High cost of stage IV pressure ulcers

Brem, Harold; Maggi, Jason; Nierman, David M.; Rolnitzky, Linda; Bell, David M.; Rennert, Robert C.; Golinko, Michael S.; Yan, Alan Y.; Lyder, Courtney H.; Vladeċk, Bruce C.

doi:10.1016/j.amjsurg.2009.12.021

Cited by 275 publications

(194 citation statements)

References 26 publications

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“…The presence or development of a pressure sore can increase the length of a patient's hospital stay by an average of 10.8 days (Scott et al 2006) and the increased hospital stay is associated with higher costs and increased inci dence of nosocomial infection and/ or other complications (Allman et al 1999). The average hospital treatment cost associated with stage IV pressure sores and related complications was US$129,248 for hospital acquired ulcers during one admission, and US$124,327 for community acquired ulcers over an average of four admissions among spinal cord injured patients (Brem et al 2010). The cost of treating pressure ulcers is 2.5 times the cost of preventing of the study and it also stated that by completing the questionnaire they were consenting to participating in the study.…”

Section: Introductionmentioning

confidence: 98%

An audit of the physiotherapy management of paraplegic patients with sacral pressure sores

Pather

Mudzi

2013

South African Journal of Physiotherapy

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Section: Introductionmentioning

confidence: 98%

An audit of the physiotherapy management of paraplegic patients with sacral pressure sores

Pather

Mudzi

2013

South African Journal of Physiotherapy

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“…Ligresti ve Bo (2007) 'nun çalışmalarında belirttiği gibi İtalya'da her yıl yaklaşık 800.000 kişide basınç ülserleri gelişmektedir ve bu hastaların bakım ve tedavisi bu bölümlerde çalışan eğitilmiş hemşirelerin işteki etkinliklerinin %60'ını almaktadır (20). Brem ve arkadaşlarının (2010), evre IV basınç ülserlerinin maliyetini araştırdıkları çalışma sonucunda mali yükün 124.327 $ -29.248 $ aralığında olduğu ortaya çıkmıştır ve bu bilgilere dayanarak ABD'de bası yarası tedavilerinin toplam maliyetinin yıllık 11000000000 $ aştığı tahmin edilmektedir (21). Ülkede mali yükü yüksek olan hastalıklar olarak kardiovasküler hastalıklardan sonra basınç ülserlerinin olması dikkat çekmektedir (21,22 …”

Section: Introductionunclassified

“…Brem ve arkadaşlarının (2010), evre IV basınç ülserlerinin maliyetini araştırdıkları çalışma sonucunda mali yükün 124.327 $ -29.248 $ aralığında olduğu ortaya çıkmıştır ve bu bilgilere dayanarak ABD'de bası yarası tedavilerinin toplam maliyetinin yıllık 11000000000 $ aştığı tahmin edilmektedir (21). Ülkede mali yükü yüksek olan hastalıklar olarak kardiovasküler hastalıklardan sonra basınç ülserlerinin olması dikkat çekmektedir (21,22 …”

Section: Introductionunclassified

Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri

Sarı¹,

Altay²

2016

J Contemp Med

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Pressure ulcer is a significant health problem extending hospitalization duration at hospitals and increasing the risk of mortality and morbidity. Though risk of pressure ulcer development is high in all childhood periods, it rather increases due to differences in epidermis and dermis layer especially during neonatal period. No matter how difficult is treatment of pressure ulcer, it is a preventable problem through an effective nursery care by determining risk factors causing its development and removing them. Nurses taking care of newborns, being in risky group on grounds of disruption of skin integrity, have major responsibilities on avoiding pressure ulcer. Nursery procedures to avoid pressure ulcer involve risk evaluation along with determining newborns at risk, daily skin assessment, control of moisture, providing nutrition and hydration and decreasing pressure. The purpose of this study is to form guidance for nursery procedures to avoid pressure ulcer in newborns. The article includes the reasons of pressure ulcer development in newborns, its locals, importance of pressure ulcer avoidance and nursery procedures to avoid pressure ulcer development.

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“…A study conducted in the United States highlighted the fact that the cost of treating PU in category IV over a maximum of 29 months was USD 129,248 in the hospital setting and USD 124,327 in the community-based setting (18) . These findings illustrate the economic impact of PU treatment and confirm the relevance of PU prevention and early identification for anticipating and avoiding complications.…”

Section: Review Of Studies Regarding the Associated Economic Costsmentioning

confidence: 99%

Custo econômico do tratamento das úlceras por pressão: uma abordagem teórica

Silva

Pereira

Rodrigues

et al. 2013

Rev. esc. enferm. USP

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RESUMOO presente artigo consiste numa abordagem teórica sobre a problemática dos custos económicos das úlceras por pressão. Parte-se do conhecimento do problema, numa perspetiva conceptual, para, de seguida, apresentar resultados de estudos de prevalência, a partir dos quais foram delineados estudos de impacto económico. O objectivo deste artigo é o de reflectir sobre os custos económicos associados às úlceras por pressão, quer numa perspetiva global, considerando a repercussão financeira, quer numa vertente personalista, atendendo aos custos intangíveis. Relativamente ao impacto económico das úlceras por pressão, foi efectuada uma estimativa ao nível da Região Autónoma dos Açores do custo total do tratamento por ambiente de cuidados. Nos cuidados domiciliários o custo com o tratamento de todas as categorias é calculado em 7.086.415 euros; nos cuidados hospitalares, em 1.723.509 euros, e nos cuidados prestados em lares de idosos, em 1.002.562 euros. Nos Açores, a estimativa do custo total do tratamento das úlceras por pressão, considerando todas as suas categorias, ronda os 9.812.486 euros. Quanto ao impacto emocional associado, este tem elevados custos para pessoa e para os familiares, nomeadamente pelo sofrimento gerado. De facto, as úlceras por pressão acarretam elevados custos econó-micos associados ao tratamento, bem como custos intangíveis pelo sofrimento vivenciado por pessoas e cuidadores. DESCRITORES Úlcera por pressão Custos e análise de custo Cuidados de enfermagem ABSTRACTThe present study consisted of a theoretical approach to the problem posed by the economic costs associated with pressure ulcers (PUs). The initial aim was to assess the target problem from a conceptual perspective and then to report the results of prevalence studies that formed the basis for investigations of the disease's economic impact. The purpose of the present article is to discuss the economic costs associated with PUs from both the global point of view (appraising their financial repercussion) and the individual point of view (addressing the intangible costs). Regarding the economic impact of the costs associated with PUs, the total cost of treatment per healthcare setting was estimated relative to the Autonomous Community of Azores. The total cost of all the PU categories was EUR 7,086,415 in the homecare setting, EUR 1,723,509 in the hospital setting, and EUR 1,002,562 in older people's homes. Therefore, the estimated total treatment cost of all the PU categories was approximately EUR 9,812,486 in Azores. However, the emotional impact of this disease imposes high costs on patients and their relatives as a function of the resultant suffering. Indeed, PUs impose high costs not only related to the treatment but also related to the intangible costs of the suffering caused to patients and their caregivers. DESCRIPTORS Pressure ulcer Cost and cost analysis Nursing care RESUMENEl presente artículo consiste en una reflexión teórica sobre el problema de los costos econó-micos de las úlceras por presión. Se empieza por el conocimie...

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High cost of stage IV pressure ulcers

Cited by 275 publications

References 26 publications

An audit of the physiotherapy management of paraplegic patients with sacral pressure sores

An audit of the physiotherapy management of paraplegic patients with sacral pressure sores

Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri

Custo econômico do tratamento das úlceras por pressão: uma abordagem teórica

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