Cost and dressing evaluation of hydrofiber and alginate dressings in the mManagement of community-based patients with chronic leg ulceration

Harding, Keith Gordon, Price, Patricia Elaine, Robinson, B., Thomas, S. and Hofman, D 2001. Cost and dressing evaluation of hydrofiber and alginate dressings in the mManagement of community-based patients with chronic leg ulceration. Wounds 13 (6) , pp. 229-236.

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Abstract

This paper reports the results of an open, prospective, randomized, controlled, multicenter evaluation of the cost effectiveness of a hydrofiber dressing with an alginate in the management of leg ulcers treated in the community. A total of 131 patients were recruited, 66 randomized to the hydrofiber dressing and 65 to the alginate dressing. Patients were well matched between the two groups in terms of sex, age, and ulcer etiology distribution. There was no statistical difference between the two groups in numbers healed (17 per group). There was a difference in the mean wear time (mean hydrofiber group, 3.63 days; mean alginate group, 3.27 days; p < 0.001). Cost per healed ulcer, including nurse time, resulted in costs of £1184.09 ($1700.02) for the hydrofiber and £1200.73 ($1723.69) for the alginate. In terms of 10-percentage point reduction in ulcer area, the costs of the hydrofiber was £80.15 ($115.06) and the cost of the alginate was £104.92 ($150.62). Seventy-six percent in the hydrofiber group rated ease of application as 'excellent' compared to fifty-five percent in the alginate group (p = 0.03). Fifty-one percent of the hydrofiber group rated ease of removal as 'excellent' compared with 24 percent of the alginate group (p = 0.006). Eighty-two percent of the hydrofiber group experienced no pain at dressing removal compared with 62 percent in the alginate group (p < 0.001). There was also less adhesion (p < 0.001) and less residue (p < 0.001) in the hydrofiber group. These parameters of dressing performance suggest that the hydrofiber is a useful addition to the range of dressings available in the community.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Subjects:	R Medicine > RT Nursing
Publisher:	HMP Communications
ISSN:	1044-7946
Last Modified:	04 Jun 2017 04:04
URI:	https://orca.cardiff.ac.uk/id/eprint/31964

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