Xakellis G C, Frantz R A, Lewis A, Harvey P
Ford Motor Co., Dearborn, MI, USA.
Adv Wound Care. 1998 Jan-Feb;11(1):22-9.
Conducted in a 77-bed long-term-care facility, this study compared the costs of implementing an intensive pressure ulcer prevention protocol plus the calculated costs of treatment before and after implementing the protocol. A total of 69 patients comprised the preprotocol sample; 16 of them developed 26 ulcers. The postprotocol sample consisted of 63 patient, 3 of whom developed 5 ulcers. The 6-month pressure ulcer incidence was 23% in the preprotocol sample and 5% in the postprotocol sample. Mean cost for prevention and treatment of pressure ulcers was $113 +/- $345 per subject for the preprotocol sample and $100 +/- $157 per subject for the postprotocol sample (t = 0.27, df = 130, p = .79). Mean time to ulcer development was 146 +/- 61 days for the preprotocol subjects and 158 +/- 53 days for the postprotocol subjects (log rank = 8.63, p = .003 Implementation of a protocol that emphasized pressure ulcer prevention significantly reduced the incidence of pressure ulcers and cost per day of ulcer-free life.
这项研究在一家拥有77张床位的长期护理机构中进行，比较了实施强化压疮预防方案的成本以及实施该方案前后的计算治疗成本。共有69名患者组成了方案实施前的样本；其中16人发生了26处溃疡。方案实施后的样本由63名患者组成，其中3人发生了5处溃疡。方案实施前样本的6个月压疮发生率为23%，方案实施后样本为5%。方案实施前样本中每位患者预防和治疗压疮的平均成本为113美元±345美元，方案实施后样本为100美元±157美元（t = 0.27，自由度=130，p = 0.79）。方案实施前受试者发生溃疡的平均时间为146天±61天，方案实施后受试者为158天±53天（对数秩=8.63，p = 0.003）。强调压疮预防的方案实施显著降低了压疮发生率和无溃疡生活的每日成本。
