The Burden of Pressure Ulcers in Spain
- Thu, 9/4/08 - 11:52am
- 0 Comments
- 4429 reads
Disclosure: Joan Enric Torra i Bou, Lorena San Miguel, and John Posnett are paid employees of Smith & Nephew.
Today it is well known that pressure ulcers are an important problem for all healthcare systems.1–3 However, there are still few published studies in the literature aimed at measuring the economic impact of this condition. A portion of these studies are based on general assumptions.4
Quantifying the cost of treating pressure ulcers provides information that helps highlight the magnitude of the problem. It also offers an incentive for clinicians, researchers, and managers to evaluate their clinical and nursing interventions, ensuring the most effective means are used to prevent and heal pressure damage. This type of analysis can also assist in identifying parameters, which have the greatest impact on overall costs.
This study was undertaken taking into account the importance of having reliable data to measure the size of the problem, and combined publicly available Spanish epidemiology data with national costs to produce cost estimates for treating patients with pressure ulcers throughout Spain.
Methods
1. Torra JE, Rueda J, Soldevilla JJ, Martínez F, Verdú J. 1er Estudio nacional de prevalencia de ulceras por presión en España. Epidemiología y variables definitorias de las lesiones y pacientes. Gerokomos. 2003;14(1):37–47.
2. Soldevilla J, Torra JE, Verdú J, Rueda J, Martínez F, Roche E. Epidemiology of chronic wounds in Spain: results of the first national studies on pressure and leg ulcer prevalence. WOUNDS. 2006;18(8):213–226.
3. Bennett G, Dealey C, Posnett J. The cost of pressure ulcers in the UK. Age Ageing. 2004;33(3):230–235.
4. Allman RM. Pressure ulcer prevalence, incidence, risk factors, and impact. Clin Geriatr Med. 1997;13(3):421–436.
5. Soldevilla Agreda JJ, Torra I Bou JE, Verdú Soriano J, et al. 2o Estudio nacional de prevalencia de úlceras por presión en España, 2005: epidemiología y variables definitorias de las lesiones y pacientes. Gerokomos. 2006;17(3):154–172.
6. Comparativa salarios FEA y Enfermeras en el Sistema Nacional de Salud. Boletín Informativo CCOO Málaga. Available at: http://www.funcionadministrativa.com. Accessed: June 27, 2006.
7. Data from the Unidad de Medicina Interna del Complejo Hospitalario San Millán: San Pedro de la Rioja, Spain: April 2006.
8. Boletin Oficial de La Rioja. Public prices for private residential care centres of the autonomous community of La Rioja. 2006;14(1).
9. Instituto nacional Estadistica (INE). Revisión del Padrón municipal 2005. National level data, autonomous community and province. Population by age and sex. Available at: http://www.ine.es/. Accessed June 27, 2006.
10. Instituto de Información Sanitaria. Ministerio de Sanidad y Consumo. Statistics on long-term, inpatient health care establishments, 2003. Available at: http://www.msc.es/estadEstudios/estadisticas/estHospiInternado/inforAnua.... Accessed June 27, 2007.
11. Ministerio de Trabajo y Asuntos Sociales. Atención a las Personas en Situación de Dependencia en España. Libro Blanco. Madrid, Spain; 2005.
12. Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas. Mesa de debate: Pressure ulcers, a challenge for the health care system and society: epidemiological, ethical, economic, and legal consequences. Madrid, Barcelona, Logroño; 2003. Available at: http://www.gneaupp.org. Accessed January 19, 2007.
13. Ministerio de Sanidad y Consumo. Infection by HIV and AIDS in Spain. Multisectorial plans. Indicators Madrid, Spain: 2006.
14. Mata M, Antonanzas F, Tafalla M, Sanz P. The cost of type 2 diabetes in Spain: the CODE-2 study. Gac Sanit. 2002;16(6):511–520.
15. Jonsson B; CODE-2 Advisory Board. Revealing the cost of Type II diabetes in Europe. Diabetologia. 2002;45(7):S5–S12.
16. Anaya J, Fuentes J, Marmolejo M, et al. Estudio epidemiológico de las lesiones por presión en un hospital público. Gerokomos. 2000;11(2):102–110.
17. Thomas DR, Goode PS, Tarquine PH, Allman RM. Hospital-acquired pressure ulcers and risk of death. J Am Geriatr Soc. 1996;44(12):1435–1440.
18. Clough NP. The cost of pressure area management in an intensive care unit. J Wound Care. 1994;3:33–35.
19. Allman RM. The impact of pressure ulcers on health care cost and mortality. Adv Wound Care. 1998;11(3 suppl):2.
20. Verdú J, Nolasco A, García C. Análisis y evolución de la mortalidad por úlceras por presión en España. Período 1987–1999. Gerokomos. 2003;14(4):212–226.
21. Hibbs P. The economics of pressure ulcer prevention. Decubitus. 1988;1(3):32–38.







