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05.09.2020 | Original Article

Impact of postoperative remote infection on length of stay and medical costs in hospitals in Japan

verfasst von: Hironobu Nishimuta, Shinya Kusachi, Manabu Watanabe, Koji Asai, Takaharu Kiribayashi, Toru Niitsuma, Hiroshi Maruyama, Kazuo Tanemoto

Erschienen in: Surgery Today | Ausgabe 2/2021

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Abstract

Purpose

To analyze the impact of postoperative remote infections (PRIs) on medical expenditure.

Methods

The subjects of this retrospective study were 338 patients who had undergone gastroenterological surgery at one of the 20 Japanese institutions within the Japan Society for Surgical Infection (JSSI) and mainly authorized as educational institutions. The patients were allocated to 169 pairs of those with a PRI (PRI (+) group) matched with those without a PRI (PRI (−) group). PRIs included pneumonia, urinary tract infection (UTI), catheter-associated blood stream infection (CA-BSI), and antibiotic-associated enteritis.

Results

SSI developed in 74 of the 338 patients (22 without PRI and 52 with PRI). The SSI incidence was significantly higher in the PRI (+) group (p < 0.001). The difference in the median postoperative length of hospital stay was 15 days, indicating a significant prolongation in the PRI (+) group (p < 0.001). The PRI (+) group also had a higher rate of inter-hospital transfer (p < 0.01) and mortality (p < 0.001). Similarly, the difference in median postoperative medical fees was $6832.3, representing a significant increase in the PRI (+) group (p < 0.001).

Conclusions

The postoperative length of hospital stay is longer and the postoperative medical expenditure is higher for patients with a PRI than for those without a PRI.
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Metadaten
Titel
Impact of postoperative remote infection on length of stay and medical costs in hospitals in Japan
verfasst von
Hironobu Nishimuta
Shinya Kusachi
Manabu Watanabe
Koji Asai
Takaharu Kiribayashi
Toru Niitsuma
Hiroshi Maruyama
Kazuo Tanemoto
Publikationsdatum
05.09.2020
Verlag
Springer Singapore
Erschienen in
Surgery Today / Ausgabe 2/2021
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-020-02113-4

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