Pressure Ulcers: Impact on Hospital Costs and Length of Stay

This University of Alabama at Birmingham hospital study found that developing a hospital-acquired Stage II+ pressure ulcer was associated with substantially higher hospital costs and longer stays. Mean unadjusted costs were $37,288 vs $13,924 and LOS 30.4 vs 12.8 days. Even after adjustment, costs and LOS remained significantly higher.

Patient repositioning and pressure ulcer risk – Monitoring interface pressures of at-risk patients

This peer-reviewed University of Florida study found that after repositioning, elevated sacral pressure persisted in over 95% of turns, leaving patients at ongoing pressure injury risk. The findings show that turning alone does not reliably offload pressure and that pressure visualization is needed to confirm effective offloading.

Pressure Ulcers, Hospital Complications, and Disease Severity: Impact on Hospital Costs and Length of Stay

This UAB tertiary teaching-hospital study found that patients who developed hospital-acquired pressure ulcers incurred substantially higher costs and longer stays. Adjusted analyses showed costs of $29,048 vs $13,819 and length of stay of 20.9 vs 12.7 days, confirming pressure ulcers independently drive excess inpatient utilization beyond baseline severity.

High cost of stage IV pressure ulcers

This study from NYU School of Medicine found Stage IV pressure ulcers cost about $125k–$129k per patient in hospital treatment costs when ulcer-related complications were included. These costs are far higher than prior estimates and emphasize early recognition and treatment to stop progression to Stage IV and avoid extreme, non-reimbursed “never event” costs.