AI Article Synopsis
- The health system implemented an enteral access clinical pathway (EACP) to improve nutritionist consultations and reduce emergency department visits, hospital readmissions, and length of stay.
- A comparison was made between two groups: a baseline cohort of 2,553 patients before the EACP and a performance cohort of 2,419 patients after its implementation.
- Results showed that the performance group had a higher rate of nutrition consults (52.4% vs 48.0%) and significantly lower rates of emergency department visits (31.9% vs 42.6%) and hospital readmissions (31.0% vs 41.6%), indicating that EACP may enhance nutritional support and discharge planning.
Article Abstract
Our health system introduced an enteral access clinical pathway (EACP) hoping to increase nutritionist consults and decrease presentation to the Emergency Department, readmission to the hospital, and overall hospital length of stay. We followed patients with short-term access (STA), longterm access (LTA), and short-long-term conversions (SLT) seen in the six months prior to the EACP launch (baseline group) and the six months after (performance group). The baseline cohort consisted of 2,553 patients and the performance cohort of 2,419 patients. Those in the performance group were more likely to receive a nutrition consult (52.4% vs 48.0%, P < .01), less likely to re-present to the ED (31.9% vs 42.6%, P < .001), and less likely to be readmitted to the hospital (31.0% vs 41.6%, P < .001. These findings suggest that the EACP may increase the likelihood of both expert-driven nutritional support and effective discharge planning for hospitalized patients.
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| http://dx.doi.org/10.1177/00031348231177914 | DOI Listing |
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