| 37-49% - Inpatient Cost | 31-41% - Nurse Time | 17-22% - Dressings |
Inpatient Cost Increased Number of Bed Days Reduction in Infection Rates Infection Rates Reduced from Nursing Time Length of Treatment Time Reduced Treatment Time Treatment Time Reduced from Dressings Cost of Dressings Overall Reduced Number of Dressings As above evidence & reduced dressing changes and use of silver dressings
Averaged Estimated % of Costs*2
Key Factors of Costs*2
Reasons for Costs*2
How Prontosan Can Reduce Costs
Study Evidence
45%
Increased Complications Rates
40% - 3%
Moller A,Nolte A, Kaehn K, (2004) *3
35%
17 – 13 weeks
Andriessen A, Eberlein T , (2008) *4
20%
Frequency of Dressing Changes
Reduced Silver Dressings
Horrocks A, (2006)*5
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 |
£1.40 | |
|
Cost of Prontosan Gel – 2 changes per week estimated 10ml per change used |
£4.00 | |
|
Cost per week excluding Nurse Care |
£17.64 | £22.00 |
|
Including Nurse Care (estimated conservatively at £50 per visit / change) |
£117.64 | £122.00 |
|
Estimated average length of treatment *4 |
17 Weeks | 13 Weeks |
|
Total Cost of treatment of Venous Leg Ulcer to resolution |
||
|
Excluding Nursing Care |
£312.23 |
£292.60 |
|
Including Nursing Care |
£2082.23 |
£1622.60 |
|
Estimated Saving per patients using Prontosan Regime |
£459.63 |
|
