A systematic review of economic evaluations assessing interventions aimed at preventing or treating pressure ulcers

Palfreyman, Simon; Patricia, W Stone

doi:10.1016/j.ijnurstu.2014.06.004

Cited by 52 publications

(28 citation statements)

References 52 publications

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“…A postoperative pressure ulcer is one of the causes of prolonged hospital stays and increased costs and workloads within the healthcare system (7). The treatment of a pressure ulcer costs between $2000 and $70,000 per patient according to the intensity and stage of the ulcer, and the annual cost of treating pressure ulcer incurred by hospitals is between $400,000 and $700,000 (8).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of postoperative pressure ulcer: A systematic meta-analytic review

et al. 2016

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IntroductionA pressure ulcer is a serious safety issue in healthcare systems. The patient’s rate of infection with an ulcer, especially a postoperative ulcer, is critical, as it is dictated by factors such as being in a fixed position during surgery, the type of anesthesia used, the duration of surgery, and patient-related factors. The present study was conducted to carry out a systematic assessment of the prevalence of a postoperative pressure ulcer and to find its general prevalence using a meta-analysis.MethodsThe researchers searched databases, including PubMed, Google Scholar, Scopus, Science Direct, the Thomson Reuters’ Web of Science (WOS). For English articles published online between January 2000 and October 2015 on the subject of a pressure ulcer, a total of 19 articles were ultimately selected based on the study inclusion criteria. Then results were analyzed in Stata-11.ResultsThe 19 articles qualified for entering the meta-analysis examined a total of 9527 patients. The studies estimated the general prevalence of a postoperative pressure ulcer as 18.96% (CI 95%: 15.3–22.6); the prevalence by gender was reported as 10.1% (CI 95%: 7.2–13.01) in men and 12.8% (CI 95%: 8.3–17.2) in women. Stage 1 ulcer had a 17.02% prevalence (CI 95%: 11.04–22.9), stage 2 a 6.7% prevalence (CI 95%: 3.8–9.7), stage 3 a 0.9% prevalence (CI 95%: 0.2–1.6), and stage 4 a 0.4% (CI 95%: −0.05–0.8) prevalence.ConclusionThe prevalence of a postoperative pressure ulcer is high among the entire population; however, it is still higher in women than in men. The prevalence of a stage 1 ulcer is higher than the prevalence of the other stages of an ulcer.

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Section: Introductionmentioning

confidence: 99%

Prevalence of postoperative pressure ulcer: A systematic meta-analytic review

et al. 2016

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“…They are summarized in Tables 1 and 2. Two systematic reviews were also identified 25,26. The remaining 12 articles were not retained because they did not provide either the original data/analyses or an explicit description of the methods used.…”

Section: Resultsmentioning

confidence: 99%

“…One of the identified systematic reviews examined the cost of preventing and treating PIs,25 whereas the other assessed economic evaluations embedded in randomized controlled trials (RCTs) of interventions to prevent or treat PIs 26. Both concluded that the cost of treating PIs was substantially higher than preventing them, but noted marked heterogeneity in the methods used in the published studies.…”

Section: Resultsmentioning

confidence: 99%

Economic Evaluations of Strategies to Prevent Hospital-Acquired Pressure Injuries

Ocampo

Cheung

Baylis

et al. 2017

Adv Skin Wound Care

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GENERAL PURPOSE:To provide information from a review of literature about economic evaluations of preventive strategies for pressure injuries (PIs).TARGET AUDIENCE:This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.LEARNING OBJECTIVES/OUTCOMES:After participating in this educational activity, the participant should be better able to:1. Identify the purpose and methods used for this study.2. Compare costs and effectiveness related to preventative strategies for PIs.ABSTRACTBACKGROUND: Pressure injuries (PIs) are a common and resource-intensive challenge for acute care hospitals worldwide. While a number of preventive strategies have the potential to reduce the cost of hospital-acquired PIs, it is unclear what approach is the most effective.OBJECTIVE: The authors performed a narrative review of the literature on economic evaluations of preventive strategies to survey current findings and identify important factors in economic assessments.DATA SOURCES: Ovid, MEDLINE, NHS Economic Evaluation Databases, and the Cochrane Database of Systematic ReviewsSELECTION CRITERIA: Potentially relevant original research articles and systematic reviews were considered.DATA EXTRACTION: Selection criteria included articles that were written in English, provided data on cost or economic evaluations of preventive strategies of PIs in acute care, and published between January 2004 and September 2015. Data were abstracted from the articles using a standardized approach to evaluate how the items on the Consolidated Health Economic Evaluation Reporting Standards checklist were addressed.DATA SYNTHESIS: The searches identified 192 references. Thirty-three original articles were chosen for full-text reviews. Nineteen of these articles provided clear descriptions of interventions, study methods, and outcomes considered.CONCLUSIONS: Limitations in the available literature prevent firm conclusions from being reached about the relative economic merits of the various approaches to the prevention of PIs. The authors’ review revealed a need for additional high-quality studies that adhere to commonly used standards of both currently utilized and emerging ways to prevent hospital-acquired PIs.

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“…Average length of hospital stay for treatment of pressure ulcers is 13 days (Sen et al, 2009) and healing can take up to several years (Stockton and Rithalia, 2007). More than $11 billion is spent annually on pressure ulcer treatments in the US (Sen et al, 2009) and the cost of treatment for individual pressure ulcers averages from $8,730 to $129,248 depending on how advanced the ulcer is (Van Den Bos et al, 2011;Sen et al, 2009;Palfreyman and Stone, 2015;Lyder, 2003). Prevention is a more cost effective option (Sullivan and Schoelles, 2013).…”

Section: Introductionmentioning

confidence: 99%

Pressure Ulcer Prevention: Optimizing a Temporally Redistributing Support Interface

Peterson¹,

Healey²,

Visser³

et al. 2016

American Journal of Engineering and Applied Sciences

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Abstract:One of the most common complications from long-term wheelchair use or bed rest is pressure ulcers. Pressure ulcers have significant morbidity and are associated with high mortality. Prolonged sitting can cause high pressures in the skin and subcutaneous tissue which can lead to local ischemia and breakdown of skin. Rapid relief of pressure prevents ulcer formation. One prevention strategy is to change the temporal distribution of pressure at the interface between user and surface so that no one area is subjected to high pressures for long periods of time. While there are several dynamic interfaces in use currently, there is no definitive evidence of enhanced pressure ulcer prevention with their use. The purpose of this research was to parametrically evaluate interface array sizes, shapes and patterns for dynamic support surfaces to optimize pressure redistribution to prevent pressure ulcers. Finite element analyses, anatomical phantom deep tissue pressure measurements and interface pressure mapping were used to test various support geometries and sizes and different array spacing and patterns. Results indicate that modulating pressure in an array of supports that are equally spaced is not effective. Only interrupted pattern arrays resulted in sufficient pressure reduction. These data suggest that dynamic surface supports can be optimized based on the geometry and size of the individual supports and the pattern of the array to further reduce the likelihood of pressure ulcer formation.

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A systematic review of economic evaluations assessing interventions aimed at preventing or treating pressure ulcers

Cited by 52 publications

References 52 publications

Prevalence of postoperative pressure ulcer: A systematic meta-analytic review

Prevalence of postoperative pressure ulcer: A systematic meta-analytic review

Economic Evaluations of Strategies to Prevent Hospital-Acquired Pressure Injuries

Pressure Ulcer Prevention: Optimizing a Temporally Redistributing Support Interface

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