Modeling the economic losses from pressure ulcers among hospitalized patients in Australia
- 15 September 2005
- journal article
- Published by Wiley in Wound Repair and Regeneration
- Vol. 13 (5) , 462-467
- https://doi.org/10.1111/j.1067-1927.2005.00066.x
Abstract
The objective of this study was to predict the number of cases of pressure ulcer, the bed days lost, and the economic value of these losses at Australian public hospitals. All adults (>or= 18 years of age) with a minimum stay of 1 night and discharged from selected clinical units from all Australian public hospitals in 2001-02 were included in the study. The main outcome measures were the number of cases of pressure ulcer, bed days lost to pressure ulcer, and economic value of these losses. We predict a median of 95,695 cases of pressure ulcer with a median of 398,432 bed days lost, incurring median opportunity costs of AU$285 M. The number of cases, and so costs, were greatest in New South Wales and lowest in Australian Capitol Territory. We conclude that pressure ulcers represent a serious clinical and economic problem for a resource-constrained public hospital system. The most cost-effective, risk-reducing interventions should be pursued up to a point where the marginal benefit of prevention is equalized with marginal cost. By preventing pressure ulcers, public hospitals can improve efficiency and the quality of the patient's experience and health outcome.Keywords
This publication has 14 references indexed in Scilit:
- Effect of Pressure Ulcers on Length of Hospital StayInfection Control & Hospital Epidemiology, 2005
- Economics of Preventing Hospital InfectionEmerging Infectious Diseases, 2004
- Collecting pressure ulcer prevention and management outcomes: 1British Journal of Nursing, 2002
- Cost-Effective Strategy for Managing Pressure Ulcers in Critical Care: A Prospective, Non-randomised, Cohort StudyJournal of Tissue Viability, 2000
- The socioeconomic burden of hospital acquired infectionEurosurveillance, 2000
- Cost and Prevention of Pressure Ulcers in an Acute Teaching HospitalInternational Journal for Quality in Health Care, 1996
- INCIDENCE OF PRESSURE-SORES IN THE GREATER GLASGOW HEALTH BOARD AREAThe Lancet, 1977
- The incidence of pressure sores in active treatment hospitalsInternational Journal of Nursing Studies, 1975