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Table 26Nutrition screening -- Economic evaluations: results

StudyComparisonEffectiveness (per patient)Cost (per patient)Incremental cost-effectiveness ratio (ICER)
Rypkema et al 2004, Netherlands2991) Protocol, which includes screening for malnutrition (MNA-sf), dysphagia and dehydration on admission followed by immediate interventions (incl menu modification or supplements)

2) Standard care
Weight change (all patients): 1) 0.92 kg vs. 2) −0.76 kg [p<0.001]

Weight change (excluding oedema or heart failure):
1) 1.0 kg vs. 2) 0.0 kg [p=0.017]
Including hospitalisation cost
1) 7516 euro vs. 2) 7908

Excluding hospitalisation cost
1) vs. 2) +94 euros (sensitivity range*: 80 to- +110 euros)

‘Worst case scenario’**
1) vs. 2) +835 euros
Including hospitalisation cost
1) dominates 2)

Excluding hospitalisation cost
1) vs. 2) 56 euros per Kg gained (CI: 38–105)

‘Worst case scenario’**
1) vs. 2) 530 euro per kg gained
*

Excluding hospitalisation costs and using the CI for difference in antibiotics cost

**

Using upper CI for difference hospitalisation costs

Excluding hospitalisation costs and using the CI for difference in antibiotics cost

Using upper CI for difference hospitalisation costs

From: Appendix Four, Evidence Tables

Cover of Nutrition Support for Adults
Nutrition Support for Adults: Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition.
NICE Clinical Guidelines, No. 32.
National Collaborating Centre for Acute Care (UK).
Copyright © 2006, National Collaborating Centre for Acute Care.

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