Economic impact of a care bundle to prevent surgical site infection after craniotomy: a cost-analysis study
| Autor: | Iván Pelegrín, Miquel Pujol, Jordi Carratalà, Pilar Ciercoles, Emilio Jiménez-Martínez, Andreu Gabarrós, Ramon Moreno-Fuentes, Guillermo Cuervo, A. Hornero, Jordi Càmara, Jordi Adamuz, Carmen Cabellos, Maria Angeles Domínguez-Luzón |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Microbiology (medical) medicine.medical_specialty medicine.medical_treatment Infectious and parasitic diseases RC109-216 Hospitals University Nosocomial infections Health care medicine Humans Surgical Wound Infection Pharmacology (medical) Care bundle Economic impact analysis health care economics and organizations Craniotomy Retrospective Studies business.industry Research Prevention Public Health Environmental and Occupational Health Health Care Costs Length of Stay Middle Aged Infeccions nosocomials Combined Modality Therapy Anti-Bacterial Agents Bundle Economic impact Treatment Outcome Infectious Diseases Spain Emergency medicine Costs and Cost Analysis Cost analysis Female Neurosurgery business Surgical site infection Anàlisi d'impacte econòmic |
| Zdroj: | Antimicrobial Resistance and Infection Control Dipòsit Digital de la UB Universidad de Barcelona Antimicrobial Resistance and Infection Control, Vol 10, Iss 1, Pp 1-8 (2021) |
| ISSN: | 2047-2994 |
| DOI: | 10.1186/s13756-021-01016-4 |
| Popis: | Background Surgical site infections after craniotomy (SSI-CRAN) significantly impact patient outcomes and healthcare costs by increasing length of stay and readmission and reoperation rates. However, to our knowledge, no study has yet analysed the economic impact of a surgical care bundle for preventing SSI-CRAN. The aim is to analyse the hospital cost saving after implementation of a care bundle for the prevention of SSI-CRAN. Methods A retrospective cost-analysis was performed, considering two periods: pre-care bundle (2013–2015) and care bundle (2016–2017). A bottom-up approach was used to calculate the costs associated with infection in patients who developed a SSI-CRAN in comparison to those who did not, in both periods and on a patient-by-patient basis. The derived cost of SSI-CRAN was calculated considering: (1) cost of the antibiotic treatment, (2) cost of length of stay in the neurosurgery ward within the 1-year follow up period, (3) cost of the re-intervention, and (4) cost of the implant for cranial reconstruction, when necessary. Results A total of 595 patients were included in the pre-care bundle period and 422 in the care bundle period. Mean cost of a craniotomy procedure was approximately €8000, rising to €24,000 in the case of SSI-CRAN. Mean yearly hospital costs fell by €502,857 in the care bundle period (€714,886 vs. €212,029). Extra costs between periods were mainly due to increased length of hospital stay (€573,555.3 vs. €183,958.9; difference: €389,596.4), followed by the cost of implant for cranial reconstruction (€69,803.4 vs. €9,936; difference: €59,867.4). Overall, implementation of the care bundle saved the hospital €500,844.3/year. Conclusion The implementation of a care bundle for SSI-CRAN had a significant economic impact. Hospitals should consider the deployment of this multimodal preventive strategy to reduce their SSI-CRAN rates, and also their costs. |
| Databáze: | OpenAIRE |
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