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Smith & Nephew symposium EWMA 2015

Achieving accelerated healing in a community setting

(Session with Jane Hampton, Wound care specialist nurse, Aarhus and Samsø Municipalities)

Danish municipalities spend approximately €98.6 million per annum on wound care(2). The number of patients with wounds will continue to rise due to an ageing population and associated comorbidities such as diabetes, which may influence both the development and treatment of wounds(1). Negative Pressure Wound Therapy (NPWT) has had demonstrable clinical success in chronic wound management, and it is postulated that this success translates into cost savings.

At the symposium Jane will present the results of a cohort case series aimed to determine the effect on healing and the weekly cost of treatment using PICO™, a single-patient use portable, discreet NPWT device, compared to standard wound care for hard-to-heal wounds(leg ulcers and pressure ulcers) in a community setting.

We sought to determine if using PICO for 14 days reduces the surface area of hard-tohealwounds faster than standard care and if PICO provides economic savings compared to standard care. Cost of treatment included wound care products and nurse time in direct patient contact during dressing changes.

The results demonstrated that:

  • At day 14, eight wounds managed with PICO reduced between 14% and 62% (mean 31%)
  • Target wound size was reached 10 weeks earlier than predicted in the PICO group, healing occurred 13 weeks earlier than predicted
  • Fewer dressing changes were required in the PICO group
  • PICO can ’kick-start’ non-healing wounds and quicken healing in slow-to-heal wounds
  • Weekly treatment costs were three times lower than standard care
  • The financial savings associated with an earlier healed state are far greater than the short term costs associated with PICO.

 

References

1. Dowsett C, Bielby A, Searle R. Reconciling increasing wound care demands with available resources. J Wound Care. 2014. 23; (11):552-568. 2. Hjort A, Gottrup F. Cost of wound treatment to increase significantly in Denmark over the next decade. J Wound Care. 2010. 19; (5):173-184.