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首页> 外文期刊>Advances in skin & wound care >Early intervention of negative pressure wound therapy using Vacuum-Assisted Closure in trauma patients: impact on hospital length of stay and cost.
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Early intervention of negative pressure wound therapy using Vacuum-Assisted Closure in trauma patients: impact on hospital length of stay and cost.

机译：在创伤患者中使用真空辅助封闭进行负压伤口治疗的早期干预：对住院时间和费用的影响。

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OBJECTIVE: The cost of treating complex traumatic wounds is substantial because of trauma severity, potential for infection, and delayed closure. Negative pressure wound therapy using reticulated open cell foam (NPWT/ROCF) as delivered by Vacuum-Assisted Closure* (KCI Licensing, Inc, San Antonio, Texas) is an established, viable option for treating traumatic wounds. The authors used retrospective data to study the clinical and cost-effective benefits of using NPWT/ROCF early on day 1 or day 2 of treatment for traumatic wounds as compared with using it late (on day 3 or later). METHODS: Hospital data records from trauma wound patients treated with NPWT/ROCF were retrospectively analyzed. Data were subdivided into 2 groups based on start of treatment. The group of patients treated on day 1 or 2 of their hospital stay was referred to as the early group, and that composed of patients treated on day 3 or later as the late group. Clinical and cost-effective metrics were compared between the 2 groups. RESULTS: For the early group, 518 patient records were included; 1000 records were reviewed for the late group. Early-group patients had fewer hospital inpatient days (10.6 vs 20.6 days; P < .0001), fewer treatment days (5.1 vs 6.0 days; P = .0498), shorter intensive care unit (ICU) stays (5.3 vs 12.4 days; P < .0001), and higher ICU admission rates (51.5 vs 44.5%; P = .0091) than the late group. Compared with late-group patients, early-group patients had lower total and variable costs per patient discharge (Dollars 43,956 vs Dollars 32,175; P < .0001 and Dollars 22,891 vs Dollars 15,805; P < .0001, respectively). CONCLUSION: Acute-care trauma wound patients receiving early NPWT/ROCF demonstrated significant reductions in length of stay, treatment days, and ICU stay, which resulted in significant reduced patient treatment costs. These results indicate that early intervention with NPWT/ROCF has potential clinical and cost-effective benefits for the treatment of traumatic wounds.
机译：目的：由于创伤的严重程度，感染的可能性和闭合的延迟，治疗复杂的创伤伤口的费用是巨大的。真空辅助封闭*（得克萨斯州圣安东尼奥市的KCI Licensing，Inc）提供的使用网状开孔泡沫（NPWT / ROCF）的负压伤口治疗是治疗创伤性伤口的可行方法。作者使用回顾性数据研究了在创伤伤口治疗的第1天或第2天早期使用NPWT / ROCF与较晚（第3天或更晚）使用NPWT / ROCF的临床和成本效益。方法：回顾性分析NPWT / ROCF治疗的创伤伤口患者的医院数据记录。根据治疗开始将数据分为2组。在住院第1天或第2天接受治疗的患者组称为早期组，在第3天或以后接受治疗的患者组成的组称为晚期组。比较两组的临床和成本效益指标。结果：对于早期组，包括了518位患者记录。回顾了晚期组的1000条记录。早期组患者的住院天数更少（10.6 vs 20.6天; P <.0001），治疗天数更少（5.1 vs 6.0天; P = .0498），重症监护病房（ICU）的住院时间更短（5.3 vs 12.4天; P <.0001），并比晚期组的ICU入院率更高（51.5 vs 44.5％; P = .0091）。与晚组患者相比，早组患者的每次出院总费用和可变费用较低（分别为43,956美元对32,175美元; P <.0001; 22,891美元对15,805美元; P <.0001）。结论：早期接受NPWT / ROCF治疗的创伤创伤患者的住院时间，治疗天数和ICU住院时间均显着减少，从而显着降低了患者的治疗成本。这些结果表明，NPWT / ROCF的早期介入治疗创伤性伤口具有潜在的临床和成本效益。

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