The national cost of hospital-acquired pressure injuries in the United States
| Autor: | William V. Padula, Benjo A. Delarmente |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Quality management Total cost Iatrogenic Disease Dermatology 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Acute care Health care Epidemiology medicine Humans 030212 general & internal medicine health care economics and organizations Aged Aged 80 and over Pressure Ulcer Pressure injury business.industry Incidence (epidemiology) Health Care Costs Original Articles Middle Aged United States Emergency medicine Economic evaluation Surgery Female business |
| Zdroj: | Int Wound J |
| ISSN: | 1742-481X |
| Popis: | Our objective was to estimate the US national cost burden of hospital-acquired pressure injury (HAPI) using economic simulation methods. We created a Markov simulation to estimate costs for staged pressure injuries acquired during hospitalisation from the hospital perspective. The model analysed outcomes of hospitalised adults with acute illness in 1-day cycles until all patients were terminated at the point of discharge or death. Simulations that developed a staged pressure injury after 4 days could advance from Stages 1 to 4 and accrue additional costs for Stages 3 and 4. We measured costs in 2016 US dollars representing the total cost of acute care attributable to HAPI incidence at the patient level and for the entire United States based on the previously reported epidemiology of pressure injury. US HAPI costs could exceed $26.8 billion. About 59% of these costs are disproportionately attributable to a small rate of Stages 3 and 4 full-thickness wounds, which occupy clinician time and hospital resources. HAPIs remain a concern with regard to hospital quality in addition to being a major source of economic burden on the US health care system. Hospitals should invest more in quality improvement of early detection and care for pressure injury to avoid higher costs. |
| Databáze: | OpenAIRE |
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