Becker's Clinical Quality & Infection Control

23 Executive Briefing control group. 6 "PICO sNPWT has been an extremely valuable tool to get our outpatients out on the same day," Dr. Bashyal said of NorthShore's hip and knee replacement program. "There are many reasons why our readmissions are relatively low and why LOS continues to decline, but I do think [the PICO System] has some part to play in that." The clinical benefits of PICO sNPWT are not exclusive to orthopedic procedures, either. The body of evidence supporting the benefits of PICO sNPWT benefits in all surgical patients is extensive and the U.K.'s National Institute for Health and Care Excellence recommended the use of the PICO System with high risk patients to prevent SSIs in 2019, according to Ms. Burns. 2. Higher patient satisfaction. Unlike traditional negative pressure devices, PICO sNPWT is portable and easily concealable, allowing patients to resume work or daily activities while wearing the device. The dressing is also waterproof so patients can shower as normal and do not have to worry about changing it. Another major benefit PICO sNPWT offers is increased mobility and improved scar appearance. 7 Traditional compression dressings on areas like knees or hips can be restrictive and make it hard for patients to move around. "My patients like that PICO sNPWT is a no muss, no fuss dressing that stays on for seven days and allows them to move," Dr. Bashyal said. 3. Lower costs. PICO sNPWT is significantly more cost effective than traditional negative pressure therapies, according to Ms. Burns. For one, the acquisition cost for PICO sNPWT is generally less expensive, depending on contracting. While PICO sNPWT may cost more than a traditional wound dressing, the potential savings hospitals can realize from fewer complications and readmissions is significant. For example, a 2018 study estimated that the PICO System reduced the cost of high-risk coronary artery bypass grafting surgery by $646 per patient due to fewer post-surgical wound complications. 8 "The average cost for a readmission, at least in the Midwest bundle, is $18,000," Dr. Bashyal said. "Obviously that price can vary. But the point is that if you can decrease readmission rates, you can decrease the cost of wound complications from both a financial and outcomes standpoint." Conclusion The healthcare industry puts a lot of time, energy and resources into surgical improvement, but those efforts are diminished if wound complications occur. Wound care is an opportunity for healthcare leaders looking to better protect financial and clinical outcomes. Advanced wound therapy devices like PICO sNPWT are small resource investments that can pay off for hospitals in big ways with improved outcomes, lower costs and higher patient satisfaction. 3-5 n 1 Merkow, RP, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA, 18 Feb. 2015. Accessed 5 May 2020. 2 Nussbaum, Samuel, et al. An Economic Evaluation of the Impact, Cost, and Medicare Policy Implications of Chronic Nonhealing Wounds. Value Health, 21 Jan. 2018. Accessed 5 May 2020. 3 Karlakki, SL, Hamad AK, Whittall C, et al. Incisional negative pressure wound therapy dressings (iNPWTd) in routine primary hip and knee arthroplasties: a randomised controlled trial. Bone Joint Res. 2016; 5(8): 328-337. Accessed 5 May 2020. 4 Birke-Sorensen H, Malmsjo M, Rome P, Hudson D, Krug E, Berg L, et al., Evidence-based recommendations for Negative Pressure Wound Therapy: Treatment variables (pressure levels, wound filler and contact layer – Steps towards an international consensus. J Plast Reconstr Anesthet Surg. 2011 Sept. Accessed 5 May 2020. 5 Saunders, C., Buzza, K. and Nherera, L., et al., 2019. A single use negative pressure system reduces surgical site complications compared with conventional dressings in closed surgical incisions: a systematic literature review with meta-analysis. Poster presented at the European Wound Management Association annual meeting, June 5-7, 2019, Gothenburg, Sweden. 6 Karlakki, S L., et al. Incisional Negative Pressure Wound Therapy Dressings (iNPWTd) in Routine Primary Hip and Knee Arthroplasties: A Randomised Controlled Trial. Bone Joint Res, Aug. 2016. Accessed 5 May 2020 7 Galiano R1, Djohan R2, Shin J3 et al. The effects of a single use canister-free Negative Pressure Wound Therapy (NPWT) System* on the prevention of postsurgical wound complications in patients undergoing bilateral breast reduction surgery. Paper presented at: The British Association of Aesthetic Plastic Surgeons (BAAP's) 30th Annual Scientific Meeting; 2014; London. 8 Nherera, Leo, et al., Cost-effectiveness Analysis of Single Use Negative Pressure Wound Therapy Dressings (sNPWT) Compared to Standard of Care in Reducing Surgical Site Complications (SSC) in Patients Undergoing Coronary A. J Cardiothoracic Surg, Oct. 2018. Accessed 5 May 2020. Smith+Nephew exists to restore people's bodies and their self-belief by using technology to take the limits off living. We'll help you get CLOSER TO ZERO: Zero pressure ulcer incidence, zero delay in wound healing, zero surgical site complications, zero venous ulcer recurrence, zero diabetic amputations, zero waste of healthcare resources. ZERO: The only target worth aiming for. We'll help you get closer. Operating room 65-year-old female with hypertension, diabetes, BMI 35kg/m 2 , osteoarthritis PICO sNPWT in use PICO sNPWT discontinued at day 9 *Individual results will vary.

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