期刊
EUROPEAN JOURNAL OF CLINICAL NUTRITION
卷 67, 期 1, 页码 42-46出版社
NATURE PUBLISHING GROUP
DOI: 10.1038/ejcn.2012.140
关键词
pressure ulcer; nutrition support; cost effectiveness
资金
- Royal Brisbane & Women's Hospital Research Foundation
BACKGROUND/OBJECTIVES: This study estimates the economic outcomes of a nutrition intervention to at-risk patients compared with standard care in the prevention of pressure ulcer. SUBJECTS/METHODS: Statistical models were developed to predict 'cases of pressure ulcer avoided', 'number of bed days gained' and 'change to economic costs' in public hospitals in 2002-2003 in Queensland, Australia. Input parameters were specified and appropriate probability distributions fitted for: number of discharges per annum; incidence rate for pressure ulcer; independent effect of pressure ulcer on length of stay; cost of a bed day; change in risk in developing a pressure ulcer associated with nutrition support; annual cost of the provision of a nutrition support intervention for at-risk patients. A total of 1000 random re-samples were made and the results expressed as output probability distributions. RESULTS: The model predicts a mean 2896 (s.d. 632) cases of pressure ulcer avoided; 12 397 (s.d. 4491) bed days released and corresponding mean economic cost saving of euros 2 869 526 (s.d. 2 078 715) with a nutrition support intervention, compared with standard care. CONCLUSION: Nutrition intervention is predicted to be a cost-effective approach in the prevention of pressure ulcer in at-risk patients. European Journal of Clinical Nutrition (2013) 67, 42-46; doi:10.1038/ejcn.2012.140; published online 10 October 2012
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