RESULTS OF A DECUBITUS PREVENTION AND WOUND CARE PROJECT
Author(s)
Dozsa C1, Borcsek B2
1University of Miskolc, Miskolc, Hungary, 2Med-Econ Ltd., Veroce, Hungary
Presentation Documents
OBJECTIVES Background: The project focused on the preventive use, effectiveness and the better knowledge about the potential effects and mechanisms of dressings. Aims: To improve the effectiveness of wound care, to prevent effectively the appearance of pressure ulcers during hospitalization. METHODS During 2 months of the project 80 patients of 3 active and 2 chronic care departments were involved, treatment of 84 pressure ulcers of 46 patients occurred. After the health check the attachment of dressings and the wound management were carried out according to the protocols and were documented on special datasheets. Subsequently, the checking and processing of questionnaires – continuing the monitoring of patient pathways – were done. RESULTS Pressure ulcers did not develop in case of 79% of the patients after prevention, effectiveness of targeted prevention reached 95.5%. The incidence of decubitus fell by 1.6-1.7 % in the project (formation rate was 58.8-90.9 % lower in average). In the background of successful prevention min. 3-day use was observed, but even use of 1-1 preventive dressing was effective. The average length of wound care was14 days, frequency was 8.2 times/patient. The healed or recovering wounds were more frequently treated, but rather for more days, however, their treatment cost less than the average and those wounds which were not healing. CONCLUSIONS Wound care starts with prevention. The quality of wound care should not decrease after the patient’s discharge, the home follow-up would be essential, nevertheless its "best practices" has not spread widely in Hungary yet. In the short term Decubitus Team doctors should be involved in patients’ discharge planning, however in the long term creation of a so-called Wound Care Centre could offer a sustainable solution. Hereinafter controlled trials of higher number of cases could prove the cost-effectiveness of intelligent dressings in wider aspects of the health care system.
Conference/Value in Health Info
2014-11, ISPOR Europe 2014, Amsterdam, The Netherlands
Value in Health, Vol. 17, No. 7 (November 2014)
Code
PSS5
Topic
Clinical Outcomes
Topic Subcategory
Comparative Effectiveness or Efficacy
Disease
Sensory System Disorders