| The costs and outcomes of treating a deep pressure ulcer in a patient with quadriplegia . | |
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MedLine Citation:
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PMID: 22316632 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The cost of pressure ulcers, especially Stage III and Stage IV ulcers, is substantial. A 27-year-old man with a 6-year history of quadriplegia developed an ischial pressure ulcer. Twelve months of treatment with wet-to-dry dressings were followed by admission to several facilities and 15 months of care with biological dressings and negative pressure wound therapy (NPWT). When admitted to the authors' wound care center, the wound measured 4.5 cm x 3.2 cm with exposed bone. A review of his insurance records showed that paid claims totaled $242,350, including $52,992 for NPWT rental costs. The patient was considered a good candidate for minimally invasive surgical intervention with external tissue expanders. Following a 14-day course of antibiotics to treat his infection, the wound was debrided and the tissue expanders applied. After 16 days, the wound was closed. The patient returned to work 6 weeks after the procedure. At the 23-month follow-up, the wound remained closed. Insurance payments for the care that resulted in wound closure totaled $43,814. This case study illustrates the potential of the external tissue expansion technique to close deep pressure ulcers within a relatively short amount of time at comparatively lower cost. Studies including control treatments are needed to confirm these conclusions. |
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Authors:
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Eli S Schessel; Ralph Ger; Robert Oddsen |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Ostomy/wound management Volume: 58 ISSN: 1943-2720 ISO Abbreviation: Ostomy Wound Manage Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-02-09 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8912029 Medline TA: Ostomy Wound Manage Country: United States |
Other Details:
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Languages: eng Pagination: 41-6 Citation Subset: N |
Affiliation:
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Division of Plastic Surgery, Flushing Hospital Medical Center, Flushing, NY; email: WoodWest3@aol.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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