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Economic Evaluations of Strategies to Prevent Hospital-Acquired Pressure Injuries
Wrechelle Ocampo1, Amanda Cheung, Barry Baylis
1Wrechelle Ocampo, MBT • Research Associate • W21C Research and Innovation Centre, Cumming School of Medicine • University of Calgary • Calgary, Alberta • Canada Amanda Cheung, MBT, BS • Research Assistant • W21C Research and Innovation Centre, Cumming School of Medicine • University of Calgary • Calgary, Alberta • Canada Barry Baylis, MD • Executive Codirector • W21C Research and Innovation Centre, Cumming School of Medicine • University of Calgary • Calgary, Alberta • Canada • Clinical Associate Professor • Department of Medicine • University of Calgary Nancy Clayden, EMT-P • Research Associate • W21C Research and Innovation Centre, Cumming School of Medicine • University of Calgary • Calgary, Alberta • Canada John M. Conly, MD • Medical Director • W21C Research and Innovation Centre, Cumming School of Medicine • University of Calgary • Calgary, Alberta • Canada • Professor • Departments of Medicine, Pathology and Laboratory Medicine, and Microbiology, Immunology and Infectious Diseases • University of Calgary William A. Ghali, MD • Scientific Director • O'Brien Institute for Public Health • University of Calgary • Calgary, Alberta • Canada • Professor • Division of General Internal Medicine, Departments of Medicine and Community Health Sciences • Cumming School of Medicine • University of Calgary Chester H. Ho, MD • Associate Professor and Head • Department of Clinical Neurosciences • University of Calgary • Calgary, Alberta • Canada Jaime Kaufman, PhD • Manager • W21C Strategic Programs • W21C Research and Innovation Centre • Cumming School of Medicine • University of Calgary • Calgary, Alberta • Canada Henry T. Stelfox, MD, PhD • Associate Professor • Departments of Community Health Sciences, Medicine, and Critical Care Medicine • University of Calgary • Calgary, Alberta • Canada David B. Hogan, MD • Brenda Stafford Foundation Chair • Geriatric Medicine • Calgary, Alberta • Canada • Professor • Departments of Medicine, Clinical Neurosciences, and Community Health Sciences • Cumming School of Medicine • University of Calgary • Calgary, Alberta • Canada.
Economic evaluations of pressure injury (PI) prevention strategies are limited. More high-quality studies are needed to determine the most cost-effective methods for preventing hospital-acquired PIs.
Area of Science:
- Healthcare Economics
- Preventive Medicine
- Wound Care
Background:
- Pressure injuries (PIs) present a significant financial burden in acute care settings globally.
- Effective strategies to reduce the incidence and cost of hospital-acquired PIs are actively sought.
- Current literature lacks clarity on the most economically advantageous PI prevention approaches.
Purpose of the Study:
- To conduct a narrative literature review on economic evaluations of preventive strategies for pressure injuries (PIs).
- To survey existing findings on the costs and effectiveness of PI prevention.
- To identify key factors influencing economic assessments in PI prevention research.
Main Methods:
- A comprehensive literature search was performed across Ovid, MEDLINE, NHS Economic Evaluation Databases, and Cochrane Database of Systematic Reviews.
- Articles published in English between January 2004 and September 2015 were selected if they reported cost or economic evaluations of PI preventive strategies in acute care.
- Data extraction followed a standardized approach using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist.
Main Results:
- The initial search yielded 192 references, with 33 articles selected for full-text review.
- Nineteen articles provided sufficient detail on interventions, methodologies, and outcomes for analysis.
- The reviewed literature presents varied economic data on PI prevention strategies.
Conclusions:
- Existing research on the economic merits of different PI prevention strategies is limited by methodological constraints.
- There is a clear need for more rigorous studies that follow established economic evaluation standards.
- Future research should focus on high-quality economic evaluations of both current and novel PI prevention methods to guide clinical and policy decisions.
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