EP260 A RETROSPECTIVE, REAL-WORLD COHORT ANALYSIS OF AN INTEGRATED CARE BUNDLE, INCLUDING A MULTI-LAYERED HYDROCELLULAR FOAM DRESSING, FOR THE MANAGEMENT OF OPEN CHRONIC WOUNDS IN A COMMUNITY SETTING...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy

Aim: To explore the clinical and financial benefits following the implementation of integrated care bundles (ICBs) within in a real-world cohort of multiple wound types across two large community care facilities in Ontario, Canada. Method: An observational, retrospective cohort analysis of the effec...

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Publicado en:Journal of Wound Management Vol. 24; no. 2; p. 172
Autores principales: Murdoch, Julie, Hurd, Theresa
Formato: abstract proceedings research Journal Article
Publicado: Cambridge Publishing Jul2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2023
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      pub: Cambridge Publishing
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        atl: EP260 A RETROSPECTIVE, REAL-WORLD COHORT ANALYSIS OF AN INTEGRATED CARE BUNDLE, INCLUDING A MULTI-LAYERED HYDROCELLULAR FOAM DRESSING, FOR THE MANAGEMENT OF OPEN CHRONIC WOUNDS IN A COMMUNITY SETTING...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy
      aug:
        au:
          Murdoch, Julie
          Hurd, Theresa
        affil: Smith & Nephew plc, Global Clinical Strategy - AWM, Watford, United Kingdom
      sug:
        subj:
          Health Care Delivery, Integrated
          Implementation Science
          Treatment Outcomes
          Cost Savings
          Foam Dressings
          Wound Care
          Wounds, Chronic Therapy
          Community Health Centers Ontario
          Congresses and Conferences Italy
          Italy
          Ontario
      ab: Aim: To explore the clinical and financial benefits following the implementation of integrated care bundles (ICBs) within in a real-world cohort of multiple wound types across two large community care facilities in Ontario, Canada. Method: An observational, retrospective cohort analysis of the effectiveness and safety of a series of wound-specific ICBs, adopted to improve the management of open chronic wounds, was undertaken. Outcomes from patients who received a multi-layered, silicone adhesive foam dressing as part of their ICB were compared with outcomes from patients who did not receive the ICB. Results / Discussion: Patients who received the ICBs, included treatment with the foam dressing (n=16,841), experienced improved outcomes compared with those who did not receive the ICB (n=2242), including a faster time to healing (12.8 vs 25.5 weeks, respectively), and longer time between dressing changes (3.5 vs 1.9 days, respectively). Decreased mean nursing visits in the ICB cohort led directly to decreased resource costs, compared with mean per patient costs in the non-ICB cohort (1733 vs 6488 CAD, respectively). Conclusion: The reality of delivering the evidence-based practice that is best placed to deliver good outcomes, can be challenging. Our experience suggests that the adoption of pathways and ICBs may make it easier to adopt best practice.
      pubtype: Academic Journal
      doctype:
        abstract
        proceedings
        research
        Journal Article
      ougenre: Article
    language: English
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