Use of mechanically powered disposable negative pressure wound therapy: recommendations and reimbursement update.
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Use of ultra-portable, mechanically powered disposable negative pressure wound therapy (dNPWT) has grown as an adjunctive modality to manage wounds in outpatient care and to expedite transition of inpatients to an outpatient setting. This technology has demonstrated similar efficacy and usability for mobile outpatients when compared with electrically powered negative pressure wound therapy devices. It was designed for patients with smaller, low to moderately exudating wounds and does not require batteries or a power source. However, very few studies address best practices for using dNPWT in a variety of wound types. There is a need for comprehensive clinical recommendations to better direct clinicians and patients in using this therapy. In addition, it is critical that providers are knowledgeable about processes for obtaining reimbursement for placement of dNPWT since codes and procedures differ drastically from standard NPWT. A panel meeting of experts with a high level of experience with dNPWT in varied wound types was convened to develop clinical recommendations and summarize current US reimbursement coding guidelines for the use of dNPWT. This publication summarizes the recommendations from panel members, in addition to supporting evidence, to help guide appropriate use of dNPWT. Panel recommendations regarding optimal patient and wound selection, wound preparation, proper patient training, and use of dNPWT in various wound types are included as well as clinical techniques for dressing application, bridging under offloading devices and compression, maintaining a seal, and protecting intact skin. Processes and codes for obtaining reimbursement for dNPWT are reviewed by care setting. Clinical recommendations and reimbursement guidelines summarized in this publication are meant to provide direction to clinicians in using dNPWT that potentially could translate into improved clinical and economic value.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
Où se fait cette recherche
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Mercy Medical Center Healing Center pays non établi dans la noticeÉtablissement de santé
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Ascension pays non établi dans la noticeÉtablissement de santé
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Providence Park Hospital pays non établi dans la noticeÉtablissement de santé
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Crozer-Keystone Health System pays non établi dans la noticeÉtablissement de santé
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South Shore Hospital pays non établi dans la noticeÉtablissement de santé
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Los Robles Hospital & Medical Center pays non établi dans la noticeÉtablissement de santé
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St. Mary's Medical Center pays non établi dans la noticeÉtablissement de santé
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Atrium Health Wake Forest Baptist pays non établi dans la noticeÉtablissement de santé
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Landmark Hospital pays non établi dans la noticeÉtablissement de santé
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Crozer Keystone Centers for Wound Healing pays non établi dans la noticeInstitution
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Columbus Podiatry and Surgery Inc pays non établi dans la noticeEntreprise
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Valley Wound Care Specialists pays non établi dans la noticeInstitution
Healing Center — Mercy Medical Center, Ascension et Providence Park Hospital, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.