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ECONOMIC ANALYSIS OF ENZYMATIC DEBRIDEMENT VERSUS STANDARD BURN CARE: A RETROSPECTIVE ANALYSIS.

作者信息

Minic J, Vestita M, Vigato E, Dallapozza E, Shoham Y, Lavagnolo U, Bianchi F P, Fratucello A, Governa M

机构信息

Department of Plastic and Reconstructive Surgery and Burn Unit, University Hospital, Verona, Italy.

Department of Plastic and Reconstructive Surgery and Burn Unit, A. Perrino Hospital, Brindisi, Italy.

出版信息

Ann Burns Fire Disasters. 2024 Jun 30;37(2):148-158. eCollection 2024 Jun.


DOI:
PMID:38974790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11225277/
Abstract

When compared to standard surgical management, rapid enzymatic debridement of deep burns reduces the need for surgery while achieving similar long-term results. However, few studies have directly compared the costs of standard surgical and enzymatic burn care. We conducted a study comparing the care costs of 44 adult burn patients treated before (n=22) and after (n=22) introducing rapid bromelain-based enzymatic debridement (BED) of deep burns. Mean age was 59 years, 54% were male, and mean total body surface area (TBSA) was 23.5%. Burn etiology included flame and scalding burns (8). Groups treated with standard of care and enzymatic debridement were comparable in terms of age, sex and TBSA. Burn management with BED significantly reduced total debridement costs as well as grand total costs when compared with traditional surgical care. Such reduction was mostly related to lower costs associated with reduced surgical care and less facilities and resources consumption in the BED group.

摘要

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[1]
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引用本文的文献

[1]
Association of Combined Enzymatic and Surgical Debridement with Clinical Outcomes in Extensive Burn Patients.

J Clin Med. 2025-7-24

本文引用的文献

[1]
Italian recommendations on enzymatic debridement in burn surgery.

Burns. 2021-3

[2]
Eschar removal by bromelain based enzymatic debridement (Nexobrid®) in burns: European consensus guidelines update.

Burns. 2020-6

[3]
Cost Analysis of a Novel Enzymatic Debriding Agent for Management of Burn Wounds.

Biomed Res Int. 2017

[4]
Minimally invasive burn care: a review of seven clinical studies of rapid and selective debridement using a bromelain-based debriding enzyme (Nexobrid®).

Ann Burns Fire Disasters. 2015-12-31

[5]
A novel rapid and selective enzymatic debridement agent for burn wound management: a multi-center RCT.

Burns. 2013-9-26

[6]
Histological assessment of tangentially excised burn eschars.

Can J Plast Surg. 2010

[7]
State of the art in burn treatment.

World J Surg. 2005-2

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