Xakellis G C, Frantz R
John Deere Health Care, Moline, Ill, USA.
Adv Wound Care. 1996 Nov-Dec;9(6):18-22.
The reported costs of treating pressure ulcers have varied widely from study to study. Previous studies have focused on single health care settings and computed only the costs occurring while the patient was a resident in that facility. The purpose of this study was to assess the cost of managing pressure ulcers from their initial occurrence in long-term care through their natural history, including hospital treatment of complications. The 30 patients in this year-long study developed 45 ulcers. The mean length of treatment for an ulcer was 116 days (SD = 127). The mean cost of treatment, including long-term care and hospital costs, was $2,731 per ulcer (SD = 12,184); excluding hospital costs, the mean cost of treatment was $489 per ulcer (SD = 629). The mean cost of treatment per patient was $4,647 (SD = 15,102); excluding hospital costs, the mean treatment cost was $1,284 per patient (SD = 1,380). Eighty percent of the total cost of pressure ulcer treatment was generated by the 4% of patients who required hospitalization for their pressure ulcers. In the absence of complications, pressure ulcers can be treated successfully and cost-effectively in long-term care.
不同研究报告的压疮治疗成本差异很大。以往的研究集中在单一的医疗环境中，仅计算患者在该机构住院期间产生的成本。本研究的目的是评估从压疮在长期护理中最初出现到其自然病程，包括并发症的住院治疗的管理成本。在这项为期一年的研究中，30名患者出现了45处溃疡。一处溃疡的平均治疗时长为116天（标准差=127）。包括长期护理和住院成本在内，每处溃疡的平均治疗成本为2731美元（标准差=12184）；排除住院成本后，每处溃疡的平均治疗成本为489美元（标准差=629）。每位患者的平均治疗成本为4647美元（标准差=15102）；排除住院成本后，平均治疗成本为每位患者1284美元（标准差=1380）。80%的压疮治疗总成本是由4%因压疮需要住院治疗的患者产生的。在没有并发症的情况下，压疮可以在长期护理中得到成功且具有成本效益的治疗。
