(CR-036) A Retrospective Cohort Analysis of Patients Treated with a Three-layer Acrylic Adhesive Foam Dressing as Part of an Integrated Care Bundle for the Management of Wound Exudate in Chronic Wounds
Introduction: Chronic wounds present a significant challenge to patient quality of life and to the financial management of healthcare organizations1 .
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 acrylic 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 ICB’s which were adopted to improve the management of chronic wounds, from March 2015 to December 2018. Outcomes were compared from patients who received a 3-layer acrylic adhesive foam dressing alongside an ICB against those that did not, as part of their care.
Results: Patients who received care with an ICB and the 3-layer acrylic adhesive foam dressing (n=3678) experienced improved clinical outcomes, compared with those who did not (n=2242). Including faster time to healing (11.8 vs 25.4 weeks, 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$1722 vs $6488, respectively).
Discussion: This real-world cohort analysis demonstrated the adoption of an ICB that included treatment with a 3-layer acrylic adhesive foam dressing, improved clinical outcomes, reducing chronic wound healing times and the frequency of wound dressing changes.
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