Prontosan > Healthcare Economics


 

Healthcare Economics

 

Key Determinants Of Wound Care Costs *1

  • Total Cost of Wound Care per 100,000 population is between £2.5 and £3.1million
  • This is equivalent to 88.5 full time nurses and 87 hospital beds in resources

Key Factors of Wound Care Costs Attributed to: *2

37-49% - Inpatient Cost 31-41% - Nurse Time 17-22% - Dressings

 

How Prontosan® Can Reduce Wound Care Cost

Averaged Estimated % of Costs*2 Key Factors of Costs*2 Reasons for Costs*2 How Prontosan Can Reduce Costs Study Evidence

45%

Inpatient Cost

Increased Number of  Bed Days

Increased Complications Rates

Reduction in Infection Rates

Infection Rates Reduced from
40% - 3%
Moller A,Nolte A, Kaehn K, (2004) *3

35%

Nursing Time

Length of Treatment Time

Reduced Treatment Time

Treatment Time Reduced from
17 – 13 weeks
Andriessen A, Eberlein T , (2008) *4

20%

Dressings

Cost of Dressings

Frequency of Dressing Changes

Overall Reduced Number of Dressings

Reduced Silver Dressings

As above evidence & reduced dressing changes and use of silver dressings
Horrocks A, (2006)*5

Study Evidence

Moller A, Nolte A, Kaehn K, Experiences with the use of polyhexanide – containing wound products in the management of chronic wounds – results of a methodical and retrospective analysis of 953 patients
 
In a retrospective analysis of 953 patients the management of chronic wounds was reviewed and a decision was made to use Prontosan solution and gel as an essential component for wound bed preparation. A review of the new practice took place and out of 953 patients the wound infection rate fell from 40% to 3% , and 80% of the wounds healed to wound closure.*3
 
Cost savings were made though less frequent use of antibiotics, silver dressings and through longer intervals between dressing changes.

Key Factor of Costs

Before Prontosan Regime

After Prontosan Regime

Infection Rates

40%

3%

Estimated Infection Cost per patient *6

£2000

£2000

Estimated Infection Cost Based on 953 patients

£762,400

£57,180

Estimated Saving

 

£705,292


Horrocks A, Prontosan wound irrigation  and gel: management of chronic wounds

A 10 patient evaluation of the use of Prontosan in patients whose duration of chronic wounds exceeded 1 year demonstrated that: *5
 
“ 6 of the 7 patients with “dramatic improvements” did not require the use of any silver product or antibiotics.”
 
“Visits by community nurses reduced from daily to alternative days or twice weekly visits.”
 
This highlights the saving in reducing the cost of dressings and nursing time.

 

Andriessen A, Eberlein T, Assessment of a wound cleansing solution in the treatment of problem wounds

In a retrospective analysis of 112 patients the following estimated cost savings were identified between Prontosan and Saline, based on the average treatment time of patients with Venous Leg Ulcers.*3

Key Factor of Costs

Weekly Cost

 

Total Traditional (Saline)

Total Prontosan Solution Plus Gel

Dressings

   

2 changes per week compression @£8.30 per dressing(average drug tariff price)

£16.60

£16.60

Nursing Time Costs - 2 changes per week

£100 £100

Cost of Saline Solution -2 changes per week based on 50ml per change

£1.04  

Cost of Prontosan Solution – 2 changes per week based on 50ml per change

  £1.34

Cost of Prontosan Gel – 2 changes per week estimated 10ml per change used

£4.20

Cost per week excluding Nurse Care

£17.64 £22.14

Including Nurse Care (estimated conservatively at £50 per visit / change)

£117.64 £122.14

Estimated average length of treatment *4

17 Weeks 13 Weeks

Total Cost of treatment of Venous Leg Ulcer to resolution

   

Excluding Nursing Care

£299.88

£287.82

Including Nursing Care

£1999.88

£1587.82

Estimated Saving per patients using Prontosan Regime

£412.06