Cost effectiveness of nutrition support in the prevention of pressure ulcer in hospitals

Banks, Merrilyn D., Graves, Nicholas, Bauer, Judith D., & Ash, Susan (2013) Cost effectiveness of nutrition support in the prevention of pressure ulcer in hospitals. European Journal of Clinical Nutrition, 67, pp. 42-46.

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This study estimates the economic outcomes of a nutrition intervention to at-risk patients compared with standard care in the prevention of pressure ulcer.


Statistical models were developed to predict ‘cases of pressure ulcer avoided’, ‘number of bed days gained’ and ‘change to economic costs’ in public hospitals in 2002–2003 in Queensland, Australia. Input parameters were specified and appropriate probability distributions fitted for: number of discharges per annum; incidence rate for pressure ulcer; independent effect of pressure ulcer on length of stay; cost of a bed day; change in risk in developing a pressure ulcer associated with nutrition support; annual cost of the provision of a nutrition support intervention for at-risk patients. A total of 1000 random re-samples were made and the results expressed as output probability distributions.


The model predicts a mean 2896 (s.d. 632) cases of pressure ulcer avoided; 12 397 (s.d. 4491) bed days released and corresponding mean economic cost saving of euros 2 869 526 (s.d. 2 078 715) with a nutrition support intervention, compared with standard care.


Nutrition intervention is predicted to be a cost-effective approach in the prevention of pressure ulcer in at-risk patients.

Impact and interest:

16 citations in Scopus
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14 citations in Web of Science®

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59 since deposited on 11 Dec 2012
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ID Code: 55452
Item Type: Journal Article
Refereed: Yes
Keywords: pressure ulcer, nutrition support,, cost effectiveness, dietetics
DOI: 10.1038/ejcn.2012.140
ISSN: 0954-3007
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100)
Australian and New Zealand Standard Research Classification > ECONOMICS (140000) > APPLIED ECONOMICS (140200) > Health Economics (140208)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2012 Macmillan Publishers Limited
Deposited On: 11 Dec 2012 01:08
Last Modified: 06 May 2015 08:30

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