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Gerokomos
versão impressa ISSN 1134-928X
Resumo
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 25-Out-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.
Palavras-chave : Cost-efectiveness; pressure ulcers; cost analysis; nursing.