Document Detail


Diagnosis-related group impact of nutrition support in cardiac surgery patients.
MedLine Citation:
PMID:  3141644     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied the diagnosis-related groups (DRG) impact of nutrition support on 80 consecutive cardiac surgery patients operated upon during a 6-month period. Six of 80 patients were nutritionally depleted preoperatively. Seven received postoperative supplemental nutrition, all of whom had major postoperative complications. Patients were arbitrarily placed into three outcome groups: group I consisted of seven patients who received postoperative nutrition support; group II included 38 patients who received no nutrition support and did not develop complications; Group III consisted of 35 patients who received no nutrition support but developed postoperative complications. All group I patients were length of stay (LOS) outliers. Group I patients were significantly older than groups II and III (p less than 0.0003) and had a significantly longer average length of stay (ALOS) (p less than 0.001), ALOS in SICU (p less than 0.0001) and greater incidence of both septic complications (p less than 0.02) and mortality (p less than 0.02). Nutrition support in cardiac surgery patients warrants special DRG consideration in light of the significantly increased hospitalization and resource utilization as compared with all other patients in cardiac surgery.
Authors:
L Flancbaum; R E Brolin; M Kirzecky; B A Mast; C E Smith; H A Kenler; E M Wallis; J W Mackenzie
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  JPEN. Journal of parenteral and enteral nutrition     Volume:  12     ISSN:  0148-6071     ISO Abbreviation:  JPEN J Parenter Enteral Nutr     Publication Date:    1988 Sep-Oct
Date Detail:
Created Date:  1988-12-14     Completed Date:  1988-12-14     Revised Date:  2007-02-21    
Medline Journal Info:
Nlm Unique ID:  7804134     Medline TA:  JPEN J Parenter Enteral Nutr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  473-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, UMDNJ-Robert Wood Johnson Medical School, New Brunswick 08903.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiac Surgical Procedures / economics*
Costs and Cost Analysis
Diagnosis-Related Groups*
Enteral Nutrition / economics*
Hospitalization / economics
Humans
Length of Stay
Middle Aged
Nutrition Disorders / economics*,  therapy
Postoperative Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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