(PI-024) The Clinical and Economic Outcomes of an Integrated Care Bundle Utilising a Three-layer Silicone Adhesive Foam Dressing for Exudate Management of Chronic Wounds: A Retrospective Cohort Analysis
Introduction: Chronic wounds have significant human and economic challenges, including quality of life and at a healthcare organizational level1 .
The aim of this retrospective, real world, cohort analysis is to report the clinical and economic outcomes of an Integrated Care Bundle (ICB) that utilized a 3-layer silicone adhesive foam dressing* for exudate management across multiple chronic wound types within a community setting in Canada.
Methods: Analysis of the safety and effectiveness of an introduction of wound centered ICBs which were adopted to improve the management of chronic wounds, from March 2016 to December 2018. Outcomes were compared from patients who received a 3-layer silicone foam adhesive dressing* alongside an ICB against those that did not, as part of their care.
Results: Patients who received care with an ICB and the dressing* (n=6612) experienced improved clinical outcomes, compared with those who did not (n=2242). Including faster time to healing (12.7 vs 25.4 weeks, respectively) and longer time between dressings changes (3.5 vs 1.8 days, respectively). There were reduced number of nursing visits in the ICB cohort which led directly to reduced resource costs, compared to the patients in the non-ICB cohort (CAD$1736 vs $6488, respectively).
Discussion: This real-world cohort analysis demonstrated the adoption of an ICB that included treatment with a three -layer silicone adhesive foam dressing* improved clinical outcomes, reducing chronic wound healing times and the frequency of wound dressing changes.
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