Denutrition Clinical Trial
Official title:
The Impact of Denutrition on the Hospital Length of Stay for Patients Undergoing Rehabilitation
Denutrition is defined as a measurable decrease in functions and/or as change in the body
composition, associated with a worsening of the prognosis of the underlying medico-surgical
pathology. It is induced by a deficiency in energy, proteins or any other micro or
macronutrient and is the result of malnutrition, itself caused by a poor diet or a metabolic
disorder.
According to the National Nutrition and Health Plan for Belgium, denutrition is an
independent risk factor for the increase of complications, morbidity and mortality rates,
average length of hospitalisation and global medical care cost. It is necessary to invest in
the prevention of denutrition as the costs of preventive measures are lower than the cost of
treating a denutrished patient.
The Belgian financing system of hospitalisation days is based on the structure of the treated
pathologies, the age of the patient and the geriatric features of the patient. It encourages
all hospitals to lower the length of hospitalisation to the national average for all these
criteria. As a consequence, there is a mounting tendency to shorten the average length of
stay within the hospital.
The so-called 'Sp' hospital departments occupy a specific place within the organisation of
Health Services in Belgium. They are specialized in the treatment and rehabilitation of
patients with cardiopulmonary, neurological, locomotor, psycho-geriatric and chronic
diseases. These services act as an extension of acute services (continuity of acute
hospitalisation) but also as a first entry point for the medical care of patients with
various specific diseases (multiple sclerosis, psycho-geriatric disorders, chronic pulmonary
disorders...).
The financing of the Sp departments is, as opposed to the financing of other departments, not
linked to the patient length of stay. However, an increase in hospitalization duration
decreases the rate of admissions and the possibility to accept patients coming from acute
hospital units.
The aim of the study is to evaluate the influence of denutrition of patients hospitalized in
an Sp department on the length of revalidation stay, the associated costs and the patient's
functional autonomy.
n/a
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