title: Clinical efficacy and cost-effectiveness of a new synthetic polymer sheet wound dressing.
abstract: Stage II and III pressure ulcers present product development and product choice challenges to manufacturers and professional wound care clinicians respectively. We evaluated the clinical performance and cost of use associated with a new synthetic polymer dressing for the management of these wounds. A total of 10 home healthcare patients, each with a Stage II or III pressure ulcer, were enrolled and randomized for wound treatment using either the new polymer hydrogel wound dressing or the leading market hydrocolloid dressing. Dressings were changed on an as needed basis only. The wounds were assessed weekly and parameters recorded using the Bates-Jensen Pressure Sore Status Tool. In addition, the clinical performance of the dressing and treatment costs were evaluated. The overall healing rate for the two groups was similar. However the new polymer hydrogel dressing was found to have a more favorable overall clinical performance evaluation based largely on its more favorable support of autolytic debridement. The new polymeric dressing also had a more favorable cost of use based on the evaluation. We conclude that the new polymer dressing may be a favorable alternative to the leading market hydrocolloid dressing for the treatment of Stage II and III pressure ulcers due to a better clinical performance and the substantially lower treatment costs associated with its use.
authors.affiliation: GM Associates, Mitchellville, Md., USA.
authors.forename: G
authors.initials: G
authors.lastname: Motta
authors.forename: L
authors.initials: L
authors.lastname: Dunham
authors.forename: T
authors.initials: T
authors.lastname: Dye
authors.forename: J
authors.initials: J
authors.lastname: Mentz
authors.forename: E
authors.initials: E
authors.lastname: O'Connell-Gifford
authors.forename: E
authors.initials: E
authors.lastname: Smith
mesh_terms: D000328:Adult; D000368:Aged; D001329:Autolysis; D001458:Bandages / Q000191:economics* / Q000592:standards*; D003362:Cost-Benefit Analysis; D003646:Debridement / Q000379:methods; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D006813:Humidity; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate / Q000191:economics* / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011108:Polymers / Q000191:economics* / Q000627:therapeutic use*; D003668:Pressure Ulcer / Q000145:classification / Q000451:nursing* / Q000503:physiopathology; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D011108:Polymers; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate