Cost-effectiveness analysis of negative pressure wound therapy dressings after open inguinal vascular surgery – The randomised INVIPS-Trial
作者： Robert Svensson-Björk , Sanjib Saha , Stefan Acosta , Ulf-G. Gerdtham , Julien Hasselmann
DOI: 10.1016/J.JTV.2020.09.005
关键词: Negative-pressure wound therapy 、 Quadrant (abdomen) 、 Medicine 、 Patient data 、 Incidence (epidemiology) 、 In patient 、 Cost-effectiveness analysis 、 Quality of life 、 Vascular surgery 、 Surgery
摘要: Abstract Aim While the scientific evidence in favour of negative pressure wound therapy (NPWT) dressings on sutured incisions prevention surgical site infections (SSIs) has increased, cost-effectiveness after vascular surgery not been evaluated. The aim this study was to evaluate NPWT compared standard for SSIs open inguinal surgery. Materials and methods Patient data were retrieved from randomised INVIPS-trial's arm, which included patients either or dressings. surveyed 90 days postoperatively. patients' individual cost analysed a healthcare perspective. quality life measured using Vascuqol-6 questionnaire pre- 30 Cost-effectiveness determined by decreased equal total costs significant reduction SSI incidence. Results : mean procedure-related at €16,621 treated with (n = 59) €16,285 (n = 60), p = 0.85. incidence 11.9% (n = 7/59) 30.0% (n = 18/60) dressings, p = 0.015. This corresponds an increased €1,853 per avoided. plane incremental difference score showed that 42% estimates quadrant where dominant. Conclusion: is considered cost-effective over undergoing due reduced no higher costs.
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