M. Ohno, Y. Shimada, M. Satoh, Daisuke Endoh, A. Amano, S. Hori
{"title":"日本心血管手术手术部位感染发展对未来支付系统的经济影响调查","authors":"M. Ohno, Y. Shimada, M. Satoh, Daisuke Endoh, A. Amano, S. Hori","doi":"10.3396/ijic.v16i1.006.20","DOIUrl":null,"url":null,"abstract":"The purpose of this study was to evaluate the economic burden of surgical site infections (SSIs) that are included in the category of clean operation in the field of cardiovascular surgery. \n \nIn total, 2,583 patients who underwent cardiac surgeries at Juntendo University Hospital in Japan between April 2008 and March 2018 were investigated. Among them, 9 SSI cases were individually matched to non-SSI cases based on a combination of age group (in 5-year increments), gender, timing of hospitalization (in 2-year intervals), National Healthcare Safety Network (NHSN) Risk Index, main disease category, and length of stay (LOS) prior to surgery (with the difference of ≤2 days). SSI and non-SSI cases were compared in terms of median LOS and piecework reference cost (PRC). \n \nThe median LOS was 30 days for SSI cases and 19 days for non-SSI cases (p","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"76 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2019-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Investigation of the economic impact of surgical site infection development in cardiovascular surgeries on the prospective payment system in Japan\",\"authors\":\"M. Ohno, Y. Shimada, M. Satoh, Daisuke Endoh, A. Amano, S. Hori\",\"doi\":\"10.3396/ijic.v16i1.006.20\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The purpose of this study was to evaluate the economic burden of surgical site infections (SSIs) that are included in the category of clean operation in the field of cardiovascular surgery. \\n \\nIn total, 2,583 patients who underwent cardiac surgeries at Juntendo University Hospital in Japan between April 2008 and March 2018 were investigated. Among them, 9 SSI cases were individually matched to non-SSI cases based on a combination of age group (in 5-year increments), gender, timing of hospitalization (in 2-year intervals), National Healthcare Safety Network (NHSN) Risk Index, main disease category, and length of stay (LOS) prior to surgery (with the difference of ≤2 days). SSI and non-SSI cases were compared in terms of median LOS and piecework reference cost (PRC). \\n \\nThe median LOS was 30 days for SSI cases and 19 days for non-SSI cases (p\",\"PeriodicalId\":13991,\"journal\":{\"name\":\"International Journal of Infection Control\",\"volume\":\"76 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-11-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Infection Control\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3396/ijic.v16i1.006.20\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Infection Control","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3396/ijic.v16i1.006.20","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Investigation of the economic impact of surgical site infection development in cardiovascular surgeries on the prospective payment system in Japan
The purpose of this study was to evaluate the economic burden of surgical site infections (SSIs) that are included in the category of clean operation in the field of cardiovascular surgery.
In total, 2,583 patients who underwent cardiac surgeries at Juntendo University Hospital in Japan between April 2008 and March 2018 were investigated. Among them, 9 SSI cases were individually matched to non-SSI cases based on a combination of age group (in 5-year increments), gender, timing of hospitalization (in 2-year intervals), National Healthcare Safety Network (NHSN) Risk Index, main disease category, and length of stay (LOS) prior to surgery (with the difference of ≤2 days). SSI and non-SSI cases were compared in terms of median LOS and piecework reference cost (PRC).
The median LOS was 30 days for SSI cases and 19 days for non-SSI cases (p
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