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Gerokomos

Print version ISSN 1134-928X

Abstract

PEDRAZA CASTANEDA, Mª del Carmen et al. Cost-effectiveness of advanced therapy with moist environment dressings compared to traditional therapy in the treatment of Stage I and II pressure ulcers. Gerokomos [online]. 2021, vol.32, n.3, pp.199-204.  Epub Oct 25, 2021. ISSN 1134-928X.

Objective:

To demonstrate the cost-effectiveness of the moist environment dressings treatment over the Traditional Cure (TC), in hospitalized patients, with Pressure Ulcers (UPP) categories I and II.

Methods:

This is a comparative, randomized, open-label, longitudinal study, comprising 60 patients, divided into two groups, treated and followed for four weeks. The sample size was calculated based upon the meta-analysis by Heyer. We built a decision tree to compare the cost-effectiveness of each therapy. Data were collected directly from patients' case report forms and costs extracted from hospital records. Additionally, we performed sensitivity and incremental cost-effectiveness analyses.

Results:

The analysis showed a dominance of advanced therapy over traditional therapy (€ 223.00/0.84 vs. € 298.00/0.51), as it was more cost-effective at the end of the study. Hospitalization was shorter in the advanced therapy and healing was achieved in fewer days than the traditional therapy.

Conclusions:

Advanced therapy with healing products in a humid environment is more cost-effective than traditional therapy when applied to hospitalized patients with category I and II pressure ulcers.

Keywords : Cost-efectiveness; pressure ulcers; cost analysis; nursing.

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