Malnutrition: The Importance of Identification, Documentation, and Coding in the Acute Care Setting

Jane KELLETT, Greg KYLE, Catherine Itsiopoulos, Mark NAUNTON, Narelle Luff

Research output: Contribution to journalArticle

11 Citations (Scopus)
1 Downloads (Pure)

Abstract

Malnutrition is a significant issue in the hospital setting. This cross-sectional, observational study determined the prevalence of malnutrition amongst 189 adult inpatients in a teaching hospital using the Patient-Generated Subjective Global Assessment tool and compared data to control groups for coding of malnutrition to determine the estimated unclaimed financial reimbursement associated with this comorbidity. Fifty-three percent of inpatients were classified as malnourished. Significant associations were found between malnutrition and increasing age, decreasing body mass index, and increased length of stay. Ninety-eight percent of malnourished patients were coded as malnourished in medical records. The results of the medical history audit of patients in control groups showed that between 0.9 and 5.4% of patients were coded as malnourished which is remarkably lower than the 52% of patients who were coded as malnourished from the point prevalence study data. This is most likely to be primarily due to lack of identification. The estimated unclaimed annual financial reimbursement due to undiagnosed or undocumented malnutrition based on the point prevalence study was AU$8,536,200. The study found that half the patients were malnourished, with older adults being particularly vulnerable. It is imperative that malnutrition is diagnosed and accurately documented and coded, so appropriate coding, funding reimbursement, and treatment can occur.
Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalJournal of Nutrition and Metabolism
Volume2016
DOIs
Publication statusPublished - 2016

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Malnutrition
Documentation
malnutrition
Cross-Sectional Studies
Inpatients
Medical Audit
Control Groups
medical history
Teaching Hospitals
audits
Medical Records
Observational Studies
Comorbidity
Length of Stay
Body Mass Index
observational studies
funding
body mass index

Cite this

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Malnutrition: The Importance of Identification, Documentation, and Coding in the Acute Care Setting. / KELLETT, Jane; KYLE, Greg; Itsiopoulos, Catherine; NAUNTON, Mark; Luff, Narelle.

In: Journal of Nutrition and Metabolism, Vol. 2016, 2016, p. 1-6.

Research output: Contribution to journalArticle

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