Successes and Barriers: Immunonutrition a in a

Community HospitalPatricia Caddy, BSc, CaRMS Candidate

Oct 30 2015, “10,000 Reasons to Race for Infection Prevention”

Vancouver Hilton Hotel

DisclosuresI did receive remuneration from SQAN for taking on this studentship.

I did not receive any money or sponsorships of any kind from any other groups, including Nestle.

The Project

The Drink

Practical Implications of ImmunonutritionReducing surgical site infection results in:

- Decreased suffering for the patient

- Decreased length of hospital stay

- Decreased hospital cost per patient between $3,000 and $6,000.

Methods- Literature review

- Chart audit, May 2014 (when we first started using Impact AR) until March 2015

- Comparative analysis of demographic data

- E-survey to surgeons

Results: SSINot statistically significant due to the small size of the study, however…

Results: Patient Factors

Why? Kamloops - Busier pharmacies?

- lower mark-up?

- More diverse products in stock?

- Delivery service?

- Better transit?

- More affluent?

Why? Women- More likely to take a supplement in general?

- More likely to follow their surgeon’s advice?

- Caregivers/family more persistent/encouraging?

- Surgeon’s recommending to women more than men?

Why? Age- More mobile?

- Better able to get the drink home?

- More game to try something new?

- Better compliance?

Results: Surgeons

The Survey: 4 Questions1)How often do you recommend Impact AR?

2)If you recommend Impact AR, why?

3)Under what circumstances do you recommend Impact AR?

4)What prevents you from recommending Impact AR to all patients?

Takeaways

Takeaways

4/35 SSIs in the non-Impact AR group.Cost of SSIs = $41,772 - $102,184Cost of providing Impact AR = $5,250

Thank You

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Horie H, Okada M, Kojima M, Nagai H. Favorable Effects of Preoperative Enteral Immunonutrition on a Surgical Site Infection in Patients with

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Centers for Disease Control and Prevention (HHS). Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits

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