Incidence, prevalence, and medical costs of pressure injuries in Taiwan from 2001 to 2015: Results of a retrospective cohort study

被引:1
作者
Tai, Chia-Hui [1 ,2 ]
Wang, Jen-Hung [3 ]
Lo, Shu-Fen [4 ]
Tsay, Shwu-Feng [5 ,6 ,7 ]
Yang, Chao-Chih [8 ]
Yang, An-Chi O. [9 ,10 ]
Chung, Hui-Chun [1 ,4 ]
机构
[1] Hualien Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Nursing, Hualien, Taiwan
[2] Tzu Chi Univ Sci & Technol, Dept Nursing, Hualien, Taiwan
[3] Hualien Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Med Res, Hualien, Taiwan
[4] Tzu Chi Univ, Dept Nursing, 701,Sec 3,Zhongyang Rd, Hualien 97004, Taiwan
[5] Minist Hlth & Welf, Gen Dept Nursing & Hlth Care, Taipei, Taiwan
[6] China Med Univ, Coll Publ Hlth, Dept Hlth Serv Adm, Taichung, Taiwan
[7] Natl Taiwan Univ, Sch Nursing, Taipei, Taiwan
[8] Taichung Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Surg, Div Plast Surg, Taichung, Taiwan
[9] Tzu Chi Univ, Dept Nurs, Taipei, Taiwan
[10] Tzu Chi Univ, Sch & Grad Inst Nursing, 701 Sec 3 Zhongyang Rd, Taipei 97004, Taiwan
关键词
comorbidity; diagnosis; incidence; medical care costs; population health; pressure injuries; prevalence; ULCER PREVALENCE; POPULATION; PREVENTION; RISK;
D O I
10.1111/jocn.17149
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aims and ObjectivesThis study aims to analyse the trends in the incidence, prevalence and medical costs of pressure injuries (PIs) among genders in Taiwan.BackgroundThe treatment of PIs is complex and costly, often leading to complications and increased mortality. This issue significantly impacts healthcare quality and incurs substantial medical and social costs, warranting attention.MethodsA retrospective cohort study was conducted using data from Taiwan's National Health Insurance Database to obtain and calculate the incidence, prevalence, and medical costs of PIs in the country between 2001 and 2015 as well as to analyse high-risk groups and the medical care utilisation of patients following the STROBE reporting guidelines.ResultsBetween 2001 and 2015, 15,327 incident case of PIs were diagnosed. During the study period, the prevalence rate of PIs per 100,000 population rose from 26.3 to 189.6, with approximately 11.5%-16.3% of patients undergoing surgical debridement. The PIs prevalence rate increased by 7.2-fold, and hospitalisation costs accounted for 91.7%-96.0% of the total medical costs. Patients with older age, comorbidities, poorer financial status and lower education levels were found to be likely to develop PIs. These predisposing factors differed between males and females. The prevalence of PIs was higher in patients >= 75 years old than in patients from other age groups. Moreover, PI-related medical expenses have been increasing annually.ConclusionsIn Taiwan, the rising incidence of PIs is driving up medical costs. Effective care and prevention of PIs necessitate a comprehensive plan from the entire healthcare system.Relevance to Clinical PracticeThis research fills a gap in the available data on the incidence, prevalence, and medical costs of PIs in Taiwan and Asia.Patient or Public ContributionThe findings can be used to help develop clinical guidelines for preventive education and treatment of PIs.
引用
收藏
页码:1264 / 1276
页数:13
相关论文
共 50 条
[21]   Incidence, characteristics and risk factors of medical device-related pressure injuries: An observational cohort study [J].
Dalli, Oznur Erbay ;
Ceylan, Ilkay ;
Girgin, Nermin Kelebek .
INTENSIVE AND CRITICAL CARE NURSING, 2022, 69
[22]   Prevalence, incidence and associated factors of pressure injuries in hospices: A multicentre prospective longitudinal study [J].
Artico, Marco ;
Piredda, Michela ;
D'Angelo, Daniela ;
Lusignani, Maura ;
Giannarelli, Diana ;
Marchetti, Anna ;
De Chirico, Cosimo ;
Mastroianni, Chiara ;
De Marinis, Maria Grazia .
INTERNATIONAL JOURNAL OF NURSING STUDIES, 2020, 111
[23]   Long-term medical and productivity costs of severe trauma: Results from a prospective cohort study [J].
van der Vlegel, Marjolein ;
Haagsma, Juanita A. ;
Havermans, Roos J. M. ;
de Munter, Leonie ;
de Jongh, Mariska A. C. ;
Polinder, Suzanne .
PLOS ONE, 2021, 16 (06)
[24]   Incidence, prevalence and mortality of autoimmune hepatitis in England 1997-2015. A population-based cohort study [J].
Gronbaek, Lisbet ;
Otete, Harmony ;
Ban, Lu ;
Crooks, Colin ;
Card, Timothy ;
Jepsen, Peter ;
West, Joe .
LIVER INTERNATIONAL, 2020, 40 (07) :1634-1644
[25]   Incidence of and risk factors for self-load-related and medical device-related pressure injuries in critically ill patients: A prospective observational cohort study [J].
Shimura, Tomoko ;
Nakagami, Gojiro ;
Ogawa, Rei ;
Ono, Shimpei ;
Takahashi, Toshiaki ;
Nagata, Misako ;
Kashiwabara, Kosuke ;
Sugama, Junko ;
Sanada, Hiromi ;
Oe, Makoto .
WOUND REPAIR AND REGENERATION, 2022, 30 (04) :453-467
[26]   Incidence, prevalence, and comorbidities of juvenile idiopathic arthritis in Germany: a retrospective observational cohort health claims database study [J].
Horneff, Gerd ;
Borchert, Julia ;
Heinrich, Ria ;
Kock, Simon ;
Klaus, Pascal ;
Dally, Heike ;
Hagemann, Christine ;
Diesing, Joanna ;
Schonfelder, Tonio .
PEDIATRIC RHEUMATOLOGY, 2022, 20 (01)
[27]   Trends in Diagnosed Dry Eye Disease Incidence, 2001 to 2015: A Nationwide Population-Based Study in Taiwan [J].
Lin, I-Chan ;
Kuo, Yu-Kai ;
Liu, Hung-Yi ;
Chien, Li-Nien .
CORNEA, 2022, 41 (11) :1372-1377
[28]   Incidence of Tuberculosis in Inflammatory Rheumatic Diseases: Results from a Lithuanian Retrospective Cohort Study [J].
Miltiniene, Dalia ;
Dereseviciene, Giedre ;
Nakceriene, Birute ;
Davidaviciene, Valerija Edita ;
Danila, Edvardas ;
Butrimiene, Irena ;
Dadoniene, Jolanta .
MEDICINA-LITHUANIA, 2020, 56 (08) :1-9
[29]   Prevalence and Annual Incidence of Thyroid Disease in Korea from 2006 to 2015: A Nationwide Population-Based Cohort Study [J].
Kwon, Hyemi ;
Jung, Jin-hyung ;
Han, Kyung-Do ;
Park, Yong-Gyu ;
Cho, Jung-Hwan ;
Lee, Da Young ;
Han, Ji Min ;
Park, Se Eun ;
Rhee, Eun-Jung ;
Lee, Won-Young .
ENDOCRINOLOGY AND METABOLISM, 2018, 33 (02) :260-267
[30]   Acupuncture May Decrease the Incidence of Post-stroke Dementia: A Taiwan Nationwide Retrospective Cohort Study [J].
Chu, Shao-Ang ;
Chen, Te-Yuan ;
Chen, Po-Yuan ;
Tzeng, Wei-Jie ;
Liang, Cheng-Loong ;
Lu, Kang ;
Chen, Han-Jung ;
Wu, Cheng-Chun ;
Chen, Jian-Han ;
Tsai, Chin-Chuan ;
Wang, Hao-Kuang .
FRONTIERS IN NEUROLOGY, 2021, 12