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[医学类] 压疮概述(英译中)

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发表于 2019-6-18 10:14:10 |显示全部楼层
本帖最后由 Fiona 于 2019-6-18 10:14 编辑

Summary of Pressure ulcers
压疮概述

Pressure ulcers form as a result of reduced mobility due to e.g. illness or old age. The condition often causes great suffering for the patient and is accompanied by time-consuming and costly treatment. Studies from several countries have shown that pressure ulcers account for a significant proportion of total expenditure on healthcare, and point prevalence studies show that approximately one in five patients in hospital in Europe have pressure ulcers. Since a large number of these patients have developed pressure ulcers as inpatients, there are opportunities though to prevent the occurrence of those pressure ulcers which could have been avoided by utilising a preventive approach.  
压疮是由于疾病或年老等原因引起困床而造成的。其病状通常给患者带来极大的痛苦,且随之而来的是耗时且昂贵的治疗。若干个国家的研究表明,压疮占医疗保健支出总额很大的比例,而时点患病率研究表明,欧洲医院里大约五分之一的患者患有压疮。由于这些患者中有大部分人是在住院时患上压疮的,因此,只要其能采取预防性措施,即可避免这种病情的发生。

This report provides a comprehensive description of pressure ulcers as a problem area in healthcare, their underlying causes and prevalence. In addition, a so-called “Budget Impact Model” for an increased use of pressure ulcer prevention mattresses within inpatient care is presented. The results of the model analysis are presented for Sweden as a whole, but the model’s input data can be changed for the input variables so that each county council can be analysed separately. It is also possible to analyse how different scenarios affect the outcome with regard to costs and savings.  
本报告将压疮作为医疗保健中一个问题领域,对压疮、其根本原因和患病率进行了全面说明。此外,还提出了一种所谓的“预算影响模型”,用来确定住院护理期间压疮预防床垫的使用增加情况。虽然模型分析的结果适用于瑞典的整体情况,但是可以针对输入变量更改模型的输入数据;因此,每个郡议会的情况均可予以单独分析。此外,还可以分析不同场景是如何影响成本和节约成效的。

The results for the whole country show that if preventive pressure-equalising mattresses were used in all inpatient beds instead of in about 60% of them as the situation is today, the healthcare system would save just over SEK 1.4 billion over a five-year period. If the goal is to put 100% of the risk patients on prevention mattresses, the saving during the same period would amount to almost SEK 400 million. Sensitivity analyses show that the results are very sensitive to the input variables except for the cost of the mattresses, which does not affect the cost saving to any great extent. This means that the model is driven by the cost of treating pressure ulcers. However, the result is robust even in a scenario where the margin for cost savings from introducing prevention mattresses in all inpatient beds is minimised.
全国的研究结果表明,如果预防性均压床垫被用于所有住院床位,而非像今天那样仅用于60%左右的床位,医疗保健系统在五年内将节省14亿瑞典克朗的开支。如果目标是将预防性床垫的使用范围面向100%的高危患者,则同期节省的开支将达到近4亿瑞典克朗。敏感性分析表明,相关结果对输入变量非常敏感,但床垫成本除外,所以这不大会影响到成本节约问题。这意味着模型是由压疮治疗成本驱动的,对其它情况不适用。然而,即使在所有住院患者床位中使用预防性床垫时将成本节约幅度最小化的情况下,结果仍不会变。


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