| Autor: |
Yarbrough DR 3rd; Medical University of South Carolina, Charleston, USA., Philbeck TE Jr, Simmons FM, Finnell K, Smith P, Warren JB, Burleson DG |
| Jazyk: |
angličtina |
| Zdroj: |
Ostomy/wound management [Ostomy Wound Manage] 2000 Mar; Vol. 46 (3), pp. 64-9. |
| Abstrakt: |
Patients with posterior burns require extensive stays in the intensive care unit for recovery. The authors hypothesized that pulsating low-air-loss therapy would decrease the intensive care unit length of stay for burn patients, resulting in a potentially significant reduction in charges to payors. Eighty-one posterior burn patients enrolled in the primary study were randomly assigned to a pulsating low-air-loss surface (study group) or a nonpulsating low-air-loss surface (control group). The 54 survivors in this analysis (the secondary study) were well matched for age, pre-existing conditions, and total body surface area burned. Average intensive care unit length of stay was less for the study patients compared with the control patients--40 days versus 64 days (P < .05). Control patients used specialty surfaces for 49 days and study patients used them for 38 days. Based on a daily intensive care unit charge of $1,000 and the average daily specialty surface rental charge, the study patients averaged potential charges of under $44,000 in comparison to more than $67,000 for control patients. These data suggest that treatment of posterior burns with pulsating low-air-loss therapy may be of great clinical and financial benefit, decreasing the intensive care unit length of stay and potentially contributing to reduced charges to payors. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
