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  • Cost-effectiveness Analysis of Nutritional Support for the Prevention of Pressure Ulcers in High-Risk Hospitalized Patients

    Author(s)
    Tuffaha, Haitham W
    Roberts, Shelley
    Chaboyer, Wendy
    Gordon, Louisa G
    Scuffham, Paul A
    Griffith University Author(s)
    Chaboyer, Wendy
    Gordon, Louisa
    Scuffham, Paul A.
    Roberts, Shelley J.
    Tuffaha, Haitham W.
    Year published
    2016
    Metadata
    Show full item record
    Abstract
    OBJECTIVE: To evaluate the cost-effectiveness of nutritional support compared with standard care in preventing pressure ulcers (PrUs) in high-risk hospitalized patients. DESIGN: An economic model using data from a systematic literature review. A meta-analysis of randomized controlled trials on the efficacy of nutritional support in reducing the incidence of PrUs was conducted. PATIENTS: Modeled cohort of hospitalized patients at high risk of developing PrUs and malnutrition simulated during their hospital stay and up to 1 year. INTERVENTIONS: Standard care included PrU prevention strategies, such as redistribution surfaces, ...
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    OBJECTIVE: To evaluate the cost-effectiveness of nutritional support compared with standard care in preventing pressure ulcers (PrUs) in high-risk hospitalized patients. DESIGN: An economic model using data from a systematic literature review. A meta-analysis of randomized controlled trials on the efficacy of nutritional support in reducing the incidence of PrUs was conducted. PATIENTS: Modeled cohort of hospitalized patients at high risk of developing PrUs and malnutrition simulated during their hospital stay and up to 1 year. INTERVENTIONS: Standard care included PrU prevention strategies, such as redistribution surfaces, repositioning, and skin protection strategies, along with standard hospital diet. In addition to the standard care, the intervention group received nutritional support comprising patient education, nutrition goal setting, and the consumption of high-protein supplements. MAIN OUTCOMES MEASURES: The analysis was from a healthcare payer perspective. Key outcomes of the model included the average costs and quality-adjusted life years. Model results were tested in univariate sensitivity analyses, and decision uncertainty was characterized using a probabilistic sensitivity analysis. MAIN RESULTS: Compared with standard care, nutritional support was cost saving at AU $425 per patient and marginally more effective with an average 0.005 quality-adjusted life years gained. The probability of nutritional support being cost-effective was 87%. CONCLUSIONS: Nutritional support to prevent PrUs in high-risk hospitalized patients is cost-effective with substantial cost savings predicted. Hospitals should implement the recommendations from the current PrU practice guidelines and offer nutritional support to high-risk patients.
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    Journal Title
    Advances in Skin & Wound Care
    Volume
    29
    Issue
    6
    DOI
    https://doi.org/10.1097/01.ASW.0000482992.87682.4c
    Subject
    Clinical Sciences not elsewhere classified
    Clinical Sciences
    Nursing
    Publication URI
    http://hdl.handle.net/10072/99754
    Collection
    • Journal articles

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