition is very common and worsens the clinical course of patients while increasing costs. Lacking clinical-economic studies on the implementation of nutrition screening encouraged the evaluation of the CIPA (Control of Food Intake, Protein, Anthropometry) tool.

Material and methods

An open, non-randomized, controlled clinical trial was conducted on patients admitted to internal medicine and general and digestive surgery wards, who were either assigned to a control (standard hospital clinical care) or to an intervention, CIPA-performing ward (412 and 411, respectively; n = 823). Length of stay, mortality, readmission, in-hospital complications, and quality of life were evaluated. Cost-effectiveness was analysed in terms of cost per quality-adjusted life years (QALYs).

Results

The mean length of stay was higher in the CIPA group, though not significantly (+ 0.95 days; p = 0.230). On the surgical ward, more patients from the control group moved to critical care units (p = 0.014); the other clinical variables did not vary. Quality of life at discharge was similar (p = 0.53), although slightly higher in the CIPA group at 3 months (p = 0.089). Patients under CIPA screening had a higher mean cost of € 691.6 and a mean QALY gain over a 3-month period of 0.0042. While the cost per QALY for the internal medicine patients was € 642 282, the results for surgical patients suggest that the screening tool is both less costly and more effective.

Conclusions

The CIPA nutrition screening tool is likely to be cost-effective in surgical but not in internal medicine patients.

SUBMITTER: Suarez-Llanos JP

PROVIDER: S-EPMC7069439 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Publications

Cost-effectiveness of the hospital nutrition screening tool CIPA.

Suárez-Llanos José Pablo JP Vallejo-Torres Laura L García-Bello Miguel Ángel MÁ Hernández-Carballo Carolina C Calderón-Ledezma Eduardo Mauricio EM Rosat-Rodrigo Adriá A Delgado-Brito Irina I Pereyra-García-Castro Francisca F Benitez-Brito Nestor N Felipe-Pérez Nieves N Ramallo-Fariña Yolanda Y Romero-Pérez Juan Carlos JC

Archives of medical science : AMS 20190111 2

<h4>Introduction</h4>Hospital malnutrition is very common and worsens the clinical course of patients while increasing costs. Lacking clinical-economic studies on the implementation of nutrition screening encouraged the evaluation of the CIPA (Control of Food Intake, Protein, Anthropometry) tool.<h4>Material and methods</h4>An open, non-randomized, controlled clinical trial was conducted on patients admitted to internal medicine and general and digestive surgery wards, who were either assigned t ...[more]

PMID: 32190136

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Dataset Information

Cost-effectiveness of the hospital nutrition screening tool CIPA.

Introduction

Material and methods

Results

Conclusions

Publications

Cost-effectiveness of the hospital nutrition screening tool CIPA.

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