Health and economic impact of surgical site infections diagnosed after hospital discharge.
Health and economic impact of surgical site infections diagnosed after hospital discharge.
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DOI：
10.3201/eid0902.020232
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发表时间：
2003-02
影响因子：
11.8
通讯作者：
Platt R
中科院分区：
文献类型：
--
作者：
Perencevich EN;Sands KE;Cosgrove SE;Guadagnoli E;Meara E;Platt R
虽然已知手术部位感染(SSI)在指数住院期间会导致大量疾病和费用，但关于出院后被诊断为感染的影响的信息很少，这些感染构成了SSI的大部分。在这项研究中，使用患者问卷和管理数据库，我们评估了与出院后识别的SSIS相关的术后8周内的临床结果和资源利用。从1997年5月至1998年10月，在4571例手术中，89例(1.9%)被确认为出院后识别的SSI。SSI患者术后SF-12(医学结果研究12项简式健康调查)心理健康部分得分显著下降(p=0.004)。与对照组相比，患者需要更多的门诊、急诊室、放射科服务、再入院和家庭健康辅助服务。在出院后的8周内，SSI患者的平均总费用为5,155美元，对照组为1,773美元(p<；0.001)。
Although surgical site infections (SSIs) are known to cause substantial illness and costs during the index hospitalization, little information exists about the impact of infections diagnosed after discharge, which constitute the majority of SSIs. In this study, using patient questionnaire and administrative databases, we assessed the clinical outcomes and resource utilization in the 8-week postoperative period associated with SSIs recognized after discharge. SSI recognized after discharge was confirmed in 89 (1.9%) of 4,571 procedures from May 1997 to October 1998. Patients with SSI, but not controls, had a significant decline in SF-12 (Medical Outcomes Study 12-Item Short-Form Health Survey) mental health component scores after surgery (p=0.004). Patients required significantly more outpatient visits, emergency room visits, radiology services, readmissions, and home health aide services than did controls. Average total costs during the 8 weeks after discharge were US$5,155 for patients with SSI and $1,773 for controls (p<0.001).