NPWT IS EFFECTIVE AND COST-EFFECTIVE EVEN IN COVID-19 POSITIVE PATIENTS

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VEVERKOVÁ Lenka DOLEŽAL Petr ŽÁK Jan REŠKA Michal HABR Jakub

Rok publikování 2023
Druh Konferenční abstrakty
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Popis Aim: Negative Pressure Wound Therapy has been successfully used for more than 20 years to healing a wide range of different types of wounds both in adults and children. Method: Prospective analysis of patients treated with NPWT, evaluation of patient age, duration of NPWT treatment, LOS, efficacy for each diagnosis, incidence of mortality, and use during the COVID-19 epidemic in the outpatient setting. Results / Discussion: We evaluated 609 patients treated with NPWT with a mean age of 67 years. Female patients treated with NPWT are on average 5 years older than male patients. The average number of dressing changes per patient was 4.05 and the average length of treatment was 15.36 days. Because we use NPWT for more clinically severe cases, i.e., patients who require a greater volume of generally more expensive medical care, the LOS per unit of casemix was used for the purposes of calculating length of hospital stay, and the average casemix values per case were used in the calculation. The results obtained can be interpreted as follows: in operated Covid-19 positive patients without NPWT treatment, the required hospital stay was 5.07 days (mean value). In operated Covid-19 positive patients with NPWT treatment, the required hospitalisation time was 3.76 days (mean value). Conclusion: Clinical data and our analysis provide compelling evidence that the appropriate use of NPWT is effective and cost-effective in achieving healing of properly performed selected wounds, both in the inpatient and outpatient setting

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