Hospital-Associated Costs Due to Surgical Site Infection After Breast Surgery

Olsen, Margaret A.; Chu-Ongsakul, Sorawuth; Brandt, Keith; Dietz, Jill R.; Mayfield, Jennie; Fraser, Victoria J.

doi:10.1001/archsurg.2007.11

Cited by 188 publications

(163 citation statements)

References 36 publications

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“…Hubo predominio de estudios transversales 8,13,15,16,19,21,22 : cuatro de cohortes [10][11][12]17 , en dos de ellos los pacientes fueron pareados según edad, índice de riesgo quirúrgico, fecha de cirugía, tipo de procedimiento y cirujano 10,11 y dos fueron longitudinales 14,18 .…”

Section: Resultsunclassified

“…Cuatro estudios (28,6%) involucraron procedimientos ortopédicos 14,18,21,22 ; cuatro (28,6%) fueron de intervenciones quirúrgicas sin especificar la especialidad 8,10,11,19 ; dos (14,3%) fueron de cirugía cardíaca 13,17 ; uno (7,1%) de intervenciones vasculares 20 ; uno (7,1%) de mastectomías o reconstrucciones mamarias 12 ; uno (7,1%) de lifting facial 15 y uno (7,1%) de colecistectomías, apendicectomías e histerectomías 16 .…”

Section: Resultsunclassified

“…La ISQ fue objeto de investigación en nueve publicaciones [10][11][12][13][15][16][17]18,20 15,20,[21][22] . El primero incluyó 11 pacientes readmitidos por ISQ post-lifting de rostro 15 ; el segundo se propuso verificar la eficacia de la cintigrafía con tecnecio para diagnosticar la ISQ en los injertos vasculares de Dacron® en 37 pacientes post-quirúrgicos de aneurisma 20 ; el tercero investigó las razones para el reingreso de emergencia de 60 pacientes hasta 28 días después de la artroplastía total de cadera 21 y, el último analizó los reingresos de 33 pacientes hasta un año después de la artroplastía primaria de rodilla 22 .…”

Section: Resultsunclassified

“…Las mayores tasas fueron observadas en el estudio sobre ISQ en miembros inferiores, en los pacientes sometidos a revascularización de miocardio 13 y en aquellos de cirugías de mama 12 ; en este último, incluyeron algunos pacientes con cáncer de mama.…”

Section: Resultsunclassified

“…Infecciones Asociadas a Atención de Salud [10][11][12]13,[15][16][17] . Otras cocáceas grampositivas y bacilos gramnegativos también fueron identificados 10,13,15 .…”

Section: Artículo Originalunclassified

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Reingreso por infección de sitio quirúrgico: una revisión integradora

Machado¹,

Turrini²,

Siqueira³

2013

Rev. chil. infectol.

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Patient readmission for surgical site infection: integrative reviewBackground: Surgical site infections (SSI) represent an inherent risk after surgical procedures associated both to the surgical procedure and to the patient clinical conditions. Aim: To analyze in an integrative review the studies related to patient readmission due to SSI. Material and Method: The review was carried out by LILACS, CINHAL, MEDLINE and COCHRANE databases and articles published from 1966 to 2010 were selected. Results: It was analyzed 13 studies classified as transversal (7), cohort (4) and longitudinal (2). Few studies analyzed only the readmissions related to the SSI. Time to define the readmission ranged from 28 to 90 days after surgery and studies related to orthopedic procedures were more frequent. The ISS readmission rates were lower than 5%. The main aetiological agents isolated from ISS were Staphylococcus aureus and coagulase-negative staphylococci. Conclusion: Monitoring readmissions due to SSI could contribute to dimension the occurrence of ISS post-discharge, once about half of the SSI post-discharge was diagnosed at the readmission moment.

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Section: Resultsunclassified

“…Infecciones Asociadas a Atención de Salud [10][11][12]13,[15][16][17] . Otras cocáceas grampositivas y bacilos gramnegativos también fueron identificados 10,13,15 .…”

Section: Artículo Originalunclassified

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Reingreso por infección de sitio quirúrgico: una revisión integradora

Machado¹,

Turrini²,

Siqueira³

2013

Rev. chil. infectol.

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Health Care–Associated Infections

et al. 2013

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associated infections (HAIs) account for a large proportion of the harms caused by health care and are associated with high costs. Better evaluation of the costs of these infections could help providers and payers to justify investing in prevention. OBJECTIVE To estimate costs associated with the most significant and targetable HAIs. DATA SOURCES For estimation of attributable costs, we conducted a systematic review of the literature using PubMed for the years 1986 through April 2013. For HAI incidence estimates, we used the National Healthcare Safety Network of the Centers for Disease Control and Prevention (CDC). STUDY SELECTION Studies performed outside the United States were excluded. Inclusion criteria included a robust method of comparison using a matched control group or an appropriate regression strategy, generalizable populations typical of inpatient wards and critical care units, methodologic consistency with CDC definitions, and soundness of handling economic outcomes. DATA EXTRACTION AND SYNTHESIS Three review cycles were completed, with the final iteration carried out from July 2011 to April 2013. Selected publications underwent a secondary review by the research team. MAIN OUTCOMES AND MEASURES Costs, inflated to 2012 US dollars. RESULTS Using Monte Carlo simulation, we generated point estimates and 95% CIs for attributable costs and length of hospital stay. On a per-case basis, central line-associated bloodstream infections were found to be the most costly HAIs at $45

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