The cost of pressure ulcers in the UK
The cost of pressure ulcers in the UK
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DOI：
10.1093/ageing/afh086
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发表时间：
2004-05-01
期刊：
影响因子：
6.7
通讯作者：
Posnett, J
中科院分区：
文献类型：
--
作者：
Bennett, G;Dealey, C;Posnett, J
目的：估计每年的费用治疗压力性溃疡在英国。设计：成本来自一个自下而上的方法，根据所需的日常资源，以提供协议的照顾，反映良好的临床实践。设置：健康和社会保健系统在英国。主题：病人发展的压力性溃疡。方法：当局采用由下而上的成本计算方法，估计每段护理及每名病人在不同程度及并发症的溃疡方面的治疗成本。此外，总的治疗费用的卫生和社会保健系统在英国。结果：治疗压力性溃疡的费用从1,064英镑（1级）到10,551英镑（4级）不等。费用随着溃疡等级的增加而增加，因为愈合时间更长，而且在更严重的情况下并发症的发生率更高。联合王国每年的总费用为14 - 21亿英镑（占国民保健服务总支出的4%）。大部分的费用是护士的时间。结论：压力性溃疡是一个非常显着的成本负担在英国。如果不作出协调一致的努力，今后随着人口老龄化，这一成本可能会增加。在某种程度上，压力溃疡是可以避免的，压力损伤可能表明临床疏忽，有证据表明，诉讼可能很快成为英国医疗保健提供者的重大威胁，就像在美国一样。
Objective: to estimate the annual cost of treating pressure ulcers in the UK.Design: costs were derived from a bottom-up methodology, based on the daily resources required to deliver protocols of care reflecting good clinical practice.Setting: health and social care system in the UK.Subjects: patients developing a pressure ulcer.Methods: a bottom-up costing approach is used to estimate treatment cost per episode of care and per patient for ulcers of different grades and level of complications. Also, total treatment cost to the health and social care system in the UK.Results: the cost of treating a pressure ulcer varies from pound1,064 (Grade 1) to pound10,551 (Grade 4). Costs increase with ulcer grade because the time to heal is longer and because the incidence of complications is higher in more severe cases. The total cost in the UK is pound1.4-pound2.1 billion annually (4% of total NHS expenditure). Most of this cost is nurse time.Conclusions: pressure ulcers represent a very significant cost burden in the UK. Without concerted effort this cost is likely to increase in the future as the population ages. To the extent that pressure ulcers are avoidable, pressure damage may be indicative of clinical negligence and there is evidence that litigation could soon become a significant threat to healthcare providers in the UK, as it is in the USA.