Objective: The aim of this study was to test the efficacy of a wound support network model between the primary home care service and the hospital. The impact on wound healing rate, cost benefit, and transfer of knowledge was investigated.
Intervention: The intervention group was exposed to a wound support network (n = 32), and the control group continued standard organization of treatment (n = 21).
Design: Nonrandomized controlled study; observations were made before (baseline) and after the implementation of the intervention (12 weeks).
Patients: Patients with chronic wounds (lasting >6 weeks and with wound area >1 cm) in Oslo, Norway.
Main Outcome Measures: Closure of the observation wound; wound size; total number of wounds; presence of eczema, edema, and pain; number of dressings per week; time spent per dressing; and number of control appointments at the hospital. The economic impact is calculated for the hospital and for the community of Oslo, Norway.
Main Results: The number of control appointments (t = 3.80, P < .001) was significantly decreased, and the number of completed treatments (P = .02) was significantly increased after 12 weeks in the intervention group compared with the control group. A significant improvement was evident in the intervention group in terms of eczema (P = .02), edema (P = .03), and closing of the observational wound (46.7% cases in the intervention group versus 25.0% in the control group).
Conclusions: A wound support network between the primary home care service and the hospital is cost-effective, improves clinical efficacy of the home care services' work, and reduces the need for consultations at the hospital.
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| http://dx.doi.org/10.1097/01.ASW.0000499714.97688.4b | DOI Listing |
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