Epidemiology, Malnutrition
Conditions
Brief summary
To assess 16-year trends in undernutrition reporting and management in Switzerland
Detailed description
Analysis of data from the Swiss hospital discharge databases between 1998 and 2014. The database was provided by the Swiss federal office of statistics (http://www.bfs.admin.ch); it covers 98% of public and private hospitals within Switzerland and includes all stays for each hospital.
Interventions
OTHERNo intervention
Observational study using official data from the Federal Office of Statistics
Sponsors
Centre Hospitalier Universitaire Vaudois
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patients (aged ≥20 years), length of hospital stay \>1 day, not having any ICD-10 codes related to pregnancy, childbirth and puerperium (i.e. ICD-10 codes beginning with letter O) as main diagnosis, and having complete demographic data and information on main diagnosis and mortality
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| undernutrition reporting | 1998-2014 | ICD-10 codes E12 (undernutrition-related diabetes mellitus), E40 (kwashiorkor), E41 (nutritional marasmus), E42 (marasmic kwashiorkor), E43 (unspecified severe protein-energy undernutrition), E44 (protein-energy undernutrition of moderate and mild degree), E46 (unspecified protein-energy undernutrition), R63 (R63.0: Anorexia, R63.3: feeding difficulties and mismanagement; R63.4: abnormal weight loss and R63.6: Insufficient intake of food and water due to self-neglect), and R64 (cachexia). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| nutritional management | 1998-2014 | CHOP codes related to enteral nutrition (96.6 and 96.35), parenteral nutrition (99.15), nutritional advice and therapy (89.0A.30, 89.0A.31 or 89.0A.32, depending on year) and multimodal nutritional therapy (89.0A.4\*, where \*=any number). |
Other
| Measure | Time frame | Description |
|---|---|---|
| Length of stay | 1998-2014 | Overall length of hospital stay, in days |
| In-hospital mortality | 1998-2014 | Hospital mortality (code=deceased) |
| Nosocomial infection | 1998-2014 | ICD-10 codes T80.2 (Infections following infusion, transfusion and therapeutic injection); T82.6 (Infection and inflammatory reaction due to cardiac valve prosthesis); T82.7 (Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts); T83.5 (Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system); T83.6 (Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract); T84.5 (Infection and inflammatory reaction due to internal joint prosthesis); T84.6 (Infection and inflammatory reaction due to internal fixation device \[any site\]); T84.7 (Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts); T85.7 (Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts); A04.7 (Clostridium difficile infection); |
Outcome results
None listed