Hirshberg J, Rees R S, Marchant B, Dean S
University of Michigan, Ann Arbor, USA.
Adv Skin Wound Care. 2000 Jan-Feb;13(1):25-9.
Twelve patients with documented chronic osteomyelitis of the pelvis resulting from truncal pressure ulcers were examined retrospectively to identify the cost of treatment for this significant health care problem. The retrospective review of each case spanned an 18-month period--6 months prior to the initial positive bone biopsy to 1 year following bone biopsy. The financial charges associated with treatment of osteomyelitis were identified using the University of Michigan Health System's databases for hospital charges, professional charges, and pharmacy charges. Prior treatment of these patients included surgical debridement of the pressure ulcer, pelvic bone biopsy, and culture-specific antibiotic therapy. The total charges for this group of 12 patients was $715,204, or an average charge of $59,600 per patient. Each patient was hospitalized, with hospitalization charges of $587,212, or an average of $48,934 per patient. Pharmacy charges for culture-specific antibiotics totaled $85,217 for the 12 patients. Six of 8 flap repairs achieved successful surgical closure of the pressure ulcer (75%) postantibiotic therapy. Surgery charges are not included in the totals.
对12例因躯干压疮导致骨盆慢性骨髓炎的患者进行回顾性研究，以确定这一重大医疗问题的治疗成本。对每个病例的回顾性研究涵盖18个月的时间——从首次骨活检呈阳性前6个月到骨活检后1年。利用密歇根大学卫生系统的医院收费、专业收费和药房收费数据库，确定与骨髓炎治疗相关的财务费用。这些患者先前的治疗包括对压疮进行手术清创、骨盆骨活检以及针对培养结果的抗生素治疗。这12例患者的总费用为715,204美元，平均每位患者费用为59,600美元。每位患者均住院治疗，住院费用总计587,212美元，平均每位患者48,934美元。12例患者针对培养结果的抗生素药房费用总计85,217美元。8例皮瓣修复中有6例在抗生素治疗后成功实现了压疮的手术闭合（75%）。手术费用未包含在总计费用中。
