an estimate of the cost of managing pressure ulcers within ... · an estimate of the cost of...
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An estimate of the cost of managing pressure ulcers within an
acute care setting in Ireland – A Feasibility Study
Aoife Reilly1, Helen Strapp2, Jan Sorensen3, Zena Moore1, Declan Patton1, Jane Burns1 1Department of Nursing & Midwifery, RCSI, Dublin 2 2 Wound Management Clinic, Tallaght Hospital, Dublin 24 3Healthcare Outcomes Research Centre, RCSI, Dublin 2
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INTRODUCTION
Pressure Ulcers • A pressure ulcer (PU) is defined as a localised injury to the skin and/or
underlying tissue usually over a bony prominence, as a result of
pressure, or pressure in combination with shear1.
• Treating one grade IV PU costs the Irish Health Service €119,0002.
• To date, no studies within the Irish health care service have explored the
cost of the management of PUs of all grades
• The aim of this project was to determine the feasibility of using a health
economic model to estimate the cost of management of pressure ulcers
(grade II-IV) within an acute care setting in Ireland.
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METHODS
• Retrospective survey design
• Analysed medical charts (n=20) and nursing notes of patients with grade II-IV PUs,
nursed within an acute hospital setting
1) Examined quantity and type of:
• Equipment used e.g. heel boots, pressure relieving mattresses
• Materials used e.g. creams, dressings, drugs
• Tests undertaken e.g. ABPIs
• Labour Costs e.g. repositioning, input from Health professionals specifically for PU treatment
2) Obtained unit cost of each item/service from hospital’s procurement department
3) Calculated cost per patient
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RESULTS
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RESULTS
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ASSOCIATED VARIABLES
• PU Grade
• BMI
• Mobility Status
• Continence Status
• Diabetes Mellitus
• Maelor Score
• MUST Score
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PU GRADE AND COST
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MAELOR SCORE AND COST
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BMI AND PU COST
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RESULTS - COSTS
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CONCLUSION
• Retrospective survey design unfeasible for accurate economic analysis of this kind
• Data collection laborious
• Information in patient charts inconsistent/absent/lacking
• Difficulty obtaining unit costs of products/services used
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FUTURE DIRECTIONS
• Larger scale, prospective study to be carried out using tool developed
• Real time cost analysis of repositioning to be conducted
• Potential to use tool for cost analysis of other pathologies
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ACKNOWLEDGMENTS
Faculty of Medicine and Health
Sciences, RCSI, Summer School
Research Grant 2017
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REFERENCES
• NATIONAL PRESSURE ULCER ADVISORY PANEL, EUROPEAN
PRESSURE ULCER ADVISORY PANEL AND PAN PACIFIC
PRESSURE INJURY ALLIANCE. 2014. Prevention and Treatment of
Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.).
Cambridge Media: Perth, Australia.
• GETHIN, G., JORDAN-O'BRIEN, J. & MOORE, Z. 2005. Estimating
costs of pressure area management based on a survey of ulcer
care in one Irish hospital. J Wound Care, 14, 162-5.
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An estimate of the cost of managing pressure ulcers within an
acute care setting in Ireland – A Feasibility Study
Aoife Reilly1, Helen Strapp2, Jan Sorensen3, Zena Moore1, Declan Patton1, Jane Burns1 1Department of Nursing & Midwifery, RCSI, Dublin 2 2 Wound Management Clinic, Tallaght Hospital, Dublin 24 3Healthcare Outcomes Research Centre, RCSI, Dublin 2