Cost‐effectiveness of multi‐layered silicone foam dressings for prevention of sacral and heel pressure ulcers in high‐risk intensive care unit patients: An economic analysis of a randomised controlled trial

Genedy, Monira El; Hahnel, Elisabeth; Tomova‐Simitchieva, Tsenka; Padula, William V.; Hauß, Armin; Löber, Nils; Blume‐Peytavi, Ulrike; Kottner, Jan

doi:10.1111/iwj.13390

Cited by 16 publications

(11 citation statements)

References 28 publications

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“…Além das LP serem danosas aos pacientes, o custo do tratamento é alto, portanto, deve-se investir na prevenção (El Genedy et al, 2020;Bezerra et al, 2020).…”

Section: Resultsunclassified

Fatores associados ao desenvolvimento de lesão por pressão em cirurgia cardíaca

Reis

Lima²,

Eberhardt³

et al. 2022

RSD

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Objetivo: analisar os fatores associados ao desenvolvimento de lesão por pressão em calcâneos de pacientes submetidos à cirurgia cardíaca. Método: análise quantitativa de dados extraídos de um ensaio clínico randomizado autocontrolado. A coleta de dados do ensaio clínico randomizado ocorreu de março de 2019 até fevereiro de 2020. Foram avaliados para elegibilidade 268 pacientes, e após a aplicação dos critérios de seleção, foram incluídos 135 pacientes. Foram analisados 91 indivíduos, referentes à especialidade cardíaca. Os dados foram analisados estatisticamente com auxílio do programa Statistical Package for the Social Sciences versão 21. Resultado: dos 91 participantes da pesquisa, 49 (53,8%) desenvolveram lesões por pressão. Quanto à associação de fatores com o desenvolvimento de lesões por pressão, identificou-se que a hipotermia no pós-operatório imediato apresentou associação significativa (p<0,001). Dos 91 pacientes analisados, 26 (28,6%) apresentaram hipotermia no pós-operatório imediato e desenvolveram lesões por pressão. Conclusão: a hipotermia no pós-operatório imediato é um fator associado ao desenvolvimento de lesão por pressão em calcâneos de indivíduos submetidos à cirurgia cardíaca.

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“…Além das LP serem danosas aos pacientes, o custo do tratamento é alto, portanto, deve-se investir na prevenção (El Genedy et al, 2020;Bezerra et al, 2020).…”

Section: Resultsunclassified

Fatores associados ao desenvolvimento de lesão por pressão em cirurgia cardíaca

Reis

Lima²,

Eberhardt³

et al. 2022

RSD

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“…Studies from other areas of care indicate that regular training has a positive influence and can contribute to improving the quality of care 22 . New innovative processes like the application of local dressings were not common, although recent research results have shown their efficacy 23,24 . The results of the linear regression, although somewhat underpowered, have some interesting results.…”

Section: Discussionmentioning

confidence: 99%

Pressure ulcer prevention—Results of a multicentre cross‐sectional survey on hospital infrastructures and processes in acute hospitals and accident and emergency departments

Strube‐Lahmann

Lahmann

2021

Evaluation Clinical Practice

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Aims and objectives Pressure ulcers (PUs) are a serious health problem. They can be considered as an indicator of the quality of health care and are associated with considerable cost increases for the health care system. The prevention of PUs is a major concern in hospital care. The aim of the study was to reveal the current PU prevention‐related processes and structures with a specific focus on the Accident and Emergency (A&E) Department. Method In late 2018/early 2019, all German hospitals were invited to participate in a nationwide cross‐sectional survey. One standardized questionnaire was assigned to a representative of each hospital. The representative was asked to state what PU‐related structures and processes are implemented in their hospital, in general and specific to the A&E department. Besides mostly descriptive analysis, PU‐related processes were analysed on PU incidence in a multivariate linear regression model. Results Two hundred seventy‐six hospitals participated in the survey. 63.4% (n = 175) of the participating hospitals had at least one PU manager. Skin inspection was the most frequently performed procedure. Although not recommended, 1.3% (2.1%) of the facilities still use sheepskins quite often (very often). In the regression model on PU incidence, only the process ‘mobilization in bed’ was statistically significantly associated. Although the risk of developing a PU in the emergency department is high, more than half of the facilities had no PU guidelines. Conclusion Even if recommended procedures (skin inspection, 30° positioning) have been used frequently, regular training could help to bring new scientific findings such as the use of local skin protection dressings into clinical practice. Prevention guidelines should be established in all areas of care even for A&E as well as when patients are transferred inside or out of the hospital, where the risk of PU development was considered low.

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“…Moreover, a separate cost-effectiveness analysis of these data demonstrated that prophylactic dressings are cost-effective especially when applied over the sacrum. 10 The incremental cost per sacral PI prevented was just over €700, or about $750.…”

Section: Commentmentioning

confidence: 99%

The 2020 Update on Pressure Injuries: A Review of the Literature

Saindon

Berlowitz

2022

Adv Skin Wound Care

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To provide an update on the epidemiology, pathophysiology, prevention, and patient preferences for care of pressure injuries (PIs). TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this continuing education activity, the participant will: 1. Recognize the risks to ICU patients regarding PIs. 2. Select evidence-based strategies that can help prevent PIs. 3. Identify factors that can contribute to the development of PIs. 4. Choose collaborative approaches when working with a patient who has a PI.

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Cost‐effectiveness of multi‐layered silicone foam dressings for prevention of sacral and heel pressure ulcers in high‐risk intensive care unit patients: An economic analysis of a randomised controlled trial

Cited by 16 publications

References 28 publications

Fatores associados ao desenvolvimento de lesão por pressão em cirurgia cardíaca

Fatores associados ao desenvolvimento de lesão por pressão em cirurgia cardíaca

Pressure ulcer prevention—Results of a multicentre cross‐sectional survey on hospital infrastructures and processes in acute hospitals and accident and emergency departments

The 2020 Update on Pressure Injuries: A Review of the Literature

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