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Cost‐effectiveness of multi‐layered silicone foam dressings for prevention of sacral and heel pressure ulcers in high‐risk intensive care unit patients: An economic analysis of a randomised controlled trial

International Wound Journal May 15, 2020

El Genedy M, Hahnel E, Tomova‐Simitchieva T, et al. - In the present study, the researchers sought to assess the cost‐effectiveness of multi‐layered silicone foam dressings for prevention of sacral and heel pressure ulcers in addition to standard prevention in high‐risk intensive care units patients. They carried out a randomised controlled trial to evaluate the effectiveness of multi‐layered silicone foam dressings to prevent the development of pressure ulcers on heels and sacrum among 422 intensive care unit individuals. In the intervention group, there were additional dressing and labour costs of €150.81 per patient. Treatment costs in the control group were €569.49, and in the intervention group were €134.88. The incremental cost‐effectiveness ratio in the intervention group was €1945.30 per PU avoided. The authors conclude that, for critically ill patients, application of preventive dressings is cost‐effective for the sacral area, but only marginal on heels.

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