RESUMO
BACKGROUND: The purpose of this study was to determine cost of care for leg ulcers in sickle cell patients and suggest an improved modality in ulcer care. STUDY DESIGN: We performed a retrospective study of a group of sickle cell disease patients with leg ulcers. RESULTS: Eighteen patients with a leg ulcer (duration: mean, 53.7 months), sickle cell disease, and a mean of 20.7 years of age had various modalities of treatment with the only consistency in healing being a commercial moist-wound dressing. CONCLUSIONS: There is no consistency in the treatment of the sickle cell patient with a leg ulcer. Treatment with a moist dressing had the best results.
Assuntos
Anemia Falciforme/complicações , Úlcera da Perna/terapia , Curativos Oclusivos/economia , Adolescente , Adulto , Arginina/análogos & derivados , Arginina/uso terapêutico , Curativos Hidrocoloides , Butiratos/uso terapêutico , Coloides , Terapia Combinada , Análise Custo-Benefício , Eritropoetina/uso terapêutico , Feminino , Custos Hospitalares , Humanos , Úlcera da Perna/economia , Úlcera da Perna/fisiopatologia , Tempo de Internação/economia , Masculino , Proteínas Recombinantes/uso terapêutico , Recidiva , Estudos Retrospectivos , Cicatrização/fisiologiaRESUMO
The cost of wound care frequently is defined as the cost of materials and labor, ignoring the effect of both variables on outcome. As a result, money-saving measures actually may increase cost while reducing the quality of care. Definitions and tools to enable professionals to understand, evaluate, and compare the cost-effectiveness of wound care practices and treatment modalities are given.
Assuntos
Modelos Organizacionais , Avaliação de Processos e Resultados em Cuidados de Saúde/organização & administração , Garantia da Qualidade dos Cuidados de Saúde , Úlcera Cutânea/economia , Úlcera Cutânea/terapia , Análise Custo-Benefício , Humanos , CicatrizaçãoRESUMO
The cost of wound care is often defined as the cost of materials and labor, ignoring the effect of both variables on outcome. As a result, money-saving measures may actually increase cost while reducing the quality of care. Definitions and tools to enable professionals to understand, evaluate and compare the cost-effectiveness of wound care practices and treatment modalities are given.
Assuntos
Custos de Cuidados de Saúde , Modelos de Enfermagem , Garantia da Qualidade dos Cuidados de Saúde , Ferimentos e Lesões/enfermagem , Redução de Custos , Análise Custo-Benefício , Humanos , Resultado do Tratamento , Ferimentos e Lesões/economiaRESUMO
To calculate cost effectiveness of wound care, it is incorrect to calculate the costs of just a dressing. All aspects influencing the costs of treatment should be calculated. These include costs for the actual materials, labor, and nonmedical costs to society.