Trends in pressure injury prevalence rates and average days to healing associated with adoption of a comprehensive wound care program and technology in skilled nursing facilities in the United States.

IF 1.4 4区 医学 Q3 DERMATOLOGY Wounds : a compendium of clinical research and practice Pub Date : 2024-01-01
Heba Tallah Mohammed, David Mannion, Amy Cassata, Robert Dj Fraser
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Abstract

Introduction: A large SNF system in the United States adopted a holistic wound care model that included an AI DWMS to improve PI care.

Objective: To compare the trend in PI point prevalence rates and average days to healing linked to adopting technology in practice from 2021 to 2022, and to assess the rate of received PI F686 citations in facilities that adopted the technology compared with those that did not.

Methods: The study used the DWMS database to compare anonymized PI data assessed in 2021 (15 583 patients) vs 2022 (30 657 patients) from all SNF facilities that adopted the technology in 2021 and 2022. F686 citations data were provided by the SNF organization.

Results: There was a 13.1% reduction in PI prevalence from 2021 to 2022 across all PI stages. Facilities that adopted the technology demonstrated a significant reduction in days to healing from 2021 to 2022, with an average of 17.7 days saved per PI or a 37.4% faster healing rate (P < .001). A significant reduction in the average days to healing was noted for all PI stages, with the most significant savings observed for stages 3 and 4, with an average savings of 35 days (stage 3) and 85 days (stage 4) in 2022 vs 2021 (P < .001). From 2021 to 2022, facilities that adopted the technology reported an overall 8.2% reduction in F-686 citations severity >G compared to those that did not adopt the technology.

Conclusion: Use of technology as part of a comprehensive wound care program has the potential to not only improve patient care and quality of life, but to realize considerable annual savings in additional PI out-of-pocket expenses (up to $1 410 000) and of clinicians' time (44 808 hours).

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美国专业护理机构采用综合伤口护理计划和技术后,压伤发生率和平均愈合天数的变化趋势。
导言:美国一家大型 SNF 系统采用了包括人工智能 DWMS 在内的整体伤口护理模式,以改善 PI 护理:比较 2021 年至 2022 年在实践中采用该技术后 PI 点患病率和平均愈合天数的变化趋势,并评估采用该技术的医疗机构与未采用该技术的医疗机构收到 PI F686 引文的比率:该研究使用 DWMS 数据库比较了 2021 年(15 583 名患者)和 2022 年(30 657 名患者)评估的匿名 PI 数据,这些数据来自 2021 年和 2022 年采用该技术的所有 SNF 机构。F686引文数据由SNF机构提供:结果:从 2021 年到 2022 年,所有 PI 阶段的 PI 患病率降低了 13.1%。从 2021 年到 2022 年,采用该技术的医疗机构痊愈天数显著减少,平均每例 PI 节省 17.7 天,痊愈率提高 37.4%(P < .001)。所有 PI 阶段的平均愈合天数都有明显减少,其中第 3 和第 4 阶段的节省最为明显,2022 年与 2021 年相比,第 3 阶段和第 4 阶段分别平均节省了 35 天和 85 天(P < .001)。从2021年到2022年,与未采用该技术的机构相比,采用该技术的机构报告的F-686引文严重程度>G总体减少了8.2%:作为综合伤口护理计划的一部分,使用该技术不仅有可能改善患者护理和生活质量,而且每年还能节省大量额外的患者自付费用(高达 1 410 000 美元)和临床医生的时间(44 808 小时)。
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来源期刊
CiteScore
1.50
自引率
11.80%
发文量
77
审稿时长
6-12 weeks
期刊介绍: Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.
期刊最新文献
Diving deep into healing: the promising role of fish skin in wound recovery. Effectiveness of negative pressure wound therapy in treating diabetic foot ulcers: a systematic review and meta-analysis of randomized controlled trials. Evaluating the number of cellular and/or tissue-based product applications required to treat diabetic foot ulcers and venous leg ulcers in non-hospital outpatient department settings. Skin cancer or locally advanced mammary carcinoma: a discussion of cutaneous pathology on the male chest. Use of silver collagen oxidized regenerated cellulose dressings in conjunction with negative pressure wound therapy: expert panel consensus recommendations.
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