title: Cost analysis of surgically treated pressure sores stage III and IV.
abstract: Health-care costs associated with pressure sores are significant and their financial burden is likely to increase even further. The aim of this study was to analyse the direct medical costs of hospital care for surgical treatment of pressure sores stage III and IV. We performed a retrospective chart study of patients who were surgically treated for stage III and IV pressure sores between 2007 and 2010. Volumes of health-care use were obtained for all patients and direct medical costs were subsequently calculated. In addition, we evaluated the effect of location and number of pressure sores on total costs. A total of 52 cases were identified. Average direct medical costs in hospital were €20,957 for the surgical treatment of pressure sores stage III or IV; average direct medical costs for patients with one pressure sore on an extremity (group 1, n = 5) were €30,286, €10,113 for patients with one pressure sore on the trunk (group 2, n = 32) and €40,882 for patients with multiple pressure sores (group 3, n = 15). The additional costs for patients in group 1 and group 3 compared to group 2 were primarily due to longer hospitalisation. The average direct medical costs for surgical treatment of pressure sores stage III and IV were high. Large differences in costs were related to the location and number of pressure sores. Insight into the distribution of these costs allows identification of high-risk patients and enables the development of specific cost-reducing measures.
authors.affiliation: Department of Plastic and Reconstructive Surgery and Hand Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. Electronic address: a.filius@erasmusmc.nl.
authors.forename: A
authors.initials: A
authors.lastname: Filius
authors.forename: T H C
authors.initials: TH
authors.lastname: Damen
authors.forename: K P
authors.initials: KP
authors.lastname: Schuijer-Maaskant
authors.forename: S
authors.initials: S
authors.lastname: Polinder
authors.forename: S E R
authors.initials: SE
authors.lastname: Hovius
authors.forename: E T
authors.initials: ET
authors.lastname: Walbeehm
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003365:Costs and Cost Analysis; D003646:Debridement; D004180:Direct Service Costs; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000191:economics; D035002:Lower Extremity / Q000473:pathology; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000191:economics* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000191:economics; D012189:Retrospective Studies; D012720:Severity of Illness Index; D060726:Torso / Q000473:pathology; D034941:Upper Extremity / Q000473:pathology; D055815:Young Adult
keywords: Cost analysis; Costs; Pressure sore; Stage III and IV; Surgical treatment