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appropriate use of silver dressings in wounds - Systagenix

appropriate use of silver dressings in wounds - Systagenix

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COST EFFECTIVENESSThorough assessment <strong>of</strong> the cost effectiveness <strong>of</strong> a healthcare <strong>in</strong>tervention is complicated andconsiders many factors, <strong>in</strong>clud<strong>in</strong>g resource <strong>use</strong>, quality <strong>of</strong> life issues and economic parameterssuch as ability to work 6 and ideally should be conducted separately from cl<strong>in</strong>ical trials 44 .A number <strong>of</strong> studies have found that <strong>silver</strong> <strong>dress<strong>in</strong>gs</strong> are associated with factors that may bebeneficial <strong>in</strong> terms <strong>of</strong> cost effectiveness, eg:■ reduced time to wound heal<strong>in</strong>g 81,96■ shorter hospital stays 50,51■ reduced dress<strong>in</strong>g change frequency 48,49■ reduced need for pa<strong>in</strong> medication dur<strong>in</strong>g dress<strong>in</strong>g change 50■ fewer MRSA bacteraemias result<strong>in</strong>g from MRSA-<strong>in</strong>fected <strong>wounds</strong> 97 .A formal cost-effectiveness analysis <strong>of</strong> <strong>silver</strong> <strong>dress<strong>in</strong>gs</strong> is needed and awaited. However, aretrospective study <strong>of</strong> hospital costs for burns <strong>in</strong> paediatric patients found that total charges anddirect costs were significantly lower for patients treated with a <strong>silver</strong> Hydr<strong>of</strong>iber dress<strong>in</strong>g than forthose treated with SSD (p

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