Department of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS.
North Mississippi Plastic Surgery, Tupelo, MS.
Surg Technol Int. 2023 Sep 15;42:17-20. doi: 10.52198/23.STI.42.SO1670.
Disposable NPWT (dNPWT), a form of negative-pressure wound therapy, has been shown to be both outcome- and cost-effective for small to medium-sized wounds or closed incisions compared to traditional NPWT systems. When choosing a dNPWT system, multiple factors should be evaluated, including the wound size, wound type, estimated exudate production, and required days of therapy. If the device is not optimized for use in a particular patient, a much higher overall cost can be expected.
A web-based search, manufacturer website review and communication, and list price-based cost analysis was performed for currently available dNPWT systems. These systems differ with respect to cost, degree of negative pressure, canister size, number of dressings included, and recommended days of therapy.
The results showed that 3M™ KCI devices (3M™ KCI, St. Paul, MN) cost about 6x more per day than non-KCI devices, and the V.A.C.® Via and Prevena™ Plus Customizable Incision Management System (both 3M KCI) cost over $180 per day of use. The no-canister Pico 14™ (Smith+Nephew, Watford, UK) is the most cost-effective dNPWT option, with an overall cost of $25.00 per day, but is limited to low exudate-producing wounds, such as closed incisions. At $25.67 per day, the UNO 15 (Genadyne Biotechnologies, Hicksville, NY) is the most cost-effective dNPWT option that still includes a replaceable canister system.
We present a cost and metric comparison of currently available dNPWT systems. Despite significant differences in the cost of treatment with each dNPWT device, there has been limited research on their relative efficacies.
与传统的负压伤口治疗系统相比，一次性负压伤口治疗（dNPWT）作为一种负压伤口治疗形式，在治疗中小面积伤口或闭合切口方面具有良好的疗效和成本效益。在选择 dNPWT 系统时，应评估多个因素，包括伤口大小、伤口类型、预计渗出量和所需治疗天数。如果设备不能针对特定患者进行优化，那么整体成本可能会高得多。
对目前可用的 dNPWT 系统进行了基于网络搜索、制造商网站审查和沟通以及基于标价的成本分析。这些系统在成本、负压程度、罐尺寸、包含的敷料数量和推荐的治疗天数方面有所不同。
结果表明，3M KCI 装置（3M KCI，圣保罗，明尼苏达州）每天的成本比非 KCI 装置高约 6 倍，而 V.A.C.®Via 和 Prevena™ Plus 可定制切口管理系统（均为 3M KCI）每天的使用成本超过 180 美元。无罐 Pico 14™（Smith+Nephew，沃特福德，英国）是最具成本效益的 dNPWT 选择，总成本为每天 25.00 美元，但仅限于低渗出量的伤口，如闭合切口。每天 25.67 美元的 UNO 15（Genadyne Biotechnologies，Hicksville，NY）是最具成本效益的 dNPWT 选择，它仍然包括一个可更换的罐系统。
我们介绍了目前可用的 dNPWT 系统的成本和指标比较。尽管每种 dNPWT 设备的治疗费用存在显著差异，但对其相对疗效的研究有限。
