Costs of topical treatment of pressure ulcer patients

Author:

Andrade Cynthia Carolina Duarte1,Almeida Cláudia Fernanda dos Santos Calixto de2,Pereira Walkíria Euzébio3,Alemão Márcia Mascarenhas3,Brandão Cristina Mariano Ruas4,Borges Eline Lima4

Affiliation:

1. Fundação Hospitalar de Minas Gerais, Brazil; Pontifícia Universidade Católica de Minas Gerais, Brazil

2. Prefeitura de Belo Horizonte, Brazil

3. Fundação Hospitalar de Minas Gerais, Brazil

4. Universidade Federal de Minas Gerais, Brazil

Abstract

Abstract OBJECTIVE To evaluate the costs of a topical treatment of pressure ulcer (PU) patients in a hospital unit for treatment of chronic patients in 2014. METHOD This is an activity-based costing study. This method encompasses the identification, measurement and pricing of physical and human resources consumed for dressings. RESULTS Procedure costs varied between BRL 16.41 and BRL 260.18. For PUs of the same category, of near areas and with the same type of barrier/adjuvant, the cost varied between 3.5% and 614.6%. For most dressings, the cost increased proportionally to the increase of the area and to the development of PU category. The primary barrier accounted for a high percentage of costs among all items required to the application of dressings (human and material resources). Dressings applied in sacral PUs had longer application times. CONCLUSION This study allowed us to understand the costs involved in the treatment of PUs, and it may support decision-makers and other cost-effectiveness studies.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

Reference29 articles.

1. Anexo 02: Protocolo para Prevenção de Úlcera por Pressão [Internet],2013

2. Pressure ulcer prevention: when are e negligent?;Stevenson K;Wound Care Canada. [Internet],2009

3. Incidência de úlcera por pressão em hospitais regionais do Mato Grosso, Brasil;Costa IG;Rev Gaúcha Enferm [Internet],2010

4. Effect of Medicare's nonpayment for hospital-acquired conditions lessons for future policy;Waters TM;JAMA Intern Med,2015

5. Abordagem terapêutica das úlceras de pressão: Intervenções baseadas na evidência;Rocha JA;Acta Med Port [Internet],2006

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