2005 Symposium on Advanced Wound Care | |
| 25 |
Clinical Research
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An economic evaluation of skin damage prevention regimens among nursing home residents with incontinence: product costs Donna Z. Bliss, PhD, RN, FAAN, Kay Savik, MS, University of Minnesota School of Nursing, Minneapolis, MN; Cindy Zehrer, RN, MS, Li Ding, MS, Edwin Hedblom, Pharm D, 3M Health Care, St. Paul, MN Little is known about incontinence dermatitis (ID) prevention. We investigated the cost-effectiveness of four ID prevention regimens: barrier film applied 3 times weekly (A) and one of three barrier ointments applied after each incontinent episode (B, C, D). Residents (n=1,918) in 16 U.S. nursing homes, randomly selected, were screened for eligibility; 981 residents qualified (incontinent and free of perineal skin damage). Age and sex among regimens were similar (P>.05). Skin product costs (cleanser and moisture barrier) using time/motion measures were used for an economic analysis and are reported. Skin was assessed for 6 weeks. Overall occurrence of skin damage was 4.6% and not different among regimens (P=.07). The median number of incontinent episodes/day differed (A=6.2, B=6.3, C=7.0, D=6.7) P=.005. Different numbers of staff provided ID prevention care (range=1 to 4) P<.001. Due to these differences, the analysis standardized the product costs per 100 episodes of incontinence provided by one caregiver. The median total product cost of regimen A($14.36) was less than B($29.21), C($44.67), and D($27.04; P<.0001). Median barrier cost of A($3.98) was less than B($22.17), C($24.57), and D($20.67) P<.0001. Use of a skin barrier film three times weekly is effective for ID prevention and has a significantly lower product cost. |
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