Excess length of hospital stay due to healthcare acquired infections: methodologies evaluation

Autor: Giraldi, G., Montesano, M., Sandorfi, F., Iachini, M., Orsi, G. B.
Rok vydání: 2019
Předmět:
Zdroj: Annali di igiene : medicina preventiva e di comunita. 31(5)
ISSN: 1120-9135
Popis: Healthcare acquired infections (HAI) cause an increase of burden and in particular excess length of hospital stay (LOS) accounts for approximately up to 90% of total costs. Therefore accurate estimation of extra hospital stay due to healthcare acquired infections is very important.The authors carried out a review comparing the principal methods internationally used for estimating the excess LOS attributable to healthcare acquired infections.The methods described and analysed are: 1) Implicit physician assessment; 2) appropriateness evaluation protocol; 3) unmatched case-control; 4) matched case-control; 5) regression analysis; 6) multistate model. The various methodologies are described underlining advantages and limits which researchers need to know before starting any economic analysis.Overall, studies taking into account the time-dependent nature of HAI show to give more precise and reliable results.
Databáze: OpenAIRE