Skip to main content
Journal cover image

Can Oral Nutritional Supplements Improve Medicare Patient Outcomes in the Hospital?

Publication ,  Journal Article
Lakdawalla, DN; Snider, JT; Perlroth, DJ; LaVallee, C; Linthicum, MT; Philipson, TJ; Partridge, JS; Wischmeyer, PE
Published in: Forum Health Econ Policy
September 1, 2014

We analyzed the effect of oral nutritional supplement (ONS) use on 30-day readmission rates, length of stay (LOS), and episode costs in hospitalized Medicare patients (≥65), and subsets of patients diagnosed with acute myocardial infarction (AMI), congestive heart failure (CHF) or pneumonia (PNA). Propensity-score matching and instrumental variables were used to analyze ONS and non-ONS episodes from the Premier Research Database (2000-2010). ONS use was associated with reductions in probability of 30-day readmission by 12.0% in AMI and 10.1% in CHF. LOS decreases of 10.9% in AMI, 14.2% in CHF, and 8.5% in PNA were associated with ONS, as were decreases in episode costs in AMI, CHF and PNA of 5.1%, 7.8% and 10.6%, respectively. The effect on LOS and episode cost was greatest for the Any Diagnosis population, with decreases of 16.0% and 15.8%, respectively. ONS use in hospitalized Medicare patients ≥65 is associated with improved outcomes and decreased healthcare costs, and is therefore relevant to providers seeking an inexpensive, evidence-based approach for meeting Affordable Care Act quality targets.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Forum Health Econ Policy

DOI

EISSN

1558-9544

Publication Date

September 1, 2014

Volume

17

Issue

2

Start / End Page

131 / 151

Location

Germany

Related Subject Headings

  • 4202 Epidemiology
  • 3801 Applied economics
  • 1499 Other Economics
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lakdawalla, D. N., Snider, J. T., Perlroth, D. J., LaVallee, C., Linthicum, M. T., Philipson, T. J., … Wischmeyer, P. E. (2014). Can Oral Nutritional Supplements Improve Medicare Patient Outcomes in the Hospital? Forum Health Econ Policy, 17(2), 131–151. https://doi.org/10.1515/fhep-2014-0011
Lakdawalla, Darius N., Julia Thornton Snider, Daniella J. Perlroth, Chris LaVallee, Mark T. Linthicum, Tomas J. Philipson, Jamie S. Partridge, and Paul E. Wischmeyer. “Can Oral Nutritional Supplements Improve Medicare Patient Outcomes in the Hospital?Forum Health Econ Policy 17, no. 2 (September 1, 2014): 131–51. https://doi.org/10.1515/fhep-2014-0011.
Lakdawalla DN, Snider JT, Perlroth DJ, LaVallee C, Linthicum MT, Philipson TJ, et al. Can Oral Nutritional Supplements Improve Medicare Patient Outcomes in the Hospital? Forum Health Econ Policy. 2014 Sep 1;17(2):131–51.
Lakdawalla, Darius N., et al. “Can Oral Nutritional Supplements Improve Medicare Patient Outcomes in the Hospital?Forum Health Econ Policy, vol. 17, no. 2, Sept. 2014, pp. 131–51. Pubmed, doi:10.1515/fhep-2014-0011.
Lakdawalla DN, Snider JT, Perlroth DJ, LaVallee C, Linthicum MT, Philipson TJ, Partridge JS, Wischmeyer PE. Can Oral Nutritional Supplements Improve Medicare Patient Outcomes in the Hospital? Forum Health Econ Policy. 2014 Sep 1;17(2):131–151.
Journal cover image

Published In

Forum Health Econ Policy

DOI

EISSN

1558-9544

Publication Date

September 1, 2014

Volume

17

Issue

2

Start / End Page

131 / 151

Location

Germany

Related Subject Headings

  • 4202 Epidemiology
  • 3801 Applied economics
  • 1499 Other Economics
  • 1117 Public Health and Health Services