Royal College of Surgeons in Ireland.
Healthcare Outcomes Research Centre, Royal College of Surgeons in Ireland.
J Wound Care. 2021 Nov 2;30(11):940-944. doi: 10.12968/jowc.2021.30.11.940.
To test the feasibility of using a standardised data collection tool to estimate the cost of stage 2-4 pressure ulcer (PU) care within an acute care setting.
Data on resource use and cost were obtained through a retrospective survey of nursing and medical notes collecting cost data for individual patients who received care for stage 2-4 PUs.
Data for 20 patients (12 male/8 female) were analysed. The average patient age was 69 years (range: 37-95 years). Of this sample, seven patients had hospital-acquired PUs (HAPUs) and 14 patients had community-acquired PUs (CAPU) (one patient had both-in different anatomical areas). Over half of the total sample (55%; n=11) had a stage 2 PU. The average length of stay was 31.8 days (range: 5-119 days). Most of the patients (70%; n=14) had a CAPU. The average cost per patient with PU care was €878 (range: €39-2393). The mean cost for patients with a HAPU was €866 (SD: €1313) versus €911 (SD: €567) for patients with a CAPU. The majority of the cost related to equipment and staff time for treatment.
Overall, the application of the standardised data collection tool to obtain cost data from retrospective inspection of nursing and medical notes is feasible. The cost of PU care in this sample was high, indicating that these wounds may impose a substantial burden on health systems. The costs varied greatly between patients in the sample, reflecting the complexity of PU care. Furthermore, given that costs increased with the higher PU stages, there is a potential to reduce costs by preventing the development of higher stage PUs. Larger-scale studies are required to understand the cost variation and full economic impact of PU care.
The authors have no conflicts of interest.
测试使用标准化数据收集工具来估算急性护理环境中 2 至 4 期压力性溃疡（PU）护理成本的可行性。
通过回顾性调查护理和医疗记录，收集接受 2 至 4 期 PU 护理的个体患者的成本数据，获得资源使用和成本数据。
对 20 名患者（12 名男性/8 名女性）的数据进行了分析。患者平均年龄为 69 岁（范围：37-95 岁）。在该样本中，7 名患者患有医院获得性 PU（HAPU），14 名患者患有社区获得性 PU（CAPU）（一名患者在不同解剖区域同时患有两种）。超过一半的总样本（55%；n=11）患有 2 期 PU。平均住院时间为 31.8 天（范围：5-119 天）。大多数患者（70%；n=14）患有 CAPU。每位 PU 护理患者的平均费用为 878 欧元（范围：39-2393 欧元）。患有 HAPU 的患者的平均费用为 866 欧元（SD：1313 欧元），而患有 CAPU 的患者的平均费用为 911 欧元（SD：567 欧元）。大部分成本与治疗设备和人员时间有关。
总体而言，应用标准化数据收集工具从护理和医疗记录的回顾性检查中获取成本数据是可行的。该样本中 PU 护理的成本很高，表明这些伤口可能对卫生系统造成重大负担。样本中患者的成本差异很大，反映了 PU 护理的复杂性。此外，由于较高的 PU 阶段会增加成本，因此通过预防更高阶段的 PU 的发展，有可能降低成本。需要更大规模的研究来了解 PU 护理的成本变化和全部经济影响。
作者无利益冲突。
