Economic Analysis of the European Healthcare Burden of Sternal-Wound Infections Following Coronary Artery Bypass Graft.

Frontiers in Public Health
Maximilian BlüherRhodri Saunders

Abstract

Background: Sternal wound infections (SWIs) can be some of the most complex surgical-site infections (SSIs) and pose a considerable risk following coronary artery bypass graft surgery (CABG). Objective: To capture the cost burden of SWIs following CABG across European countries. Methods: We modeled a standardized care pathway for CABG, starting at the point of surgery and extending to 1-year post surgery. The Markov model captures the incidence and cost of an SWI (deep or superficial SWIs). The cost burden is calculated from a hospital perspective such that the main inputs relating to costs were intensive-care-unit (ICU) and general-ward (GW) days. Outpatient care, not in the hospital setting, has no cost in this analysis. Model input parameters were taken from Eurostat and a review of published, peer-reviewed literature. European countries were included in this analysis when values for 50% of the required input parameters per country were identified. Missing data points were interpolated from available data. The robustness of results was assessed via probabilistic sensitivity analysis. Results: Full required input data were available for 8 European countries; a further 18 countries had sufficient data for analysis. The median ...Continue Reading

References

Nov 26, 2008·Scandinavian Cardiovascular Journal : SCJ·Lena JidéusElisabeth Ståhle
Jan 23, 2010·BMJ : British Medical Journal·Alan Maynard, Karen Bloor
Jul 29, 2015·JAMA : the Journal of the American Medical Association·Ravi RajaramKarl Y Bilimoria
Feb 1, 2017·The Journal of Hospital Infection·D J Leaper, C E Edmiston
Aug 8, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Axel FindeisenJens Maschmann

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Citations

Sep 15, 2021·The Thoracic and Cardiovascular Surgeon·Christian Jörg RustenbachThorsten Wahlers

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

EuroStat

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