Cost Savings from Enteral Tube FeedingFresubin® Tube Feeds

Malnutrition in non-hospital patients (at home and in care facilities) increases2,3:

• Hospitalisation rate

• Infection rate

• Mortality rate

• Number of diagnosed diseases

• Number of visits to family doctor

• Impairment of quality of life (QoL)

Malnourished patients cost more to treat

Malnutrition in hospitalised patients increases1:

• Length of stay (LoS)

• Risk of complications (such as infection)

• Mortality rate

• Re-admission rate

• Delay of return home

Exchange rate: £1 = €1.13 (Feb 2018) ETF: enteral tube feeding; PN: parenteral nutrition; GP: general practitioner; EN: enteral nutrition

Potential savingsReduced length of

hospital stay associated with ETF and PN in England:

~ € 12.4 million

per annum1

Reduced hospital admissions:

~ € 10.9 millionper annum1

Reduction in GP visits:

€ 4,368,853 (£ 3,866,242)

per annum1

Reductionin hospital

out-patient visits:

€ 1,024,814per annum1

Home EN in Poland:

~ € 3,322per patient per

year2

How can cost savings be achieved?

Enteral Tube Feeds can reduce the overall resources required to care for a patient

Exchange rate: £1 = €1.12 (Interbank Jul 2017). NHS: National Health Service * QALY: quality adjusted life year. A measure of the state of health of a person or group in which the benefits, in terms of length of life, are adjusted to reflect the quality of life. One QALY is equal to 1 year of life in perfect health.5

Cost savings in hospital patients2: Cost savings in care facility patients and at-home patients2,4:

Reduction of annual hospitalisation cost by € 3,875 (average per patient)

Reduction of LoS by 27 days with the provision of commercially made tube feeds and a complex home EN support service

Reduction of admissions

19.4 % reduction in all-cause infectious complications (pneumonia, urinary tract)

65 % reduction in hospitalisations due to infections in non-cancer patients

Reduction in GP visits: € 3.87 million cost savings per annum to the NHS

Reduction in out-patient visits: € 907,000 cost savings per annum to the NHS

Home EN improves QALY* in stroke patients living at home

Benefits of Enteral Tube Feeds for your patients

Every other death can be avoided when patients are enterally tube fed6

25

20

15

10

5

0

23 %

11 %

Mo

rtal

ity

rate

(%

)

Control group ETF group

• Increases nutritional intake: 62 % of total energy in hos-pital patients vs. routine care6 and more than 2.5 times of protein vs. oral intake/non-intervention group8

• Attenuates loss of body weight and lean tissue in hospi-talised patients6

• Improves body weight and lean tissue mass in community patients6

Nutritional

• Fewer and shorter hospital admissions1

• Reduces mortality rate of hospitalised patients (-12 %)6

• Reduces infectious complications, sepsis, wound and urinary tract infections6,7

• Reduces medications for some patient groups6

• Improves clinical outcomes in community patients6

• Significant improvements in respiratory, liver and bowel functions, depending on patient group

• Improves wound healing

• Improves immune function

Clinical

• Improves well-being/QoLHospital6 and Community6

Fresenius Kabi Deutschland GmbH61346 Bad HomburgGermanyPhone: +49 (0) 61 72 / 686-0Enteral.nutrition@fresenius-kabi.comwww.fresenius-kabi.com

1. Elia M. The cost of malnutrition in England and potential cost savings from nutritional interventions. BAPEN 2015.

2. Klek S, Hermanowicz A, Dziwiszek G et al. Home enteral nutrition reduces complications, length of stay, and health care costs: results from a multi-center study. Am J Clin Nutr. 2014;100(2):609–615.

3. Better care through better nutrition: Value and effects of medical nutrition. A summary of the evidence base. MNI, 4th version, 2018.

4. Elia M, Stratton RJ. A cost-utility analysis in patients receiving enteral tube feeding at home and in nursing homes. Clin Nutr. 2008;27(3):416–423.

5. www.nice.org.uk/glossary?letter=q, accessed 23 April 2018. 6. Stratton RJ, Green CJ, Elia M. Disease-related malnutrition: An evidence-

based approach to treatment. CABI Publishing, Wallingford, UK, 2003. 7. Tian F, Wang X, Gao X et al. Effect of initial calorie intake via enteral nutrition

in critical illness: a meta-analysis of randomised controlled trials. Crit Care. 2015;19:180.

8. Bally MR, Blaser Yildirim PZ, Bounoure L et al. Nutritional Support and Outcomes in Malnourished Medical Inpatients: A Systematic Review and Meta-analysis. JAMA Intern Med. 2016;176(1):43–53.

References

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Fresubin Tube Feeds