The Impact of Healthcare-Associated Methicillin-Resistant Staphylococcus Aureus Infections on Post-Discharge Healthcare Costs and Utilization
| Autor: | Martin E. Evans, Nicholas Graves, Chuan Fen Liu, Richard E. Nelson, Michael Rubin, Matthew H. Samore, Bruce Y. Lee, Makoto Jones |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Methicillin-Resistant Staphylococcus aureus Microbiology (medical) medicine.medical_specialty Hospitals Veterans Epidemiology medicine.disease_cause Rate ratio Drug Costs Cohort Studies medicine Humans Infection control Veterans Affairs Aged Cross Infection business.industry Health Care Costs Odds ratio Middle Aged Staphylococcal Infections Methicillin-resistant Staphylococcus aureus United States Infectious Diseases Propensity score matching Emergency medicine Cohort Female business Delivery of Health Care Cohort study |
| Zdroj: | Infection Control & Hospital Epidemiology. 36:534-542 |
| ISSN: | 1559-6834 0899-823X |
| Popis: | OBJECTIVEHealthcare-associated methicillin-resistant Staphylococcus aureus (MRSA) infections are a major cause of morbidity, mortality, and cost among hospitalized patients. Little is known about their impact on post-discharge resource utilization. The purpose of this study was to estimate post-discharge healthcare costs and utilization attributable to positive MRSA cultures during a hospitalization.METHODSOur study cohort consisted of patients with an inpatient admission lasting longer than 48 hours within the US Department of Veterans Affairs (VA) system between October 1, 2007, and November 30, 2010. Of these patients, we identified those with a positive MRSA culture from microbiology reports in the VA electronic medical record. We used propensity score matching and multivariable regression models to assess the impact of positive culture on post-discharge outpatient, inpatient, and pharmacy costs and utilization in the 365 days following discharge.RESULTSOur full cohort included 369,743 inpatients, of whom, 3,599 (1.0%) had positive MRSA cultures. Our final analysis sample included 3,592 matched patients with and without positive cultures. We found that, in the 12 months following hospital discharge, having a positive culture resulted in increases in post-discharge pharmacy costs ($776, PPPPPPCONCLUSIONSThe results of this study indicate that MRSA infections are associated with higher levels of post-discharge healthcare cost and utilization. These findings indicate that financial benefits resulting from infection prevention efforts may extend beyond the initial hospital stay.Infect Control Hosp Epidemiol 2015;00(0): 1–9 |
| Databáze: | OpenAIRE |
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