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Observational Study
. 2021 Jan;34(1):23-30.
doi: 10.1097/01.ASW.0000722744.20511.71.

Clinical and Economic Impact of Wound Care Using a Polyurethane Foam Multilayer Dressing

Verónica Tiscar-González  1 , Maria José Menor-Rodríguez, Carlos Rabadán-Sainz, Mercedes Fraile-Bravo, Tim Styche, Francisco José Valenzuela-Ocaña, Leticia Muñoz-García; Life Group
Affiliations
Observational Study

Clinical and Economic Impact of Wound Care Using a Polyurethane Foam Multilayer Dressing

Verónica Tiscar-González et al. Adv Skin Wound Care. 2021 Jan.

Abstract

Objective: To study the impact of a newly introduced dressing on efficiency and quality of care in routine clinical practice in a Spanish community setting.

Design and setting: An ambispective multicenter observational study was conducted in 24 primary care centers and 6 nursing homes in 4 different Spanish regions. The study was carried out between November 2017 and March 2019.

Patients and intervention: A total of 128 wounds in 94 patients (primary care, n = 79; nursing home, n = 15) were analyzed before and 4 weeks after switching to the study dressing.

Outcome measures: Frequency of dressing changes; secondary outcomes were change in the mean wound area and weekly cost and patient and provider satisfaction.

Main results: The mean number of dressing changes was significantly reduced with the study dressing from 3.14 ± 1.77 changes per week to 1.66 ± 0.87 (P < .001), a 47.1% reduction in frequency. Wound area significantly reduced from 9.90 ± 19.62 cm to 7.10 ± 24.33 cm. In addition, a 58.7% reduction in weekly costs was achieved with the intervention. Patients and providers agreed that their satisfaction with wound care improved.

Conclusions: The use of the study dressing in routine clinical practice could lead to a major improvement in both efficiency and quality of wound care. Its use could reduce wound care-related costs through improvements in healing and a reduced frequency of dressing changes. It also enhanced the wound care experience from the perspective of both patients and providers.

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Figures

Figure 1.
Figure 1.
STUDY FLOWCHART
Figure 2.
Figure 2.
HEALTHCARE PROFESSIONAL SATISFACTION WITH THE STUDY DRESSING COMPARED WITH PREVIOUS DRESSING
Figure 3.
Figure 3.
PATIENT SATISFACTION WITH WOUND CARE BEFORE AND AFTER STUDY DRESSING USE
See this image and copyright information in PMC

References

    1. Torra-Bou J García-Fernández F Perez-Acevedo G, et al. El impacto económico de las lesiones por presión. Revisión bibliográfica integrativa. Gerokomos 2017;28(2):83–97.
    1. Lindholm C, Searle R. Wound management for the 21st century: combining effectiveness and efficiency. Int Wound J 2016;13:5–15. - PMC - PubMed
    1. Joy H, Bielby A, Searle R. A collaborative project to enhance efficiency through dressing change practice. J Wound Care 2015;24(7):312–7. - PubMed
    1. Stephen-Haynes J, Bielby A, Searle R. Putting patients first: reducing the human and economic costs of wounds. Wounds UK 2011;7(3):47–55.
    1. Bryan J. Moist wound healing: a concept that changed our practice. J Wound Care 2004;13(6):227–8. - PubMed

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