Griffin Leah, Sifuentes Mikaela M
Acelity, San Antonio, TX.
Wounds. 2019 Feb;31(2):E9-E11.
Patient nonadherence to home care treatment poses an obstacle to wound healing that can lead to additional costs and prolong care.
This retrospective pilot study examines the potential time and cost savings associated with a remote therapy monitoring (RTM) program designed to improve negative pressure wound therapy (NPWT) adherence in the home care setting.
Payor claims data of patients receiving NPWT with (n = 199) or without (n = 232) RTM between January 1 and June 30, 2017 were analyzed.
The RTM patients were significantly older (P = .0401), had a higher percentage of Medicare Advantage plans (P = .0015), and had a higher mean Charleston Comorbidity Index score (P = .0115) than non-RTM patients. For both groups, chronic wounds had higher 90-day wound-related costs than acute wounds. The median length of treatment for RTM patients was shorter than non-RTM patients (P = .0394). Mean 90-day wound-related costs for RTM and non-RTM patients were $10 515 and $12 158, respectively.
These results build upon previous studies of RTM-assisted outpatient NPWT and suggest an opportunity for wound care cost savings.
患者不坚持家庭护理治疗对伤口愈合构成障碍，可能导致额外费用并延长护理时间。
这项回顾性试点研究探讨了一种远程治疗监测（RTM）计划在家庭护理环境中改善负压伤口治疗（NPWT）依从性方面的潜在时间和成本节约。
分析了2017年1月1日至6月30日期间接受NPWT且有（n = 199）或无（n = 232）RTM的患者的医保报销数据。
与非RTM患者相比，RTM患者年龄显著更大（P = 0.0401），医疗保险优势计划的比例更高（P = 0.0015），且Charleston合并症指数平均得分更高（P = 0.0115）。两组中，慢性伤口的90天伤口相关费用均高于急性伤口。RTM患者的中位治疗时长比非RTM患者短（P = 0.0394）。RTM和非RTM患者的90天伤口相关平均费用分别为10515美元和12158美元。
这些结果基于先前对RTM辅助门诊NPWT的研究，并表明存在节约伤口护理成本的机会。
