Kompressionstherapie bei Patienten mit Ulcus cruris – welche Kosten entstehen wirklich?

TY - JOUR

T1 - Kompressionstherapie bei Patienten mit Ulcus cruris – welche Kosten entstehen wirklich?

AU - Dissemond, Joachim

AU - Protz, Kerstin

AU - Moelleken, Maurice

AU - Kröger, Knut

N1 - © Georg Thieme Verlag KG Stuttgart · New York.

PY - 2019/8

Y1 - 2019/8

N2 - INTRODUCTION:  Patients with leg ulcers often have severe edema of the lower extremities, which should be treated as part of a successful wound treatment. Today in Germany the necessary compression therapies are often performed with very error-prone and time-consuming short-stretch bandages only. Multicomponent systems, adaptive compression bandages and leg ulcer stocking systems are newer, much less error-prone treatment options. In addition to the often lacking knowledge, the fears of high costs are also mentioned as reasons for the lack of prescription of these systems. It was therefore our aim to investigate the costs of different treatment options, differentiated in the outpatient and inpatient sector.METHODS:  For the economic calculations, both material and personnel costs were taken into account for different scenarios.RESULTS:  Both material and personnel costs were included in the calculation. We were able to demonstrate that the cost for a continuous compression therapy for inpatients accrues between 5.29 Euros to 18.50 Euros per day. For the outpatient setting costs of 2.29 Euros to 34.29 Euros per day were calculated. The different constellations of compression therapy can make sense thus not only for medically but also for economically aspects.CONCLUSION:  As a consequence of this data, both the different systems and the economic factors of compression therapy in patients with leg ulcers should be known to the therapists. These treatment options should then be prescribed and performed according to individual factors, taking into account the needs and abilities of the patients.

AB - INTRODUCTION:  Patients with leg ulcers often have severe edema of the lower extremities, which should be treated as part of a successful wound treatment. Today in Germany the necessary compression therapies are often performed with very error-prone and time-consuming short-stretch bandages only. Multicomponent systems, adaptive compression bandages and leg ulcer stocking systems are newer, much less error-prone treatment options. In addition to the often lacking knowledge, the fears of high costs are also mentioned as reasons for the lack of prescription of these systems. It was therefore our aim to investigate the costs of different treatment options, differentiated in the outpatient and inpatient sector.METHODS:  For the economic calculations, both material and personnel costs were taken into account for different scenarios.RESULTS:  Both material and personnel costs were included in the calculation. We were able to demonstrate that the cost for a continuous compression therapy for inpatients accrues between 5.29 Euros to 18.50 Euros per day. For the outpatient setting costs of 2.29 Euros to 34.29 Euros per day were calculated. The different constellations of compression therapy can make sense thus not only for medically but also for economically aspects.CONCLUSION:  As a consequence of this data, both the different systems and the economic factors of compression therapy in patients with leg ulcers should be known to the therapists. These treatment options should then be prescribed and performed according to individual factors, taking into account the needs and abilities of the patients.

U2 - 10.1055/a-0841-9726

DO - 10.1055/a-0841-9726

M3 - SCORING: Zeitschriftenaufsatz

C2 - 31416099

VL - 144

SP - e94-e101

JO - DEUT MED WOCHENSCHR

JF - DEUT MED WOCHENSCHR

SN - 0012-0472

IS - 16

ER -