Impact of gaps in care for malnourished patients on length of stay and hospital readmission
Abstract Background Few published articles have focused on identifying the gaps in care that follow a malnutrition diagnosis and their effects on length of stay (LOS) and 90-day readmission. We hypothesized that length of stay and readmission were associated with these gaps in care. Methods Two regi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-02-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-019-3918-3 |
| _version_ | 1819018220390055936 |
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| author | Joanna Bryan Ringel Deanna Jannat-Khah Rachel Chambers Emily Russo Louise Merriman Renuka Gupta |
| author_facet | Joanna Bryan Ringel Deanna Jannat-Khah Rachel Chambers Emily Russo Louise Merriman Renuka Gupta |
| author_sort | Joanna Bryan Ringel |
| collection | DOAJ |
| description | Abstract Background Few published articles have focused on identifying the gaps in care that follow a malnutrition diagnosis and their effects on length of stay (LOS) and 90-day readmission. We hypothesized that length of stay and readmission were associated with these gaps in care. Methods Two registered dietitians retrospectively reviewed charts of 229 adult malnourished patients admitted to a medicine unit to determine their system level gap in care: communication, test delay, or discharge planning. In this secondary analysis, both readmission and length of stay were regressed on each gap in care. Results Any system level gap was associated with a greater length of stay (β: 1.48, 95% CI: 1.15–1.91) and specifically the gap related to procedure/testing (β: 2.01, 95% CI: 1.62–2.47) resulted in a two-fold increase in length of stay. There was no association between 90-day readmission and any of the gaps in care. Conclusions There was a strong association between those who had any gap in their care and increased length of stay. Mitigating gaps in care may decrease length of stay and, in turn, result in less risk of infection and could potentially lead to reduced healthcare costs. |
| first_indexed | 2024-12-21T03:15:57Z |
| format | Article |
| id | doaj.art-30b1f49ee2d04fffb4d6730006bf0482 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-21T03:15:57Z |
| publishDate | 2019-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-30b1f49ee2d04fffb4d6730006bf04822022-12-21T19:17:50ZengBMCBMC Health Services Research1472-69632019-02-011911610.1186/s12913-019-3918-3Impact of gaps in care for malnourished patients on length of stay and hospital readmissionJoanna Bryan Ringel0Deanna Jannat-Khah1Rachel Chambers2Emily Russo3Louise Merriman4Renuka Gupta5Division of General Internal Medicine, Weill Cornell Medical CollegeDivision of General Internal Medicine, Weill Cornell Medical CollegeFood and Nutrition, New York-Presbyterian HospitalFood and Nutrition, New York-Presbyterian HospitalFood and Nutrition, New York-Presbyterian HospitalDivision of General Internal Medicine, Weill Cornell Medical CollegeAbstract Background Few published articles have focused on identifying the gaps in care that follow a malnutrition diagnosis and their effects on length of stay (LOS) and 90-day readmission. We hypothesized that length of stay and readmission were associated with these gaps in care. Methods Two registered dietitians retrospectively reviewed charts of 229 adult malnourished patients admitted to a medicine unit to determine their system level gap in care: communication, test delay, or discharge planning. In this secondary analysis, both readmission and length of stay were regressed on each gap in care. Results Any system level gap was associated with a greater length of stay (β: 1.48, 95% CI: 1.15–1.91) and specifically the gap related to procedure/testing (β: 2.01, 95% CI: 1.62–2.47) resulted in a two-fold increase in length of stay. There was no association between 90-day readmission and any of the gaps in care. Conclusions There was a strong association between those who had any gap in their care and increased length of stay. Mitigating gaps in care may decrease length of stay and, in turn, result in less risk of infection and could potentially lead to reduced healthcare costs.http://link.springer.com/article/10.1186/s12913-019-3918-3MalnutritionDischargeCommunicationLength of stayReadmission |
| spellingShingle | Joanna Bryan Ringel Deanna Jannat-Khah Rachel Chambers Emily Russo Louise Merriman Renuka Gupta Impact of gaps in care for malnourished patients on length of stay and hospital readmission BMC Health Services Research Malnutrition Discharge Communication Length of stay Readmission |
| title | Impact of gaps in care for malnourished patients on length of stay and hospital readmission |
| title_full | Impact of gaps in care for malnourished patients on length of stay and hospital readmission |
| title_fullStr | Impact of gaps in care for malnourished patients on length of stay and hospital readmission |
| title_full_unstemmed | Impact of gaps in care for malnourished patients on length of stay and hospital readmission |
| title_short | Impact of gaps in care for malnourished patients on length of stay and hospital readmission |
| title_sort | impact of gaps in care for malnourished patients on length of stay and hospital readmission |
| topic | Malnutrition Discharge Communication Length of stay Readmission |
| url | http://link.springer.com/article/10.1186/s12913-019-3918-3 |
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