Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/71255
Título: Cost-effectiveness of the hospital nutrition screening tool CIPA
Autores/as: Suárez-Llanos, José Pablo
Vallejo Torres, Laura 
García-Bello, Miguel Ángel
Hernández-Carballo, Carolina
Calderón-Ledezma, Eduardo Mauricio
Rosat-Rodrigo, Adriá
Delgado-Brito, Irina
Pereyra-García-Castro, Francisca
Benitez-Brito, Nestor
Felipe-Pérez, Nieves
Ramallo-Fariña, Yolanda
Romero-Pérez, Juan Carlos
Clasificación UNESCO: 32 Ciencias médicas
Palabras clave: Cost-Benefit Analysis
Inpatients
Malnutrition
Nutrition Assessment
Quality Of Life
Fecha de publicación: 2020
Publicación seriada: Archives Of Medical Science
Resumen: 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.
URI: http://hdl.handle.net/10553/71255
ISSN: 1896-9151
DOI: 10.5114/aoms.2018.81128
Fuente: Archives Of Medical Science[ISSN 1734-1922],v. 16 (2), p. 273-281, (Febrero 2020)
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