Cost effectiveness of nutrition support in the prevention of pressure ulcer in hospitals

Banks, M. D., Graves, N. and Bauer, J. D. (2013) Cost effectiveness of nutrition support in the prevention of pressure ulcer in hospitals. European Journal of Clinical Nutrition, 67 1: 42-46. doi:10.1038/ejcn.2012.140


Author Banks, M. D.
Graves, N.
Bauer, J. D.
Title Cost effectiveness of nutrition support in the prevention of pressure ulcer in hospitals
Journal name European Journal of Clinical Nutrition   Check publisher's open access policy
ISSN 0954-3007
1476-5640
Publication date 2013-01
Year available 2012
Sub-type Article (original research)
DOI 10.1038/ejcn.2012.140
Volume 67
Issue 1
Start page 42
End page 46
Total pages 5
Place of publication London, United Kingdom
Publisher Nature
Collection year 2013
Language eng
Formatted abstract
Background/Objectives: This study estimates the economic outcomes of a nutrition intervention to at-risk patients compared with standard care in the prevention of pressure ulcer.

Subjects/Methods: Statistical models were developed to predict 'cases of pressure ulcer avoided', 'number of bed days gained' and 'change to economic costs' in public hospitals in 2002-2003 in Queensland, Australia. Input parameters were specified and appropriate probability distributions fitted for: number of discharges per annum; incidence rate for pressure ulcer; independent effect of pressure ulcer on length of stay; cost of a bed day; change in risk in developing a pressure ulcer associated with nutrition support; annual cost of the provision of a nutrition support intervention for at-risk patients. A total of 1000 random re-samples were made and the results expressed as output probability distributions.

Results: The model predicts a mean 2896 (s.d. 632) cases of pressure ulcer avoided; 12 397 (s.d. 4491) bed days released and corresponding mean economic cost saving of euros 2 869 526 (s.d. 2 078 715) with a nutrition support intervention, compared with standard care.

Conclusion: Nutrition intervention is predicted to be a cost-effective approach in the prevention of pressure ulcer in at-risk patients
Keyword Pressure ulcer
Nutrition support
Cost effectiveness
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Advance online publication: 10 October 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Human Movement and Nutrition Sciences Publications
 
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Created: Sun, 25 Nov 2012, 21:48:21 EST by Associate Professor Judith Bauer on behalf of School of Human Movement and Nutrition Sciences