Cost of Treating Pressure Ulcers for Veterans with Spinal Cord Injury

Cost of Treating Pressure Ulcers for Veterans with Spinal Cord Injury
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脊髓损伤退伍军人治疗压疮的费用

DOI:
10.1310/sci1604-62
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发表时间:
2011
影响因子:
2.9
通讯作者:
Bridget M Smith
Bridget M Smith
中科院分区:
--
文献类型:
--
作者:
K. Stroupe;L. Manheim;C. Evans;M. Guihan;Chester H. Ho;Keran Li;Diane C. Cowper;T. Hogan;J. S. Andre;Zhiping Huo;Bridget M Smith

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在美国25万脊髓损伤/障碍(SCI/D)患者中,退伍军人几乎占17%。压疮是SCI/D的常见并发症。我们比较了退伍军人健康管理局(VHA)中有和没有压疮的退伍军人每年的医疗保健利用率和费用。患有压疮的退伍军人平均总住院天数更多(61.00 vs 9.19, P < 0.001),总医疗费用更高(100,935美元vs 27,914美元,P < 0.001),主要原因是住院费用更高(91,341美元vs 13,754美元,P < 0.05)。我们的研究结果强调需要识别有压疮风险的患者,这些患者可以从针对性的皮肤护理管理干预中受益。
Veterans comprise almost 17% of the 250,000 persons with spinal cord injury/disorder (SCI/D) in the United States. Pressure ulcers are common complications of SCI/D. We compared annual health care utilization and costs between veterans with and without pressure ulcers in the Veterans Health Administration (VHA). Veterans with pressure ulcers had more total inpatient days on average (61.00 vs 9.19;P < .001) and higher total health care costs ($100,935 vs $27,914;P < .001) due primarily to higher inpatient costs ($91,341 vs $13,754;P < .05). Our results highlight the need to identify patients at risk for pressure ulcers who could benefit from targeted skin care management interventions.