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Background <p>This study aimed to examine the effectiveness of combined nutritional screening for assessing the malnutrition risk in hospitalized patients with inflammatory bowel disease (IBDs) from the viewpoint of clinical outcomes.</p> Methods <p>The retrospective case–control study enrolled 625&#xa0;patients admitted to our ward for treatment of IBD. Their records were stratified into the combined screening group receiving the IBD-specific and basic nutritional screening and the control group matched 1:1 for age and sex receiving routine nutritional screening alone. The primary endpoint was early readmission within 30&#xa0;days after discharge. Secondary outcomes included complications, length of hospital stay (LOS), and quality-adjusted life years (QALYs) as assessed during the 12-month follow-up period.</p> Results <p>Among patients in the combined screening group, a&#xa0;risk of malnutrition was identified in 58.9% of cases compared to 45.7% in the control group (mean difference = −13.2%, <i>p</i> = 0.009). The mean LOS in the control group was 11.93 ± 2.34&#xa0;days, which was significantly greater than in the combined screening group (7.23 ± 1.50; <i>p</i> &lt; 0.001). The means of QALYs calculated using the area under the curve up to&#xa0;3, 6, and 12&#xa0;months after discharge were significantly lower in the combined screening group as compared to the control group (all <i>p</i> &lt; 0.05). No serious complications were observed in either group.</p> Conclusion <p>The combination of IBD-specific nutritional screening with basic screening was better at detecting malnutrition in hospitalized IBD patients than routine screening. The benefit accounted for a&#xa0;significant reduction in LOS and early readmissions and an improvement in QALYs scores over the 12-month follow-up period.</p>

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Combined nutritional screening and its clinical outcome in hospitalized patients with inflammatory bowel disease

  • 期刊论文

  • 发表日期：

    2025年4月3日

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  • Xiu’e Zhou,
  • Xiaoliang Wang

摘要

Background

This study aimed to examine the effectiveness of combined nutritional screening for assessing the malnutrition risk in hospitalized patients with inflammatory bowel disease (IBDs) from the viewpoint of clinical outcomes.

Methods

The retrospective case–control study enrolled 625 patients admitted to our ward for treatment of IBD. Their records were stratified into the combined screening group receiving the IBD-specific and basic nutritional screening and the control group matched 1:1 for age and sex receiving routine nutritional screening alone. The primary endpoint was early readmission within 30 days after discharge. Secondary outcomes included complications, length of hospital stay (LOS), and quality-adjusted life years (QALYs) as assessed during the 12-month follow-up period.

Results

Among patients in the combined screening group, a risk of malnutrition was identified in 58.9% of cases compared to 45.7% in the control group (mean difference = −13.2%, p = 0.009). The mean LOS in the control group was 11.93 ± 2.34 days, which was significantly greater than in the combined screening group (7.23 ± 1.50; p < 0.001). The means of QALYs calculated using the area under the curve up to 3, 6, and 12 months after discharge were significantly lower in the combined screening group as compared to the control group (all p < 0.05). No serious complications were observed in either group.

Conclusion

The combination of IBD-specific nutritional screening with basic screening was better at detecting malnutrition in hospitalized IBD patients than routine screening. The benefit accounted for a significant reduction in LOS and early readmissions and an improvement in QALYs scores over the 12-month follow-up period.