Erschienen in:
01.04.2015 | Original Article
Socioeconomic effects of surgical site infection after cardiac surgery in Japan
verfasst von:
Junjiro Kobayashi, Shinya Kusachi, Yoshiki Sawa, Noboru Motomura, Yutaka Imoto, Haruo Makuuchi, Kazuo Tanemoto, Yusuke Shimahara, Yoshinobu Sumiyama
Erschienen in:
Surgery Today
|
Ausgabe 4/2015
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Abstract
Purpose
Surgical site infection (SSI) increases medical costs and prolongs hospitalization; however, there has been no multicenter study examining the socioeconomic effects of SSI after cardiovascular surgery in Japan.
Methods
A retrospective 1:1 matched, case-controlled study on hospital stay and health care expenditure after cardiovascular surgery was performed in four hospitals. Patients selected for the study had undergone coronary artery bypass grafting and/or valve surgery between April, 2006 and March, 2008. Data were obtained for 30 pairs of patients.
Results
The mean postoperative stay for the SSI group was 49.1 days, being 3.7 times longer than that for the non-SSI group. The mean postoperative health care expenditure for the SSI group was ¥2,763,000 (US$27,630), being five times higher than that for the non-SSI group. Charges for drug infusion and hospitalization for inpatient care were significantly higher for the SSI group than for the non-SSI group. The increased health care expenditure was mainly attributed to the cost of antibiotics and antimicrobial agents.
Conclusion
SSI after cardiovascular surgery not only prolonged the length of hospital stay, but also increased medical expenditure. Thus, the prevention of SSI after cardiovascular surgery is of great socioeconomic importance.