Assessing the Cost-effectiveness of Pressure Injury Prevention Strategies in a Quasi-experimental Design.

IF 1.4 4区医学 Q3 DERMATOLOGY

Advances in Skin & Wound Care Pub Date : 2025-09-01 Epub Date: 2025-07-25 DOI:10.1097/ASW.0000000000000331

Mousa Yahya Asiri, Turki Saqer J Al Mutairi, Homoud Alanazi, Sahar Abdulkarim Al-Ghareeb

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Abstract

Objective: Pressure injuries (PIs) remain a significant challenge in healthcare, causing patient discomfort, prolonging hospital stays, and imposing substantial financial burdens on healthcare systems. Despite advancements in prevention strategies, determining the most cost-effective interventions remains paramount for healthcare providers and policymakers. The study authors aimed to assess the cost-effectiveness of various PI prevention strategies within a quasi-experimental design framework.

Methods: A quasi-experimental study with 2 arms was conducted between September 2022 and February 2023 in a hospital in Saudi Arabia: the routine care for the PI group, group 1, and the PI prevention bundle group, group 2. Data on PI incidence, severity, and associated costs were collected to compare outcomes between group 1 and group 2.

Results: A total of 368 patients were enrolled in the study: 218 patients in group 1 and 150 in group 2. Mortality was higher in the routine care group. The mean PI-free day in the prevention bundle group was 298.8 days compared with 19.7 days in the routine care group. Overall, the mean total cost for the bundle care group was ~$9600 lower than that of the routine care group.

Conclusions: This quasi-experimental study confirmed that PI prevention is cost-effective. Hospitals should invest in interdisciplinary teams and prevention bundles to improve patient outcomes and resource utilization.

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在准实验设计中评估压力损伤预防策略的成本-效果。

目的：压力损伤（PIs）仍然是医疗保健中的一个重大挑战，造成患者不适，延长住院时间，并给医疗保健系统带来巨大的经济负担。尽管在预防战略方面取得了进展，但确定最具成本效益的干预措施仍然是卫生保健提供者和决策者的首要任务。该研究的作者旨在评估在准实验设计框架内各种PI预防策略的成本效益。方法：于2022年9月至2023年2月在沙特阿拉伯某医院进行两组准实验研究：PI组常规护理为1组，PI预防捆绑治疗组为2组。收集PI发生率、严重程度和相关费用的数据，比较1组和2组的结果。结果：共有368例患者入组：1组218例，2组150例。常规护理组死亡率较高。与常规护理组的19.7天相比，预防捆绑治疗组的平均pi无日为298.8天。总体而言，捆绑护理组的平均总费用比常规护理组低约9600美元。结论：本准实验研究证实，预防PI具有成本效益。医院应投资于跨学科团队和预防包，以改善患者的治疗效果和资源利用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Skin & Wound Care DERMATOLOGY-NURSING

CiteScore

2.50

自引率

12.50%

发文量

271

审稿时长

>12 weeks

期刊介绍： A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.