Clinical and economic burden of wound care in the tropics: a 5-year institutional population health review.

International Wound Journal
Zhiwen J LoBee H Heng

Abstract

The aim of this study is to evaluate the clinical and economic burden of wound care in the Tropics via a 5-year institutional population health review. Within our data analysis, wounds are broadly classified into neuro-ischaemic ulcers (NIUs), venous leg ulcers (VLUs), pressure injuries (PIs), and surgical site infections (SSIs). Between 2013 and 2017, there were a total of 56 583 wound-related inpatient admissions for 41 461 patients, with a 95.1% increase in wound episodes per 1000 inpatient admissions over this period (142 and 277 wound episodes per 1000 inpatient admissions in 2013 and 2017, respectively). In 2017, the average length of stay for each wound episode was 17.7 days, which was 2.4 times that of an average acute admission at our institution. The average gross charge per wound episode was USD $12 967. Among the 12 218 patients with 16 674 wound episodes in 2017, 71.5% were more than 65 years of age with an average Charlson Comorbidity Index (CCI) of 7.2. Half (51.9%) were moderately or severely frail, while 41.3% had two or more wound-related admission episodes. In 2017, within our healthcare cluster, the gross healthcare costs for all inpatient wound episodes stand at USD $216 million within hospital care and USD...Continue Reading

References

Sep 1, 1992·Journal of Gerontological Nursing·C BurdT Sauvage
Feb 1, 1988·The Journal of Hospital Infection·R T Mayon-WhiteE Tikomirov
Jun 22, 1985·British Medical Journal·M J CallamJ J Dale
Apr 1, 1994·The Australian and New Zealand Journal of Surgery·S R Baker, M C Stacey
Apr 15, 2004·Age and Ageing·Gerry BennettJohn Posnett
Aug 13, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Gunnel Ragnarson Tennvall, Jan Apelqvist
Apr 30, 2005·The International Journal of Lower Extremity Wounds·V K ShuklaS K Gupta
Dec 29, 2005·Health Care Management Science·Marion S RaunerEva-Maria Pesendorfer
Jun 29, 2006·Journal of Wound Care·R F Oien, G Ragnarson Tennvall
Oct 2, 2008·BMC Geriatrics·Samuel D SearleKenneth Rockwood
Jan 13, 2009·Infectious Disease Clinics of North America·Deverick J Anderson, Keith S Kaye
Sep 1, 2009·American Journal of Infection Control·Patricia W Stone
Nov 12, 2009·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Chandan K SenMichael T Longaker
Sep 10, 2010·Journal of Vascular Surgery·Vickie R DriverGary Gibbons
Mar 3, 2011·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Yufeng JiangHuade Chen
Apr 19, 2011·VASA. Zeitschrift für Gefässkrankheiten·K HerbergerM Augustin
Apr 5, 2014·European Journal of Public Health·Fabienne J H MagdelijnsEvelien Pijpers
May 16, 2014·JAMA Dermatology·Robert S Kirsner
Sep 10, 2014·The Cochrane Database of Systematic Reviews·E Andrea Nelson, Sally E M Bell-Syer
Mar 11, 2015·Journal of the American Geriatrics Society·Lisa GouldKenneth Schmader
May 28, 2016·International Wound Journal·Julian F GuestPeter Vowden
Aug 2, 2016·Annals of Internal Medicine·Alejandra VivasRobert S Kirsner
Dec 5, 2016·Journal of the American College of Surgeons·Kristen A BanTherese M Duane
Feb 1, 2017·The Journal of Hospital Infection·D J Leaper, C E Edmiston
May 4, 2017·JAMA Surgery·Sandra I Berríos-TorresUNKNOWN Healthcare Infection Control Practices Advisory Committee
Sep 8, 2017·Acta Dermato-venereologica·Bhone Myint KyawArtur Schmidtchen
Dec 16, 2017·International Wound Journal·Julian F GuestPeter Vowden
Jan 7, 2018·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Samuel R NussbaumDonna Cartwright
Feb 13, 2018·Annals of Vascular Surgery·Zhiwen Joseph LoSadhana Chandrasekar
Oct 27, 2018·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Maja OlssonJosip Car
Nov 1, 2018·The New England Journal of Medicine·Shelley S MagillUNKNOWN Emerging Infections Program Hospital Prevalence Survey Team

❮ Previous
Next ❯

Citations

Apr 30, 2020·International Wound Journal·Yi-Ping Song, Hong-Lin Chen
May 8, 2020·International Wound Journal·Zhiwen Joseph LoJosip Car
Aug 25, 2020·International Wound Journal·Kai Siang Chan, Zhiwen Joseph Lo
Jul 14, 2020·International Wound Journal·Carolina D WellerVictoria Team
May 18, 2021·Gastroenterology Research and Practice·Marley R FeitosaOmar Féres

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Current Medicinal Chemistry
Nicoletta PoleràFrancesca Aiello
Advances in Skin & Wound Care
Kevin Y Woo, R G Sibbald
Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society
Matthew CardinalDavid G Armstrong
© 2021 Meta ULC. All rights reserved