ECONOMIC ANALYSIS OF ENZYMATIC DEBRIDEMENT VERSUS STANDARD BURN CARE: A RETROSPECTIVE ANALYSIS.

Autor: Minic J; Department of Plastic and Reconstructive Surgery and Burn Unit, University Hospital, Verona, Italy., Vestita M; Department of Plastic and Reconstructive Surgery and Burn Unit, A. Perrino Hospital, Brindisi, Italy., Vigato E; Department of Plastic and Reconstructive Surgery and Burn Unit, University Hospital, Verona, Italy., Dallapozza E; Department of Plastic and Reconstructive Surgery and Burn Unit, University Hospital, Verona, Italy., Shoham Y; Soroka University Medical Center, Ben Gurion University of the Negev, Beer-Sheba, Israel., Lavagnolo U; Department of Plastic and Reconstructive Surgery and Burn Unit, University Hospital, Verona, Italy., Bianchi FP; Department of Biomedical Sciences and Human Oncology, University of Bari, Italy., Fratucello A; Pharmacist and Responsible for the Clinical Research Unit University Hospital, Verona, Italy., Governa M; Department of Plastic and Reconstructive Surgery and Burn Unit, University Hospital, Verona, Italy.
Jazyk: angličtina
Zdroj: Annals of burns and fire disasters [Ann Burns Fire Disasters] 2024 Jun 30; Vol. 37 (2), pp. 148-158. Date of Electronic Publication: 2024 Jun 30 (Print Publication: 2024).
Abstrakt: When compared to standard surgical management, rapid enzymatic debridement of deep burns reduces the need for surgery while achieving similar long-term results. However, few studies have directly compared the costs of standard surgical and enzymatic burn care. We conducted a study comparing the care costs of 44 adult burn patients treated before (n=22) and after (n=22) introducing rapid bromelain-based enzymatic debridement (BED) of deep burns. Mean age was 59 years, 54% were male, and mean total body surface area (TBSA) was 23.5%. Burn etiology included flame and scalding burns (8). Groups treated with standard of care and enzymatic debridement were comparable in terms of age, sex and TBSA. Burn management with BED significantly reduced total debridement costs as well as grand total costs when compared with traditional surgical care. Such reduction was mostly related to lower costs associated with reduced surgical care and less facilities and resources consumption in the BED group.
(© 2024 Euro-Mediterranean Council for Burns and Fire Disasters.)
Databáze: MEDLINE
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