PMID: 2107250Feb 1, 1990Paper

Hospital reimbursement patterns among patients with surgical wound infections following open heart surgery

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
J M BoyceL Dziobek

Abstract

Of the more than 200,000 patients who undergo open heart surgery annually in the United States, 2% to 10% will develop a post-operative infection related to their surgery. The economic impact of such infections on hospitals under the prospective payment system is unclear. To study the effect of such infections on hospital costs and reimbursement patterns, we compared case patients with controls of similar age, sex, urgency of surgery and type of surgery. The postoperative stay for cases was significantly longer than for matched controls (26.8 days and 8.3 days, respectively; p = .0002). The mean hospital cost for case admissions ($25,957) was twice as high as for control admissions ($12,795) (p = .0002). Cases resulted in an average net loss to the hospital of $2,344 per patient, while controls yielded an average net gain of $3,196 per patient (p = .02). We conclude that hospitals have substantial financial incentives to minimize the incidence of postoperative wound infections associated with open heart surgery.

Associated Clinical Trials

Citations

Jun 1, 1992·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·I KappsteinF D Daschner
Mar 16, 2011·Langenbeck's Archives of Surgery·Karolin GrafIris Freya Chaberny
Nov 13, 2004·Current Infectious Disease Reports·Ronald Lee Nichols
May 4, 2005·The Journal of Hospital Infection·R CoelloP Borriello
Sep 1, 1995·AORN Journal·K S Hagen, J Treston-Aurand
Feb 1, 1997·The Annals of Thoracic Surgery·S B MossadS M Gordon
Dec 2, 1999·Journal of Clinical Epidemiology·A Asensio, J Torres
Jun 14, 2002·The New England Journal of Medicine·Trish M PerlUNKNOWN Mupirocin And The Risk Of Staphylococcus Aureus Study Team
Feb 8, 2003·Surgical Infections·Donald E Fry
Apr 2, 2002·Journal of Cardiac Surgery·A BorowskiH Korb
Feb 26, 2003·PharmacoEconomics·Prabashni Reddy, Jessica Song
May 26, 1999·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·H M Lapsley, R Vogels
Jan 16, 2007·AORN Journal·Anne White, Todd Schneider
Dec 5, 2008·Journal of the American Geriatrics Society·Keith S KayeKenneth E Schmader
Dec 17, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·R F LamontR Romero
Nov 1, 1993·The Annals of Thoracic Surgery·M S SlaughterH B Ward
Jan 1, 1994·The Journal of Hospital Infection·M L Hyrylä, H Sintonen
Mar 11, 2008·The Journal of Hospital Infection·M E FalagasP I Rafailidis
Aug 26, 2006·The Journal of Hospital Infection·A KonvalinkaI W Fong
Oct 12, 2005·American Journal of Infection Control·Renato FinkelsteinSimcha Milo
Sep 27, 2005·Lancet·Edith FleischmannUNKNOWN Outcomes Research Group
Mar 4, 1998·The Annals of Thoracic Surgery·M S SlaughterP S Pappas
Jan 28, 2003·American Journal of Obstetrics and Gynecology·Pierluigi Benedetti PaniciLudovico Muzii
Feb 22, 2002·The Journal of Surgical Research·Debra L MaloneLena M Napolitano
Jun 9, 2016·Journal of Clinical Epidemiology·Carl van WalravenNick Daneman
Apr 12, 2008·Clinical Orthopaedics and Related Research·Nalini RaoRichard McGough

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