The burden of Staphylococcus aureus infections on hospitals in the United States -: An analysis of the 2000 and 2001 nationwide inpatient sample database
The burden of Staphylococcus aureus infections on hospitals in the United States -: An analysis of the 2000 and 2001 nationwide inpatient sample database
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DOI：
10.1001/archinte.165.15.1756
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发表时间：
2005-08-08
影响因子：
--
通讯作者：
Gemmen, E
中科院分区：
文献类型：
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作者：
Noskin, GA;Rubin, RJ;Gemmen, E
背景：之前的研究调查了金黄色葡萄球菌感染对个别医院的影响，但迄今为止，还没有使用全国代表性数据的研究估计了这一负担。方法：这是对医疗保健研究和质量局全国住院患者样本数据库 2000 年和 2001 年版本的回顾性分析，该数据库代表了美国医院的 20% 分层样本。对 2000 年 28 个州 994 家医院和 2001 年 33 个州 986 家医院的所有住院患者出院数据（约 1400 万住院患者）进行了分析，以确定金黄色葡萄球菌感染与住院时间、总费用和院内死亡率之间的关系。 结果：据报告，所有住院患者中 0.8% 的出院诊断为金黄色葡萄球菌感染，或 每年有 292 045 人入住。金黄色葡萄球菌感染住院患者的平均住院时间是其住院时间的 3 倍（14.3 天 vs 4.5 天；P < .001），总费用的 3 倍（48 824 美元 vs 14 14 1 美元；P
Background: Previous studies have investigated the impact of Staphylococcus aureus infections on individual hospitals, but to date, no study using nationally representative data has estimated this burden.Methods: This is a retrospective analysis of the 2000 and 2001 editions of the Agency for Healthcare Research and Quality's Nationwide Inpatient Sample database, which represents a stratified 20% sample of hospitals in the United States. All inpatient discharge data from 994 hospitals in 28 states during 2000 and from 986 hospitals in 33 states during 2001, representing approximately 14 million inpatient stays, were analyzed to determine the association of S aureus infections with length of stay, total charges, and in-hospital mortality.Results: Staphylococcus aureus infection was reported as a discharge diagnosis for 0.8% of all hospital inpatients, or 292 045 stays per year. Inpatients with S aureus infection had, on average, 3 times the length of hospital stay (14.3 vs 4.5 days; P < .001), 3 times the total charges ($48 824 vs $14 14 1; P