ASPEN is working to gather U.S. data on numbers of nutrition support patients in a variety of settings. These numbers are vital to explaining the nutrition support field and need for services and personnel. These patient data are current as of November 2015.
Malnutrition
AHRQ Healthcare Costs and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS)
Patient and hospital characteristics for
ICD-9-CM 260, 261,262, 263.0-263.2,263.8-263.9,579.3, 764.12-764.29, 764.90-764.99,783.21-783.22,783.41,995.52,995.84 Malnutrition codes
2010 data: 3.9% of discharges from short stay hospitals coded for malnutrition
2011 data: 4.7% of discharges from short stay hospitals coded for malnutrition
2012 data: 4.5% of discharges from short stay hospitals coded for malnutrition
2013 data: 4.8% of discharges from short stay hospitals coded for malnutrition
Rates of malnutrition in selected populations are much higher in many reports:
See The Joint Commission Journal on Quality and Patient Safety article Addressing Disease-Related Malnutrition in Hospitalized Patients: A Call for a National Goal
Acute Care Inpatient Enteral Patients
AHRQ Healthcare Costs and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS)
2013 data: Total of 35,597,792 discharges from short stay hospitals. Those that received EN Infusion (ICD-9 procedure code 96.6)= 255,110 or 0.72% of discharges (22.6% were pediatric, 44.3% were older adults)
Acute Care Inpatient Parenteral Patients:
AHRQ Healthcare Costs and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS)
2013 data: Total of 35,597,792 discharges from short stay hospitals. Those that received Parenteral Nutrition Infusion (ICD-9 Procedure Code 99.15)= 302,250 or 0.85% of discharges (40.5% were pediatric, 29.7% were older adults)
Home Care Enteral Nutrition Patients:
Medicare data 73,000 home enteral patients (1992 data). Delegge, M. Home enteral nutrition. JPEN J Parenter Enteral Nutr. 2002; 26: S4-S7.
Home Care Parenteral Patients:
2002 Coram data 39,000 Home TPN patients. Ireton-Jones C, et al. Management of the Home Parenteral Nutrition Patient. Nutr Clin Pract. 2003;18:310-317.
Long-Term Care Enteral Patients:
Need to further explore the CDC National Center Health Statistics Nursing Home Data
Long-Term Care Parenteral Patients:
Need to further explore the CDC National Center Health Statistics Nursing Home Data