Cost of Dressing Material for the Treatment of Wounds Complex in a Specialized Clinic Nursing

Sandra Marina Gonçalves Bezerra, Professor of Nursing, State University of Piaui, Teresina, Brazil, Maria Clara Batista da Rocha Viana, Hospital Promorar, TERESINA, Brazil, Aline Costa de Oliveira, Nursing, Universidade Federal do Piaui, TERESINA, Brazil, Daniel de Macedo Rocha, Nursing codination, Hospital Gerall Promorar, TERESINA, Brazil, Lidya Tolstenko Nogueira, Nursing cordenation, Federal University of Piaui, Teresina, Brazil and Raquel Rodrigues dos Santos, Enfermagem, Hospital Promorar, TERESINA, Brazil
Purpose: To assess the cost of treatment in patients with complex wounds

Design: evaluative, descriptive study conducted in a public clinic in the city of Teresina specialized in complex wounds.

Subjects and setting: The sample consisted of 107 patients presenting acute and chronic wounds to perform a dressing, from January to April 2015.

Methods: Data collection was guided by a semi-structured instrument, containing information about the socio-demographic profile, associated comorbidities, number of wounds, used covers and cost of topical treatment. For data analysis was used SAS®9.0 software program.

Results : There was a predominance of men (64.49%) young adult (69.16%), with a prevalence of acute injuries related to motorcycle accidents (53.6%). The main cover used was calcium alginate (48.6%) followed polyurethane foam with silver (15.89%). The initial wound area ranged 2-1530 cm2 and the average healing time was two months (31.78%). The cost of treatment ranged from US $ 9.3 to US $ 428.6 US dollars per wound. The research demonstrated through significant correlation Spearman correlation test (P <0.05) between the total cost of treating wounds and used covers. It was verified that wounds smaller than 50cm2 have a compatible cost with the tabulated value by the Health Unic System (SUS)  Brazilian, and extensive and using silver toppings become more expensive and the amount paid is less than the cost of treatment

Conclusion: It is concluded that the direct cost of materials and roofing is only compatible with the disbursement of SUS for small wounds. It is necessary research to evaluate indirect costs and cost-effective for longer than 6 months, given the complexity and extent of traumatic wounds that need to be treated by multidisciplinary team and surgical procedure as autologous skin grafting.

Keywords: Cost analysis. complex wounds. Nursing.