Abstract:
:Pressure injuries are one of the most common and costly complications occurring in US hospitals. With up to 3 million patients affected each year, hospital-acquired pressure injuries (HAPIs) place a substantial burden on the US healthcare system. In the current study, US hospital discharge records from 9.6 million patients during the period from October 2009 through September 2014 were analysed to determine the incremental cost of hospital-acquired pressure injuries by stage. Of the 46 108 patients experiencing HAPI, 16.3% had Stage 1, 41.0% had Stage 2, 7.0% had Stage 3, 2.8% had Stage 4, 7.3% had unstageable, 14.6% had unspecified, and 10.9% had missing staging information. In propensity score-adjusted models, increasing HAPI severity was significantly associated with higher total costs and increased overall length of stay when compared with patients not experiencing a HAPI at the index hospitalisation. The average incremental cost for a HAPI was $21 767. Increasing HAPI severity was significantly associated with greater risk of in-hospital mortality at the index hospitalisation compared with patients with no HAPI, as well as 1.5 to 2 times greater risk of 30-, 60-, and 90-day readmissions. Additionally, increasing HAPI severity was significantly associated with increasing risk of other hospital-acquired conditions, such as pneumonia, urinary tract infections, and venous thromboembolism during the index hospitalisation. By preventing pressure injuries, hospitals have the potential to reduce unreimbursed treatment expenditures, reduce length of stay, minimise readmissions, prevent associated complications, and improve overall outcomes for their patients.
journal_name
Int Wound Jjournal_title
International wound journalauthors
Wassel CL,Delhougne G,Gayle JA,Dreyfus J,Larson Bdoi
10.1111/iwj.13482subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1924-1934issue
6eissn
1742-4801issn
1742-481Xjournal_volume
17pub_type
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,多中心研究
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journal_title:International wound journal
pub_type: 杂志文章
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更新日期:2019-02-01 00:00:00
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pub_type: 杂志文章,多中心研究
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