Gottrup F, Henneberg E, Trangbæk R, Bækmark N, Zøllner K, Sørensen J
Copenhagen WoundHealing Center, Bispebjerg Hospital, Copenhagen. Denmark.
J Wound Care. 2013 Aug;22(8):413-4, 416, 418-22. doi: 10.12968/jowc.2013.22.8.413.
To estimate the wound-care related costs in two hospitals in Denmark.
A point-prevalence survey with a focus on resource consumption was carried out during a representative 1-week period in March 20 I 0, in two hospitals in Denmark: Regional Hospital Viborg, in the Viborg Municipality and Hillerod Hospital, in the Horsholm Municipality. Data were collected during a 2-day period for inpatients and outpatients in the hospitals and over a full week in the municipalities. The survey included information on the numbers, types and locations of the wounds, as well as resource consumption related to dressing changes. The estimation of costs was based on representative cost levels, including the salaries of health professionals or nurses and the cost of dressings and hospitalisation provided.
In total, 33% (n=830) of inpatients had a wound. The majority of these were surgical/trauma wounds (25%), while pressure ulcers, leg ulcers and diabetic foot ulcers accounted for 3.3%, 1.7% and 1.6%, respectively. In the municipalities, there was a wound patient prevalence of 2.8 per I 000 population(I I I 000 acute wounds, 0.7/ I 000 pressure ulcers, 0.5/ I 000 leg ulcers and 0.3/ I 000 diabetic foot ulcers).The extrapolated figures for nurse time related to wound care per year was equivalent to I 0 full-time nurse positions in Hillerod Hospital, three in Viborg Hospital, 17 in Viborg Municipality and three in Horsholm Municipality. The total annual costs related to wound care was estimated as €3.6 million for Viborg Hospital, €4.1 million for Hillemd Hospital, € 1.2 million for Viborg Municipality and €232 548 for Horsholm Municipality, accounting for approximately 1.8% (Viborg), 1.6% (Hillerod), 2.4% (Viborg) and1.5% (Horsholm) of the total annual budgets.
In the survey, 33% of the patients treated in the hospitals had a wound. Primary costs were defined as hospitalisation costs and nurse time related to dressing changes. Total annual costs of treatment, including hospitalisation, were estimated as approximately 1.6-1.8% for the hospitals and 1.5-2.4% for the municipalities. The level of costs support the relevance of increased efforts to secure better wound prevention and treatment to reduce the staff-time consumption and hospitalisation costs.
估算丹麦两家医院与伤口护理相关的费用。
于2010年3月的一个具有代表性的为期1周的时间段内，在丹麦的两家医院开展了一项以资源消耗为重点的现况调查：维堡市的维堡地区医院和霍斯霍尔姆市的希勒勒德医院。在医院对住院患者和门诊患者进行了为期2天的数据收集，在各市进行了为期一整周的数据收集。该调查涵盖了伤口的数量、类型和位置信息，以及与换药相关的资源消耗情况。费用估算基于具有代表性的成本水平，包括卫生专业人员或护士的薪资以及敷料和住院治疗的成本。
总计33%（n = 830）的住院患者有伤口。其中大多数是手术/创伤伤口（25%），而压疮、腿部溃疡和糖尿病足溃疡分别占3.3%、1.7%和1.6%。在各市，每1000人口中有2.8名伤口患者（111000例急性伤口、0.7/1000例压疮、0.5/1000例腿部溃疡和0.3/1000例糖尿病足溃疡）。每年与伤口护理相关的护士时间推算数字相当于希勒勒德医院10个全职护士岗位、维堡医院3个、维堡市17个和霍斯霍尔姆市3个。维堡医院与伤口护理相关的年度总费用估计为360万欧元，希勒勒德医院为410万欧元，维堡市为120万欧元，霍斯霍尔姆市为232548欧元，分别占年度总预算的约1.8%（维堡）、1.6%（希勒勒德）、2.4%（维堡）和1.5%（霍斯霍尔姆）。
在此次调查中，医院中33%的接受治疗患者有伤口。主要成本被定义为住院费用和与换药相关的护士时间。包括住院治疗在内的年度总治疗费用估计，医院约为1.6 - 1.8%，各市为1.5 - 2.4%。这些费用水平支持加大力度确保更好的伤口预防和治疗以减少人员时间消耗和住院费用的相关性。
