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Health Care Science 2023年第2期2卷 82-93页

作者： Nicholas Graves Raju Maiti Fazila Abu Bakar Aloweni Ng Yi Zhen Ang Shin Yuh Priya Bishnoi Tze Tec Chong David Carmody Keith Harding Health Services and Systems Research Duke-NUS Medical SchoolSingaporeSingapore Centre for Quantitative Medicine Duke-NUS Medical SchoolSingaporeSingapore Singapore General Hospital SingaporeSingapore Skin Research Institute of Singapore Agency for ScienceTechnology and Research(A*STAR)SingaporeSingapore Wound Care Innovation for the Tropics Programme SingaporeSingapore

Background:Little is known about stage 1 and 2 pressure injuries that are health *** report incidence rates of health care-acquired stage 1 and stage 2 pressure injuries,and,estimate the excess length of stay using four competing analytic *** discuss the merits of the different ***:We calculated monthly incidence rates for stage 1 and 2 health care-acquired pressure injuries occurring in a large Singapore acute care *** estimate excess stay,we conducted unadjusted comparisons with a control cohort,performed linear regression and then generalized linear regression with a gamma ***,we fitted a simple state-based *** design for the cost attribution work was a retrospective matched cohort ***:Incidence rates in 2016 were 0.553%(95%confidence interval[CI]0.55,0.557)and 0.469%(95%CI 0.466,0.472)in *** data censored at 60 days’maximum stay,the unadjusted comparisons showed the highest excess stay at 17.68(16.43-18.93)days and multi-state models showed the lowest at 1.22(0.19,2.23)***:Poor-quality methods for attribution of excess length of stay to pressure injury generate inflated estimates that could mislead decision *** findings from the multi-state model,which is an appropriate method,are plausible and illustrate the likely bed-days saved from lowering the risk of these *** 1 and 2 pressure injuries are common and increase costs by prolonging the length of *** will be economic value investing in *** biased estimates of excess length of stay will overstate the potential value of prevention.

关键词： health care-acquired pressure injury incidence rates costs attribution methods

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