Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Int Wound J. 2011 Apr;8(2):196-205. doi: 10.1111/j.1742-481X.2011.00775.x. Epub 2011 Mar 8.
Diabetic lower extremity wounds cause substantial burden to healthcare systems, costing tens of thousands of dollars per episode. Negative pressure wound therapy (NPWT) devices have been shown to be cost-effective at treating these wounds, but the traditional devices use bulky electrical pumps that require a durable medical equipment rental-based procurement process. The Spiracur SNaP™ Wound Care System is an ultraportable NPWT system that does not use an electric pump and is fully disposable. It has superior healing compared to standard of care with modern dressings and comparable healing to traditional NPWT devices while giving patients greater mobility and giving clinicians a simpler procurement process. We used a mathematical model to analyse the costs of the SNaP™ system and compare them to standard of care and electrically powered NPWT devices. When compared to standard of care, the SNaP™ system saves over $9000 per wound treated and more than doubles the number of patients healed. The SNaP system has similar healing time to powered NPWT devices, but saves $2300 in Medicare payments or $2800 for private payers per wound treated. Our analysis shows that the SNaP™ system could save substantial treatment costs in addition to allowing patients greater freedom and mobility.
糖尿病下肢伤口给医疗系统带来了巨大的负担,每个伤口的治疗费用都高达数万美元。负压伤口治疗(NPWT)设备已被证明在治疗这些伤口方面具有成本效益,但传统设备使用庞大的电动泵,需要基于耐用医疗设备租赁的采购流程。Spiracur SNaP™ 伤口护理系统是一种超便携的 NPWT 系统,它不使用电动泵,完全一次性使用。与现代敷料的标准治疗相比,它具有更好的愈合效果,与传统 NPWT 设备的愈合效果相当,同时为患者提供更大的活动自由度,并为临床医生提供更简单的采购流程。我们使用数学模型分析了 SNaP™ 系统的成本,并将其与标准治疗和电动 NPWT 设备进行了比较。与标准治疗相比,SNaP™ 系统每治疗一个伤口可节省超过 9000 美元,并使治愈的患者数量增加一倍以上。SNaP 系统与电动 NPWT 设备的愈合时间相似,但可节省 Medicare 支付的 2300 美元或私人支付者每治疗一个伤口的 2800 美元。我们的分析表明,SNaP™ 系统除了让患者更自由、更灵活之外,还可以节省大量的治疗费用。