پذیرفته شده و در حال انتشار                   برگشت به فهرست مقالات | برگشت به فهرست نسخه ها

XML English Abstract Print


چکیده:   (130 مشاهده)

Background & Objective: Wound dressing forms an integral part of wound care protocol, and it is well established to consume significant healthcare resources in most countries. However, across the globe, there is a paucity of studies on the specific cost of dressing per wound diagnosis.
Method: The study was based on a descriptive cross-sectional research design to determine the differential cost of dressing per wound diagnosis in three teaching hospitals in southwest Nigeria. The study population (n=190) was selected from the three hospitals' surgical, medical, neurological, and radiotherapy wards using convenience sampling. A self-structured questionnaire was used to collect data from the respondents. Data collection was for four weeks. Ethical approvals were received, and ethical principles of voluntariness, confidentiality, and non-maleficence were upheld.
Results: Findings show that tibiofibular fracture, femoral fracture, and avulsion injury are the common traumatic injuries sustained by the respondents. The cost of wound dressing significantly varies across wound diagnoses: On weekly estimation, avulsion injury ($4.92) and tibiofibular fracture ($4.21) dressings were twice the cost of dressing another wound diagnosis. Per acute care episodes, the cost of tibiofibular fracture wound dressing was the highest ($119.18). Patients with avulsion injuries and leg ulcers require more hospital stays.
Conclusion: Avulsion injury, tibiofibular fracture, and femoral fracture are the major drivers of the increasing cost of wound dressing among hospitalized patients. The cost of other dressing consumables besides dressing materials and lotion was considered high for all types of wound diagnosis.

     
نوع مطالعه: مقاله پژوهشی | موضوع مقاله: Clinical Medicine
دریافت: 1404/1/5 | پذیرش: 1404/4/24 | انتشار: 1404/5/17

فهرست منابع
1. Ogundeji K, Adeyemo A. Nurses' awareness of NHIS-VCSHIP as a tool for scaling up universal health coverage in Nigeria'. Nur Primary Care. 2020;4(6):1-7. [DOI:10.33425/2639-9474.1162]
2. Ogundeji KD, Akinyemi AF, Adeyemo A, Oluwaleke AK, Ilesanmi RE. Economic burden of wound care among patients in a Nigerian teaching hospital: Implications for Insurance Coverage in Nigeria. Afr J Nurs Health Issues. 2018;2018:9.
3. Ogundeji KD, Risenga PR, Thupayagale-Tshweneagae G. Cost of wound dressing: Implication for enrollment into the National Health Insurance scheme, Nigeria. Curationis. 2023;46(1):e1-e6. [DOI:10.4102/curationis.v46i1.2390] [PMID] [PMCID]
4. Ilesanmi RE, Ogundeji KD. Nursing Intensity per Wound Care episode: A case of Poor Costing of Nursing Care in Nigeria. West Afr J Nurs. 2020;30(2):36-46.
5. Demiralp B, Soltoff S, Koenig L. Hospital patients with severe wounds: early evidence on the impact of Medicare payment changes on treatment patterns and outcomes. J Med Econ. 2019;22(3):266-72. [DOI:10.1080/13696998.2018.1559599] [PMID]
6. Kapp S, Santamaria N. The financial and quality-of-life cost to patients living with a chronic wound in the community. Int Wound J. 2017;14(6):1108-19. [DOI:10.1111/iwj.12767] [PMID] [PMCID]
7. Damilare OK. Socio-Demographic Correlates of Inpatients Cost of Wound Dressing per Acute Care Episode. Int J Caring Sci. 2024;17(2):1001-10.
8. Sen CK. Human Wound and Its Burden: Updated 2020 Compendium of Estimates. Adv Wound Care. 2021;10(5):281-92. [DOI:10.1089/wound.2021.0026] [PMID] [PMCID]
9. Guest JF, Ayoub N, McIlwraith T, Uchegbu I, Gerrish A, Weidlich D, et al. Health economic burden that wounds impose on the National Health Service in the UK. BMJ Open. 2015;5(12):e009283. [DOI:10.1136/bmjopen-2015-009283] [PMID] [PMCID]
10. Guest J, Fuller G, Vowden P. Clinical outcomes and cost-effectiveness of three different compression systems in newly-diagnosed venous leg ulcers in the UK. J Wound Care. 2017;26(5):244-54. [DOI:10.12968/jowc.2017.26.5.244] [PMID]
11. Ogundeji KD, Risenga PR, Thupayagale-Tshweneagae GB. Direct cost of wound dressing in Nigeria: Implications for catastrophic healthcare expenditure. Int J Afr Nurs Sci. 2023;19:100597. [DOI:10.1016/j.ijans.2023.100597]
12. Barnsbee L, Cheng Q, Tulleners R, Lee X, Brain D, Pacella R. Measuring costs and quality of life for venous leg ulcers. Int Wound J. 2019;16(1):112-21. [DOI:10.1111/iwj.13000] [PMID] [PMCID]
13. Ogundeji KD, Oluwaleke AK, Akinyemi KF. Costing Nursing Services in Health Care Delivery System: Nigerian Nurses at the Cross Road. West Afr J Nurs. 2017;28(2):41-7.
14. Cleopatra I, Komolafe E. Household Catastrophic Health Expenditure: Evidence from Nigeria. Microecon Macroec. 2018;6(1):1-8.
15. Karimo T, Krokeyi W, Ekainsai S. Financial burden associated with ill-health: Evidence from the elderly population in Nigeria. Equat J Soc Sci Hum Behav. 2017;2(1):25-43. [DOI:10.2139/ssrn.2925693]
16. Ogundeji KD, Risenga PR, Thupayagale-Tshweneagae G. Economic burden of inpatient wound dressing in Nigeria: Implication for catastrophic household expenditure. 2022. Preprint on researchsquare. [DOI:10.21203/rs.3.rs-1202484/v1]
17. Aregbeshola BS, Khan SM. Determinants of impoverishment due to out of pocket payments in Nigeria. J Ayub Med Coll Abbottabad. 2017;29(2):194-9.
18. Aregbeshola BS, Khan SM. Determinants of catastrophic health expenditure in Nigeria. Eur J Health Econ. 2018;19(4):521-32. [DOI:10.1007/s10198-017-0899-1] [PMID]
19. Onyemaechi NO, Nwankwo OE, Ezeadawi RA. Epidemiology of injuries seen in a nigerian tertiary hospital. Niger J Clin Pract. 2018;21(6):752-7. [DOI:10.4103/njcp.njcp_263_17] [PMID] [PMCID]
20. Onyemaechi NO. Road traffic injuries in a Nigerian referral trauma center: Characteristics, correlates, and outcomes. Int J Crit Illn Inj Sci. 2020;10(2):64-9. [DOI:10.4103/IJCIIS.IJCIIS_18_19] [PMID] [PMCID]
21. Ojo DO, Oluwadiya KS, Akanni SO. Are the Aetiologies of Traumatic Injuries Changing in Nigeria? Evidence from the Emergency Department of a Referral Hospital in Southwest Nigeria. J West Afr Coll Surg. 2022;12(2):34-9. [DOI:10.4103/jwas.jwas_104_22] [PMID] [PMCID]
22. Leijdesdorff HA, Gillissen S, Schipper IB, Krijnen P. Injury Pattern and Injury Severity of In-Hospital Deceased Road Traffic Accident Victims in The Netherlands: Dutch Road Traffic Accidents Fatalities. World J Surg. 2020;44(5):1470-7. [DOI:10.1007/s00268-019-05348-6] [PMID]
23. Olsson M, Järbrink K, Divakar U, Bajpai R, Upton Z, Schmidtchen A, et al. The humanistic and economic burden of chronic wounds: A systematic review. Wound Repair Regen. 2019;27(1):114-25. [DOI:10.1111/wrr.12683] [PMID]

بازنشر اطلاعات
Creative Commons License این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است.

کلیه حقوق این وب سایت متعلق به Journal of Advances in Medical and Biomedical Research می باشد.

طراحی و برنامه نویسی : یکتاوب افزار شرق

© 2025 CC BY-NC 4.0 | Journal of Advances in Medical and Biomedical Research

Designed & Developed by : Yektaweb