Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies

Nurs Econ. 2009 Nov-Dec;27(6):390-400, 415.


The purpose of this study was to determine the cost for prevention and treatment of pressure ulcers from a hospital perspective and to identify the least resource-intensive pressure ulcer prevention strategy. Cost analyses were examined from a hospital perspective using direct costs. The study was carried out alongside a prospective cohort study on the incidence and risk factors for pressure ulcers. Two large teaching hospitals in the Netherlands with (partly) opposing approaches in prevention, a technological versus a human approach, were analyzed. The main outcome measures were resource use, costs of preventive measures and treatment, and pressure ulcer incidence in both hospitals. Pressure ulcer prevention through a predominantly technical approach resulted in a similar incidence rate as prevention through a predominantly human approach. However, the technical approach was considerably less expensive.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Cost of Illness
  • Cost-Benefit Analysis
  • Direct Service Costs / statistics & numerical data
  • Female
  • Hospital Costs / statistics & numerical data*
  • Hospitals, Teaching
  • Humans
  • Incidence
  • Length of Stay / economics
  • Male
  • Middle Aged
  • Netherlands / epidemiology
  • Nursing Administration Research
  • Nursing Staff, Hospital / economics
  • Outcome Assessment, Health Care
  • Pressure Ulcer / economics*
  • Pressure Ulcer / epidemiology
  • Pressure Ulcer / prevention & control*
  • Primary Prevention / economics*
  • Primary Prevention / methods
  • Prospective Studies
  • Skin Care / economics*
  • Skin Care / methods
  • Skin Care / nursing
  • Workload / economics