Evidence map›Paper›PMID 20887840›Full record

ArticleAmerican journal of surgery2010

High cost of stage IV pressure ulcers.

Harold Brem, Jason Maggi, David Nierman, Linda Rolnitzky, David Bell, Robert Rennert, Michael Golinko, Alan Yan, Courtney Lyder, Bruce Vladeck

Abstract readComparative Study
In one paragraph

Article in American journal of surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Electrical stimulation for treating pressure ulcers.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Pooled it
  3. Education of healthcare professionals for preventing pressure ulcers.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Pooled it
  5. Anabolic steroids for treating pressure ulcers.The Cochrane database of systematic reviews · 2017
    Pooled it
  6. Topical phenytoin for treating pressure ulcers.The Cochrane database of systematic reviews · 2017
    Pooled it
  7. Pressure Injury Data Reconciliation in a Randomized Controlled Trial.Archives of physical medicine and rehabilitation · 2023
    Trial
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  16. Observational
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  20. Prophylactic Sacral Dressing in Prevention of Pressure Injury among ICU Patients: A Systematic Review and Meta-analysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Review

32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Harold BremDivision of Wound Healing and Regenerative Medicine, Helen and Martin Kimmel Wound Center, Department of Surgery, New York University School of Medicine, New York, NY, USA. harold.brem@nyumc.org
Jason Maggi
David Nierman
Linda Rolnitzky
David Bell
Robert Rennert
Michael Golinko
Alan Yan
Courtney Lyder
Bruce Vladeck

Funding

Diabetic Foot and Pressure Ulcer DatabankR01LM008443 · NLM · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREM, HAROLD · 2005 to 2009
$1.7M
NLM NIH HHS R01 LM008443NLM NIH HHS R01LM008443
6 · The paper itself

Abstract

backgroundThe aim of this study was to calculate and analyze the cost of treatment for stage IV pressure ulcers.

methodsA retrospective chart analysis of patients with stage IV pressure ulcers was conducted. Hospital records and treatment outcomes of these patients were followed up for a maximum of 29 months and analyzed. Costs directly related to the treatment of pressure ulcers and their associated complications were calculated.

resultsNineteen patients with stage IV pressure ulcers (11 hospital-acquired and 8 community-acquired) were identified and their charts were reviewed. The average hospital treatment cost associated with stage IV pressure ulcers and related complications was $129,248 for hospital-acquired ulcers during 1 admission, and $124,327 for community-acquired ulcers over an average of 4 admissions.

conclusionsThe costs incurred from stage IV pressure ulcers are much greater than previously estimated. Halting the progression of early stage pressure ulcers has the potential to eradicate enormous pain and suffering, save thousands of lives, and reduce health care expenditures by millions of dollars.

Indexed as

Cost of IllnessHospital CostsHospitals, UniversityHumansLength of StayPressure UlcerSeverity of Illness IndexUnited States

Identifiers

PMID20887840
PMCPMC2950802

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.