Asiri Mousa Yahya, Al Mutairi Turki Saqer J, Alanazi Homoud, Al-Ghareeb Sahar Abdulkarim
Mousa Yahya Asiri, MSN, RN, is Head of Wound Care, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia, and College of Nursing, King Saud University, Riyadh, Saudi Arabia. Turki Saqer J. Al Mutairi, PhD, RN, is Executive Director of Nursing Affairs, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Homoud Alanazi, MSN, RN, is Deputy Director of Nursing, Dental University Hospital, Riyadh, Saudi Arabia, and College of Nursing, King Saud University, Riyadh, Saudi Arabia. Sahar Abdulkarim Al-Ghareeb, MSN, RN, is Lecturer, Imam Abdulrahman Bin Faisal University, Dammam,Saudi Arabia, and College of Nursing, King Saud University, Riyadh, Saudi Arabia.
Adv Skin Wound Care. 2025 Sep 1;38(8):413-417. doi: 10.1097/ASW.0000000000000331. Epub 2025 Jul 25.
Pressure injuries (PIs) remain a significant challenge in healthcare, causing patient discomfort, prolonging hospital stays, and imposing substantial financial burdens on healthcare systems. Despite advancements in prevention strategies, determining the most cost-effective interventions remains paramount for healthcare providers and policymakers. The study authors aimed to assess the cost-effectiveness of various PI prevention strategies within a quasi-experimental design framework.
A quasi-experimental study with 2 arms was conducted between September 2022 and February 2023 in a hospital in Saudi Arabia: the routine care for the PI group, group 1, and the PI prevention bundle group, group 2. Data on PI incidence, severity, and associated costs were collected to compare outcomes between group 1 and group 2.
A total of 368 patients were enrolled in the study: 218 patients in group 1 and 150 in group 2. Mortality was higher in the routine care group. The mean PI-free day in the prevention bundle group was 298.8 days compared with 19.7 days in the routine care group. Overall, the mean total cost for the bundle care group was ~$9600 lower than that of the routine care group.
This quasi-experimental study confirmed that PI prevention is cost-effective. Hospitals should invest in interdisciplinary teams and prevention bundles to improve patient outcomes and resource utilization.
压疮（PIs）仍是医疗保健领域的一项重大挑战，会导致患者不适、延长住院时间，并给医疗系统带来巨大经济负担。尽管预防策略有所进步，但确定最具成本效益的干预措施对医疗服务提供者和政策制定者来说仍然至关重要。研究作者旨在评估准实验设计框架内各种压疮预防策略的成本效益。
2022年9月至2023年2月在沙特阿拉伯的一家医院进行了一项双臂准实验研究：第1组为压疮组的常规护理，第2组为压疮预防综合措施组。收集了压疮发生率、严重程度和相关成本的数据，以比较第1组和第2组的结果。
共有368名患者参与了该研究：第1组218名患者，第2组150名患者。常规护理组的死亡率更高。预防综合措施组的平均无压疮天数为298.8天，而常规护理组为19.7天。总体而言，综合护理组的平均总成本比常规护理组低约9600美元。
这项准实验研究证实，压疮预防具有成本效益。医院应投资于跨学科团队和预防综合措施，以改善患者预后和资源利用。
