{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T19:04:13Z","timestamp":1790449453279,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T00:00:00Z","timestamp":1567382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T00:00:00Z","timestamp":1567382400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001782","name":"University of Melbourne","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001782","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The BORDER III trial found that five\u2010layer silicone border dressings effectively prevented pressure injuries in long\u2010term care, but the value of this approach is unknown. Our objective was to analyse the cost\u2010effectiveness of preventing facility\u2010acquired pressure injuries with a quality improvement bundle, including prophylactic five\u2010layer dressings in US and Australian long\u2010term care. Markov models analysed the cost utility for pressure injuries acquired during long\u2010term care from US and Australian perspectives. Models calibrated outcomes for standard care compared with a dressing\u2010inclusive bundle over 18 monthly cycles or until death based on BORDER III outcomes. Patients who developed a pressure injury simulated advancement through stages 1 to 4. Univariate and multivariate probabilistic sensitivity analyses tested modelling uncertainty. Costs in 2017 USD and quality\u2010adjusted life years (QALYs) were used to calculate an incremental cost\u2010effectiveness ratio (ICER). Dressing use yielded greater QALYs at slightly higher costs from perspectives. The US ICER was $36\u2009652\/QALY, while the Australian ICER was $15\u2009898\/QALY, both of which fell below a willingness\u2010to\u2010pay threshold of $100\u2009000\/QALY. Probabilistic sensitivity analysis favoured dressings as cost\u2010effective for most simulations. A quality improvement bundle, including prophylactic five\u2010layer dressings, is a cost\u2010effective approach for pressure injury prevention in all US and Australia long\u2010term care residents.<\/jats:p>","DOI":"10.1111\/iwj.13174","type":"journal-article","created":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T03:30:10Z","timestamp":1567395010000},"page":"1263-1272","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Five\u2010layer border dressings as part of a quality improvement bundle to prevent pressure injuries in US skilled nursing facilities and Australian nursing homes: A cost\u2010effectiveness analysis"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1161-6954","authenticated-orcid":false,"given":"William V.","family":"Padula","sequence":"first","affiliation":[{"name":"Department of Pharmaceutical &amp; Health Economics, School of Pharmacy University of Southern California  Los Angeles California"},{"name":"The Leonard D. Schaeffer Center for Health Policy &amp; Economics University of Southern California  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutong H.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Economics University of Virginia  Charlottesville Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5270-6943","authenticated-orcid":false,"given":"Nick","family":"Santamaria","sequence":"additional","affiliation":[{"name":"Department of Nursing University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,9,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000516"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13071"},{"key":"e_1_2_6_4_1","volume-title":"2017 NSW Pressure Injury Point Prevalence Survey Report","author":"Clinical Excellence Commission","year":"2017"},{"issue":"4","key":"e_1_2_6_5_1","first-page":"148","article-title":"Decreasing pressure injury prevalence in an Australian general hospital: a 10\u2010year review","volume":"21","author":"Miles S","year":"2013","journal-title":"J Wound Pract Res"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH14088"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000000517"},{"key":"e_1_2_6_8_1","unstructured":"Medicare Payment Advisory Commission (MedPAC).Medicare Payment Policy.Report to the Congress2018.http:\/\/www.medpac.gov\/docs\/default\u2010source\/reports\/mar18_medpac_entirereport_sec.pdf. 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