Curar o paliar: ¿qué cuesta más? Análisis de costes del tratamiento de una herida crónica en función de su finalidad

Abstract

ObjectivesTo identify if there is a cost difference in the treatment of chronic wounds regarding to their aim, palliative or curative treatment. MethodThis is a longitudinal observational descriptive study performed in a Palliative Care Unit (UCP) and a Special Care Unit (UCE) both of which based within the Fundación Instituto San José in Madrid. The incidence and prevalence data of all the chronic wounds were analyzed retrospectively from nursing records of all the patients admitted to the UCP from 1st January 2011 until 31st July 2012. During the month of May 2012 data collection was obtained for a comparative cost analysis within both the UCP and UCE with regard to the treatment for chronic wounds. ResultsBetween 1st January 2011 and 31st July 2012, 863 patients were admitted within UCP. 34.47% of who were admitted with a one or more existing pressure ulcer(s). 3.7% of patients during this period developed a pressure ulcer during their hospital stay. Throughout the month of May 2012 our data found that the total average for dressing a chronic wound in UCP was 5.86±2.40 Euros whilst within UCE the cost rose to 8.07±3.77 Euros. The final cost for the treatment of a chronic palliative wound is displayed as 6.32±2.74 Euros and the treatment costs for healing a chronic wound as 7.05±3.43 Euros. ConclusionsBy gathering data regarding total costs of wound care, within the UCP the cost of malignant and palliative wounds were higher when compared to the chronic wounds within the UCE. With regard to the purpose of the treatment, the results do not establish a significant difference, but there are greater costs in the treatment of malignant and palliative wounds.