R A A Dutra1, G M Salomé2, L M F Leal3, M G Alves1, J P Moura4, A T Silva5, V O S Pereira1, M J A de Brito2,6, L M Ferreira6. 1. Master's Degree, Specialist in Stomatherapy, Nurse, Coordinator of the Intensive Care Unit, Intensive Care Unit Nurse, Holy House of Mercy of Passos, Passos, MG, Brazil. 2. Adjunct Professor of the Professional Master's Degree Programme, Psychologist, PhD in Plastic Surgery, Adjunct Professor of the Professional Master's Degree Programme and Graduate Programme in Translational Surgery, University of Vale do Sapucaí (UNIVÁS), Pouso Alegre, MG, Brazil. 3. Master's Degree, Adjunct Professor of the Graduation Programme in Nursing, Institute of Education São Francisco (IESF), Mogi-Guaçu, SP, Brazil. 4. Coordinator of the Nursing Program, State University of Minas Gerais (UEMG), Passos, MG, Brazil. 5. Nurse, Master's Degree Student, Federal University of Alfenas (UNIFAL), Alfenas, MG, Brazil. 6. Psychologist, PhD in Plastic Surgery, Adjunct Professor of the Professional Master's Degree Programme and Graduate Programme in Translational Surgery, Professor and Head of the Division of Plastic Surgery, Federal University of São Paulo, Brazil. (UNIFESP), São Paulo, SP, Brazil.
Abstract
OBJECTIVE: To evaluate and compare the costs of using a transparent polyurethane film (PF) and hydrocolloid dressing (HD) in the prevention of pressure ulcers (PUs). METHOD: This descriptive, observational, longitudinal, comparative study was conducted in the intensive care units, coronary care unit and medical clinic of a charity hospital in Brazil. Data were collected during a 30-day study period, consisting of physical examination, assessment of risk factors for PU development and application of the Braden scale, which were performed at inclusion in the study and once daily during hospitalisation. Either PF or HD was applied bilaterally in the sacral and trochanteric regions for prevention of PUs in patients at a moderate to high risk of PUs according to the Braden scale, and costs of using PU preventive dressings were estimated. RESULTS: The mean total costs per dressing change per patient when using the HD and PF to prevent PUs were 413.60 BRL and 74.04 BRL, respectively. There were significant between-group differences in mean costs for all variables, except for saline solution and nurse-technician services. CONCLUSION: Results showed that the mean cost per dressing change per patient was lower when using the transparent PF than when using the HD.
OBJECTIVE: To evaluate and compare the costs of using a transparent polyurethane film (PF) and hydrocolloid dressing (HD) in the prevention of pressure ulcers (PUs). METHOD: This descriptive, observational, longitudinal, comparative study was conducted in the intensive care units, coronary care unit and medical clinic of a charity hospital in Brazil. Data were collected during a 30-day study period, consisting of physical examination, assessment of risk factors for PU development and application of the Braden scale, which were performed at inclusion in the study and once daily during hospitalisation. Either PF or HD was applied bilaterally in the sacral and trochanteric regions for prevention of PUs in patients at a moderate to high risk of PUs according to the Braden scale, and costs of using PU preventive dressings were estimated. RESULTS: The mean total costs per dressing change per patient when using the HD and PF to prevent PUs were 413.60 BRL and 74.04 BRL, respectively. There were significant between-group differences in mean costs for all variables, except for saline solution and nurse-technician services. CONCLUSION: Results showed that the mean cost per dressing change per patient was lower when using the transparent PF than when using the HD.