The cost of pressure ulcers in the United Kingdom
The cost of pressure ulcers in the United Kingdom
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DOI：
10.12968/jowc.2012.21.6.261
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发表时间：
2012-06-01
影响因子：
1.9
通讯作者：
Walker, A.
中科院分区：
文献类型：
--
作者：
Dealey, C.;Posnett, J.;Walker, A.
目的：以2011年8月的价格估算英国治疗压疮的成本，以强调预防压疮的重要性。方法：资源使用基于自下而上的方法，基于提供反映良好临床实践的护理方案所需的每日资源，价格反映了英国卫生和社会保健系统的成本。结果：压疮的治疗成本从(SIC)1214(第一类)到(SIC)14108(第四类)不等。费用随着溃疡严重程度的增加而增加，因为愈合时间越长，并发症的发生率越高。结论：在英国，压疮对患者和医疗保健提供者来说都是一个巨大的成本负担。如果不共同努力，未来随着人口老龄化，这一成本可能会增加。此处报告的估计数为评估减少医院获得性溃疡发病率的措施的成本效益提供了基础。
Objective: To provide an estimate of the costs of treating pressure ulcers in the UK at August 2011 prices, as a means of highlighting the importance of pressure ulcer prevention.Method: Resource use was derived from a bottom-up methodology, based on the daily resources required to deliver protocols of care reflecting good clinical practice, with prices reflecting costs to the health and social care system in the UK. This approach was used to estimate treatment costs per episode of care and per patient for ulcers of different severity and level of complications.Results: The cost of treating a pressure ulcer varies from (sic) 1214 (category I) to (sic) 14108 (category IV). Costs increase with ulcer severity because the time to heal is longer and the incidence of complications is higher in more severe cases.Conclusion: Pressure ulcers represent a significant cost burden in the UK, both to patients and to health-care providers. Without concerted effort, this cost is likely to increase in the future as the population ages. The estimates reported here provide a basis for assessment of the cost-effectiveness of measures to reduce the incidence of hospital-acquired ulcers.