Clinical and economic burden of wound care in the tropics: a 5-year institutional population health review

ZJ Lo; X Lim; D Eng; J Car; Q Hong; E Yong; L Zhang; S Chandrasekar; GWL Tan; YM Chan; SC Sim; CW Oei; X Zhang; A Dharmawan; YZ Ng; K Harding; Z Upton; CW Yap; BH Heng

doi:10.1111/iwj.13333

Clinical and economic burden of wound care in the tropics: a 5-year institutional population health review

ZJ Lo, X Lim, D Eng, J Car, Q Hong, E Yong, L Zhang, S Chandrasekar, GWL Tan, YM Chan, SC Sim, CW Oei, X Zhang, A Dharmawan, YZ Ng, K Harding, Z Upton, CW Yap, BH Heng

Research output: Contribution to journal › Article › peer-review

77 Citations (Scopus)

Abstract

The aim of this study is to evaluate the clinical and economic burden of wound care in the Tropics via a 5-year institutional population health review. Within our data analysis, wounds are broadly classified into neuro-ischaemic ulcers (NIUs), venous leg ulcers (VLUs), pressure injuries (PIs), and surgical site infections (SSIs). Between 2013 and 2017, there were a total of 56 583 wound-related inpatient admissions for 41 461 patients, with a 95.1000 inpatient admissions over this period (142 and 277 wound episodes per 1000 inpatient admissions in 2013 and 2017, respectively). In 2017, the average length of stay for each wound episode was 17.7 days, which was 2.4 times that of an average acute admission at our institution. The average gross charge per wound episode was USD 12 967. Among the 12 218 patients with 16 674 wound episodes in 2017, 71.55 years of age with an average Charlson Comorbidity Index (CCI) of 7.2. Half (51.9 were moderately or severely frail, while 41.3related admission episodes. In 2017, within our healthcare cluster, the gross healthcare costs for all inpatient wound episodes stand at USD 216 million within hospital care and USD 596 000 within primary care. Most NIU patients (97.2 had diabetes and they had the most comorbidities (average CCI 8.4) and were the frailest group of patients (44.9. The majority of the VLU disease burden was at the specialist outpatient setting, with the average 1-year VLU recurrence rate at 52.5.5 months. PI patients were the oldest (86.55 years-old), constituted the largest cohort of patients with 3874 patients at an incidence of 64.6 per 1000 admissions in 2017, and have a 1-year all-cause mortality rate of 14.3 there was a 1254.2 SSI wound episodes per 1000 inpatient admissions in 2013 to 32.0 in 2017, and a 413related 30-day re-admissions, from 40 in 2013 (4.1 to 205 (8.3 in 2017. The estimated gross healthcare cost per patient ranges from USD 15789-17 761 across the wound categories. Similar to global data, there is a significant and rising trend in the clinical and economic burden of wound care in Tropics.

Original language	English
Pages (from-to)	790-803
Number of pages	14
Journal	International Wound Journal
Volume	17
Issue number	3
DOIs	https://doi.org/10.1111/iwj.13333
Publication status	Published - 9 Mar 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1111/iwj.13333

https://www.ncbi.nlm.nih.gov/pubmed/32149471

Cite this

Lo, ZJ., Lim, X., Eng, D., Car, J., Hong, Q., Yong, E., Zhang, L., Chandrasekar, S., Tan, GWL., Chan, YM., Sim, SC., Oei, CW., Zhang, X., Dharmawan, A., Ng, YZ., Harding, K., Upton, Z., Yap, CW., & Heng, BH. (2020). Clinical and economic burden of wound care in the tropics: a 5-year institutional population health review. International Wound Journal, 17(3), 790-803. https://doi.org/10.1111/iwj.13333

@article{cfac2379213c4e779ef1e5f21b2b6410,

title = "Clinical and economic burden of wound care in the tropics: a 5-year institutional population health review",

abstract = "The aim of this study is to evaluate the clinical and economic burden of wound care in the Tropics via a 5-year institutional population health review. Within our data analysis, wounds are broadly classified into neuro-ischaemic ulcers (NIUs), venous leg ulcers (VLUs), pressure injuries (PIs), and surgical site infections (SSIs). Between 2013 and 2017, there were a total of 56 583 wound-related inpatient admissions for 41 461 patients, with a 95.1000 inpatient admissions over this period (142 and 277 wound episodes per 1000 inpatient admissions in 2013 and 2017, respectively). In 2017, the average length of stay for each wound episode was 17.7 days, which was 2.4 times that of an average acute admission at our institution. The average gross charge per wound episode was USD 12 967. Among the 12 218 patients with 16 674 wound episodes in 2017, 71.55 years of age with an average Charlson Comorbidity Index (CCI) of 7.2. Half (51.9 were moderately or severely frail, while 41.3related admission episodes. In 2017, within our healthcare cluster, the gross healthcare costs for all inpatient wound episodes stand at USD 216 million within hospital care and USD 596 000 within primary care. Most NIU patients (97.2 had diabetes and they had the most comorbidities (average CCI 8.4) and were the frailest group of patients (44.9. The majority of the VLU disease burden was at the specialist outpatient setting, with the average 1-year VLU recurrence rate at 52.5.5 months. PI patients were the oldest (86.55 years-old), constituted the largest cohort of patients with 3874 patients at an incidence of 64.6 per 1000 admissions in 2017, and have a 1-year all-cause mortality rate of 14.3 there was a 1254.2 SSI wound episodes per 1000 inpatient admissions in 2013 to 32.0 in 2017, and a 413related 30-day re-admissions, from 40 in 2013 (4.1 to 205 (8.3 in 2017. The estimated gross healthcare cost per patient ranges from USD 15789-17 761 across the wound categories. Similar to global data, there is a significant and rising trend in the clinical and economic burden of wound care in Tropics.",

author = "ZJ Lo and X Lim and D Eng and J Car and Q Hong and E Yong and L Zhang and S Chandrasekar and GWL Tan and YM Chan and SC Sim and CW Oei and X Zhang and A Dharmawan and YZ Ng and K Harding and Z Upton and CW Yap and BH Heng",

year = "2020",

month = mar,

day = "9",

doi = "10.1111/iwj.13333",

language = "English",

volume = "17",

pages = "790--803",

journal = "International Wound Journal",

issn = "1742-4801",

publisher = "Wiley-Blackwell",

number = "3",

}

Lo, ZJ, Lim, X, Eng, D, Car, J, Hong, Q, Yong, E, Zhang, L, Chandrasekar, S, Tan, GWL , Chan, YM, Sim, SC, Oei, CW, Zhang, X, Dharmawan, A, Ng, YZ , Harding, K, Upton, Z, Yap, CW & Heng, BH 2020, 'Clinical and economic burden of wound care in the tropics: a 5-year institutional population health review', International Wound Journal, vol. 17, no. 3, pp. 790-803. https://doi.org/10.1111/iwj.13333

TY - JOUR

T1 - Clinical and economic burden of wound care in the tropics: a 5-year institutional population health review

AU - Lo, ZJ

AU - Lim, X

AU - Eng, D

AU - Car, J

AU - Hong, Q

AU - Yong, E

AU - Zhang, L

AU - Chandrasekar, S

AU - Tan, GWL

AU - Chan, YM

AU - Sim, SC

AU - Oei, CW

AU - Zhang, X

AU - Dharmawan, A

AU - Ng, YZ

AU - Harding, K

AU - Upton, Z

AU - Yap, CW

AU - Heng, BH

PY - 2020/3/9

Y1 - 2020/3/9

N2 - The aim of this study is to evaluate the clinical and economic burden of wound care in the Tropics via a 5-year institutional population health review. Within our data analysis, wounds are broadly classified into neuro-ischaemic ulcers (NIUs), venous leg ulcers (VLUs), pressure injuries (PIs), and surgical site infections (SSIs). Between 2013 and 2017, there were a total of 56 583 wound-related inpatient admissions for 41 461 patients, with a 95.1000 inpatient admissions over this period (142 and 277 wound episodes per 1000 inpatient admissions in 2013 and 2017, respectively). In 2017, the average length of stay for each wound episode was 17.7 days, which was 2.4 times that of an average acute admission at our institution. The average gross charge per wound episode was USD 12 967. Among the 12 218 patients with 16 674 wound episodes in 2017, 71.55 years of age with an average Charlson Comorbidity Index (CCI) of 7.2. Half (51.9 were moderately or severely frail, while 41.3related admission episodes. In 2017, within our healthcare cluster, the gross healthcare costs for all inpatient wound episodes stand at USD 216 million within hospital care and USD 596 000 within primary care. Most NIU patients (97.2 had diabetes and they had the most comorbidities (average CCI 8.4) and were the frailest group of patients (44.9. The majority of the VLU disease burden was at the specialist outpatient setting, with the average 1-year VLU recurrence rate at 52.5.5 months. PI patients were the oldest (86.55 years-old), constituted the largest cohort of patients with 3874 patients at an incidence of 64.6 per 1000 admissions in 2017, and have a 1-year all-cause mortality rate of 14.3 there was a 1254.2 SSI wound episodes per 1000 inpatient admissions in 2013 to 32.0 in 2017, and a 413related 30-day re-admissions, from 40 in 2013 (4.1 to 205 (8.3 in 2017. The estimated gross healthcare cost per patient ranges from USD 15789-17 761 across the wound categories. Similar to global data, there is a significant and rising trend in the clinical and economic burden of wound care in Tropics.

AB - The aim of this study is to evaluate the clinical and economic burden of wound care in the Tropics via a 5-year institutional population health review. Within our data analysis, wounds are broadly classified into neuro-ischaemic ulcers (NIUs), venous leg ulcers (VLUs), pressure injuries (PIs), and surgical site infections (SSIs). Between 2013 and 2017, there were a total of 56 583 wound-related inpatient admissions for 41 461 patients, with a 95.1000 inpatient admissions over this period (142 and 277 wound episodes per 1000 inpatient admissions in 2013 and 2017, respectively). In 2017, the average length of stay for each wound episode was 17.7 days, which was 2.4 times that of an average acute admission at our institution. The average gross charge per wound episode was USD 12 967. Among the 12 218 patients with 16 674 wound episodes in 2017, 71.55 years of age with an average Charlson Comorbidity Index (CCI) of 7.2. Half (51.9 were moderately or severely frail, while 41.3related admission episodes. In 2017, within our healthcare cluster, the gross healthcare costs for all inpatient wound episodes stand at USD 216 million within hospital care and USD 596 000 within primary care. Most NIU patients (97.2 had diabetes and they had the most comorbidities (average CCI 8.4) and were the frailest group of patients (44.9. The majority of the VLU disease burden was at the specialist outpatient setting, with the average 1-year VLU recurrence rate at 52.5.5 months. PI patients were the oldest (86.55 years-old), constituted the largest cohort of patients with 3874 patients at an incidence of 64.6 per 1000 admissions in 2017, and have a 1-year all-cause mortality rate of 14.3 there was a 1254.2 SSI wound episodes per 1000 inpatient admissions in 2013 to 32.0 in 2017, and a 413related 30-day re-admissions, from 40 in 2013 (4.1 to 205 (8.3 in 2017. The estimated gross healthcare cost per patient ranges from USD 15789-17 761 across the wound categories. Similar to global data, there is a significant and rising trend in the clinical and economic burden of wound care in Tropics.

U2 - 10.1111/iwj.13333

DO - 10.1111/iwj.13333

M3 - Article

SN - 1742-4801

VL - 17

SP - 790

EP - 803

JO - International Wound Journal

JF - International Wound Journal

IS - 3

ER -

Clinical and economic burden of wound care in the tropics: a 5-year institutional population health review

Abstract

UN SDGs

Access to Document

Fingerprint

Cite this