Investigation of the economic impact of surgical site infection development in cardiovascular surgeries on the prospective payment system in Japan

Autor: Minoru Ohno, Daisuke Endoh, Masaya Satoh, Yosuke Shimada, Satoshi Hori, Atsushi Amano
Rok vydání: 2019
Předmět:
Zdroj: International Journal of Infection Control. 16
ISSN: 1996-9783
Popis: The purpose of this study was to evaluate the economic burden of surgical site infections (SSIs) that are included in the category of clean operation in the field of cardiovascular surgery. In total, 2,583 patients who underwent cardiac surgeries at Juntendo University Hospital in Japan between April 2008 and March 2018 were investigated. Among them, 9 SSI cases were individually matched to non-SSI cases based on a combination of age group (in 5-year increments), gender, timing of hospitalization (in 2-year intervals), National Healthcare Safety Network (NHSN) Risk Index, main disease category, and length of stay (LOS) prior to surgery (with the difference of ≤2 days). SSI and non-SSI cases were compared in terms of median LOS and piecework reference cost (PRC). The median LOS was 30 days for SSI cases and 19 days for non-SSI cases (p
Databáze: OpenAIRE