Financial Impact of Failing to Prevent Surgical Site Infections
Financial Impact of Failing to Prevent Surgical Site Infections
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未能预防手术部位感染的财务影响
DOI：
10.1097/01.qmh.0000281058.99929.ea
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发表时间：
2007
影响因子：
1.2
通讯作者：
U. Kotagal
中科院分区：
文献类型：
--
作者：
Karen W. Sparling;F. Ryckman;P. Schoettker;T. Byczkowski;Alma Helpling;Keith E Mandel;Anitha Panchanathan;U. Kotagal
背景：尽管在感染控制实践方面取得了进展，手术部位感染（ssi）仍然是住院患者发病率、死亡率和费用增加的一个重要原因。方法：我们采用匹配队列设计，比较16例患有SSI的儿童患者的费用和住院时间，与16例在同一时间段接受类似手术但未发生SSI的匹配对照患者的费用和住院时间。结果平均每位有可能预防的SSI患者的住院时间增加了10.6天（P = 0.02），费用增加了27288美元（P = 0.01）。在手术当天，研究患者和对照组之间的成本差异仅为1.4%。然而，到第3天，SSI患者的费用增加了36%。虽然配对研究患者和对照患者需要财务和临床工作人员花费大量时间，但这种方法和由此产生的数据分析加强了我们的工作，并集中了我们的努力，以防止未来的ssi，并将减少ssi的举措与质量的商业案例相一致。
Background Despite advances in infection-control practices, surgical site infections (SSIs) remain a substantial cause of morbidity, mortality, and increased costs among hospitalized patients. Methods We used a matched cohort design to compare costs and length of stay for 16 pediatric patients with an SSI with those of 16 matched control patients who had a similar operative procedure during the same time period but in whom an SSI did not develop. Results On average, length of stay was increased by 10.6 days (P = .02) and costs were increased by $27 288 (P = .01) for each patient with a potentially preventable SSI. On the day of the surgical procedure, costs between study patients and matched controls differed by only 1.4%. By day 3, however, costs were 36% higher for patients with an SSI. Conclusions While matching study patients and control patients requires significant time from financial and clinical staff, this approach and the resulting data analysis strengthened and focused our efforts to prevent future SSIs and aligned initiatives to reduce SSIs with the business case for quality.