High cost of stage IV pressure ulcers

High cost of stage IV pressure ulcers
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DOI:
10.1016/j.amjsurg.2009.12.021
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发表时间:
2010-10-01
影响因子:
3
通讯作者:
Vladeck, Bruce
Vladeck, Bruce
中科院分区:
医学3区
文献类型:
--
作者:
Brem, Harold;Maggi, Jason;Vladeck, Bruce

文献摘要

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背景:本研究的目的是计算和分析IV期压疮的治疗费用。方法:对IV期压疮患者进行回顾性图表分析。对这些患者的住院记录和治疗结果进行最长29个月的随访并进行分析。计算与压疮治疗及其相关并发症直接相关的费用。结果:19例IV期压疮患者(11例医院获得性,8例社区获得性),并对其病历进行了回顾。1次住院期间医院获得性溃疡与IV期压疮及相关并发症相关的平均住院治疗费用为129,248美元,平均4次住院期间社区获得性溃疡为124,327美元。结论:IV期压疮的费用比先前估计的要高得多。阻止早期压疮的发展有可能消除巨大的痛苦和痛苦,挽救成千上万的生命,并减少数百万美元的医疗支出。(C) 2010爱思唯尔公司版权所有。
BACKGROUND: The aim of this study was to calculate and analyze the cost of treatment for stage IV pressure ulcers.METHODS: A retrospective chart analysis of patients with stage IV pressure ulcers was conducted. Hospital records and treatment outcomes of these patients were followed up for a maximum of 29 months and analyzed. Costs directly related to the treatment of pressure ulcers and their associated complications were calculated.RESULTS: Nineteen patients with stage IV pressure ulcers (11 hospital-acquired and 8 community-acquired) were identified and their charts Were reviewed. The average hospital treatment cost associated with stage IV pressure ulcers and related complications was $129,248 for hospital-acquired ulcers during 1 admission, and $124,327 for community-acquired ulcers over an average of 4 admissions.CONCLUSIONS: The costs incurred from stage IV pressure ulcers are much greater than previously estimated. Halting the progression of early stage pressure ulcers has the potential to eradicate enormous pain and suffering, save thousands of lives, and reduce health care expenditures by millions of dollars. (C) 2010 Elsevier Inc. All rights reserved.