Economic Evaluation of Pressure Ulcer Care: A Cost Minimization Analysis of Preventive Strategies

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EXECUTIVE SUMMARYThe purpose of this study was to determine the cost for prevention and treatment of pressure ulcers from a hospital perspective and to identify the least resource-intensive pressure ulcer prevention strategy.Cost analyses were examined from a hospital perspective using direct costs. The study was carried out alongside a prospective cohort study on the incidence and risk factors for pressure ulcers.Two large teaching hospitals in the Netherlands with (partly) opposing approaches in prevention, a technological versus a human approach, were analyzed.The main outcome measures were resource use, costs of preventive measures and treatment, and pressure ulcer incidence in both hospitals.Pressure ulcer prevention through a predominantly technical approach resulted in a similar incidence rate as prevention through a predominantly human approach.However, the technical approach was considerably less expensive.

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