The costs arising from pressure ulcers attributable to malnutrition

Banks, Merrilyn D., Graves, Nicholas, Bauer, Judith D., & Ash, Susan (2010) The costs arising from pressure ulcers attributable to malnutrition. Clinical Nutrition, 29(2), pp. 180-186.

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To estimate the economic consequences of pressure ulcers attributable to malnutrition.


Statistical models were developed to predict the number of cases of pressure ulcer, associated bed days lost and the dollar value of these losses in public hospitals in 2002/2003 in Queensland, Australia. The following input parameters were specified and appropriate probability distributions fitted

• Number of at risk discharges per annum • Incidence rate for pressure ulcer • Attributable fraction of malnutrition in the development of pressure ulcer • Independent effect of pressure ulcer on length of hospital stay • Opportunity cost of hospital bed day One thousand random re-samples were made and the results expressed as (output) probabilistic distributions.


The model predicts a mean 16060 (SD 5 671) bed days lost and corresponding mean economic cost of AU$12 968 668 (SD AU$4 924 148) (EUROS 6 925 268 SD 2 629 495; US$ 7 288 391 SD 2 767 371) of pressure ulcer attributable to malnutrition in 2002/2003 in public hospitals in Queensland, Australia.


The cost of pressure ulcer attributable to malnutrition in bed days and dollar terms are substantial. The model only considers costs of increased length of stay associated with pressure ulcer and not other factors associated with care.

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36 citations in Scopus
32 citations in Web of Science®
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ID Code: 30207
Item Type: Journal Article
Refereed: Yes
Keywords: Pressure Ulcer, Malnutrition, Economic Cost
DOI: 10.1016/j.clnu.2009.08.006
ISSN: 0261-5614
Subjects: Australian and New Zealand Standard Research Classification > ECONOMICS (140000) > APPLIED ECONOMICS (140200) > Health Economics (140208)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2009 Elsevier
Copyright Statement: This is the author’s version of a work that was accepted for publication in Clinical Nutrition. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Clinical Nutrition, [VOL 29, ISSUE 2, (2010)] DOI: 10.1016/j.clnu.2009.08.006
Deposited On: 03 Feb 2010 21:47
Last Modified: 24 Jun 2017 14:40

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