alexa Adding A Dietician to the Liaison-Team after Discharge of Geriatric Patients at Nutritional Risk May Save Health Care Costs
ISSN: 2329-8847

Journal of Aging Science
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Research Article

Adding A Dietician to the Liaison-Team after Discharge of Geriatric Patients at Nutritional Risk May Save Health Care Costs

Anne Pohju1*, Kerstin Belqaid2, Christopher Brandt3, Kerstin Lugnet4, Anni Linnet Nielsen5, Henrik Højgaard Rasmussen6, Nanna ML Rasmussen7 and Anne Marie Beck8

1 Clinical Nutrition Unit, Helsinki University Central Hospital, Helsinki, Finland

2Department of Learning, Informatics, Management and Ethics, Karolinska Institute, Stockholm, Sweden

3Department of Medical Gastroenterology, Rigshospitalet, Copenhagen, Denmark

4Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden

5Department of Oncology, Herlev University Hospital, Herlev, Denmark

6Centre for Nutrition and Bowel Disease, Aalborg University Hospital, Aalborg, Denmark

7Department of Clinical Nutrition, Regional Hospital West Jutland, Holstebro, Denmark

8Department of Nutrition and Health, Metropolitan University College, Denmark

*Corresponding Author:
Anne Pohju
Clinical Nutrition Unit
Meilahti Tower Hospital
P.O. Box 340, Finland
Tel: +358 50 428 3013
E-mail: [email protected]

Received date: August 03, 2016; Accepted date: August 30, 2016; Published date: September 06, 2016

Citation: Pohju A, Belqaid K, Brandt C, Lugnet K, Nielsen AL, et al. (2016) Adding A Dietician to the Liaison-Team after Discharge of Geriatric Patients at Nutritional Risk May Save Health Care Costs. Aging Sci 4:159. doi: 10.4172/2329-8847.1000159

Copyright: © 2016 Pohju A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: A previous study investigated the value of adding a dietitian to a geriatric discharge Liaison-Team. The scope of this study was to explore the possible economic savings of this.

Methods: Patients, 70+ and at nutritional risk, were randomized to receive discharge Liaison-Team either with (intervention group, IG) or without a dietitian (control group, CG). The IG received three home visits by the dietitian during a 12-week period. Data included in the economic analysis was time spent by the dietitian, use of oral nutritional supplements (ONS) and number of hospitalization days.

Results: Of the 71 included patients, 34 were in the IG, 30 patients received all three dietitian visits. Cumulated number of hospitalization days was 172 in the IG and 415 in the CG. Use of ONS was 48% in the IG and 17% in the CG (P=0.001). Estimated cost for the dietitian and ONS combined in the IG was €9,416 compared to €1,150 (ONS only) in the CG. For hospitalizations, estimated cost was €92,020 in the IG and €220,025 in the CG. Cost savings added up to €3,048 per patient in the IG.

Conclusion: Adding a dietitian to a geriatric discharge Liaison-Team decreased health care costs.

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