The Cost of Treating Pressure Ulcers

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Date
2010-05-29
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Faculty of Medicine, Khon Kaen University
Abstract
Objective : To  determine  the  cost  of  treating  pressure  ulcers  in  the Rehabilitation  ward  Srinagarind  Hospital, Khon Kaen  University.Method : This  is  a  prospective  study.  Thirty  patients  with  54 pressure  ulcers  were  studied  in  the  period  of  2 years  and  3  months.Results: The  most  common  site  of  the  pressure  ulcer  was  at  the  sacral  area,  i.e.  21/54  ulcers (38.88%). The most common site  of  the grade 4 ulcer  was  also  at  sacral  area,  i. e. 8/12 ulcers (66.66%). The  cost  of  treating  pressure  ulcers  was  the  summation  of  the  costs  of  room  and  board  during  pressure  ulcer  treatment,  nursing  time  for  wound  care,  medical  supplies,  medications and  operations. The total cost was 1,167,926.46 baht (mean ± SD = 48,764.70 ±55,426.43 baht / patient, median = 30)484.14 baht / patient). While  the  hospital  charged  the  patients  for  ulcer  treatment  totally for  471,753.00 baht (mean ± SD = 15,217.84 ± 20,781.59 baht / patient, median = 6,800.00 baht / patient).Conclusion : Pressure  ulcers  are  preventable  unless  one  is  ignorant. Treatments  of  pressure  ulcers  cost  both  time and  money.  Patients  with  increased  risks  of  developing  pressure  ulcers  should  have  special  attention  to  prevent  pressure  ulcers  both  in  acute  and  long  term  care  facilities.Key  words : Pressure  ulcer ,  decubitus  ulcer.
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Citation
Srinagarind Medical Journal (SMJ); Vo.12 No. 2 April - June 1997; 74-82