Trends in pressure injury prevalence rates and average days to healing associated with adoption of a comprehensive wound care program and technology in skilled nursing facilities in the United States.

IF 1.4 4区医学 Q3 DERMATOLOGY

Wounds : a compendium of clinical research and practice Pub Date : 2024-01-01 DOI:10.25270/wnds/23089

Heba Tallah Mohammed, David Mannion, Amy Cassata, R. D. Fraser

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Abstract

INTRODUCTION A large SNF system in the United States adopted a holistic wound care model that included an AI DWMS to improve PI care. OBJECTIVE To compare the trend in PI point prevalence rates and average days to healing linked to adopting technology in practice from 2021 to 2022, and to assess the rate of received PI F686 citations in facilities that adopted the technology compared with those that did not. METHODS The study used the DWMS database to compare anonymized PI data assessed in 2021 (15 583 patients) vs 2022 (30 657 patients) from all SNF facilities that adopted the technology in 2021 and 2022. F686 citations data were provided by the SNF organization. RESULTS There was a 13.1% reduction in PI prevalence from 2021 to 2022 across all PI stages. Facilities that adopted the technology demonstrated a significant reduction in days to healing from 2021 to 2022, with an average of 17.7 days saved per PI or a 37.4% faster healing rate (P < .001). A significant reduction in the average days to healing was noted for all PI stages, with the most significant savings observed for stages 3 and 4, with an average savings of 35 days (stage 3) and 85 days (stage 4) in 2022 vs 2021 (P < .001). From 2021 to 2022, facilities that adopted the technology reported an overall 8.2% reduction in F-686 citations severity >G compared to those that did not adopt the technology. CONCLUSION Use of technology as part of a comprehensive wound care program has the potential to not only improve patient care and quality of life, but to realize considerable annual savings in additional PI out-of-pocket expenses (up to $1 410 000) and of clinicians' time (44 808 hours).

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美国专业护理机构采用综合伤口护理计划和技术后，压伤发生率和平均愈合天数的变化趋势。

目的比较 2021 年至 2022 年在实践中采用该技术后 PI 点患病率和平均愈合天数的变化趋势，并评估采用该技术的医疗机构与未采用该技术的医疗机构收到 PI F686 引文的比率。方法该研究使用 DWMS 数据库比较了 2021 年（15 583 名患者）和 2022 年（30 657 名患者）评估的匿名 PI 数据，这些数据来自 2021 年和 2022 年采用该技术的所有 SNF 机构。结果从 2021 年到 2022 年，所有 PI 阶段的 PI 患病率降低了 13.1%。从 2021 年到 2022 年，采用该技术的医疗机构显著减少了痊愈天数，平均每例 PI 节省 17.7 天，痊愈率提高 37.4%（P < .001）。所有 PI 阶段的平均愈合天数都有明显减少，其中第 3 和第 4 阶段的节省最为显著，2022 年与 2021 年相比，第 3 阶段平均节省 35 天，第 4 阶段平均节省 85 天（P < .001）。从 2021 年到 2022 年，采用该技术的医疗机构与未采用该技术的医疗机构相比，F-686 引证严重程度 >G 总体减少了 8.2%。结论作为综合伤口护理计划的一部分，使用该技术不仅有可能改善患者护理和生活质量，而且每年还能节省大量额外的 PI 自付费用（高达 1 410 000 美元）和临床医生的时间（44 808 小时）。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.