scholarly journals The Impacts of Deep Surgical Site Infections on Readmissions, Length of Stay, and Costs: A Matched Case–Control Study Conducted in an Academic Hospital in the Netherlands

2020 ◽  
Vol Volume 13 ◽  
pp. 3365-3374
Author(s):  
Abdul Khairul Rizki Purba ◽  
Christian F Luz ◽  
Riyanti R Wulandari ◽  
Ieneke van der Gun ◽  
Jan-Willem Dik ◽  
...  
2019 ◽  
Vol 129 ◽  
pp. 28-34 ◽  
Author(s):  
Rosario Toro ◽  
George S. Downward ◽  
Marianne van der Mark ◽  
Maartje Brouwer ◽  
Anke Huss ◽  
...  

2015 ◽  
Vol 2015 (1) ◽  
pp. 1075
Author(s):  
Rosario Toro Campos ◽  
Meinie Seelen ◽  
Gerard Hoek ◽  
Marianne Van Der Mark ◽  
Peter Nijssen ◽  
...  

2003 ◽  
Vol 24 (12) ◽  
pp. 905-911 ◽  
Author(s):  
Hilmar Wisplinghoff ◽  
Oliver A. Cornely ◽  
Susanne Moser ◽  
Ullrich Bethe ◽  
Hartmut Stützer ◽  
...  

AbstractObjective:To examine the clinical and epidemiologic features, excess length of stay, extra costs, and mortality attributable to bloodstream infection (BSI) in neutropenic patients with hematologic malignancies.Design:Prospective cohort and matched case-control study.Patients:All adult neutropenic patients with hematologic malignancies admitted to Cologne University Hospital between May 1, 1997, and April 30, 1998, were prospectively observed. Case-patients were defined as patients with nosocomial BSI; control-patients were selected among patients without BSI.Results:During the study period, the BSI rate in neutropenic patients was 14.3 per 100 neutropenic episodes. Eighty-four case-patients were included. Matching was successful for 96% of the cohort; 81 matched pairs were studied. The mean total length of stay was significantly longer for patients with BSI than for control-patients (37 vs 29 days;P= .002). Extra costs attributable to the infection averaged $3,200 (U.S.) per patient. The crude mortality rates of case-patients and control-patients were 16% and 4%, respectively (P= .013), with an attributable mortality of 12% (odds ratio, 11). Eighty-seven percent of patients met the criteria for sepsis according to the American College of Chest Physicians/Society of Critical Care Medicine. Severe sepsis or septic shock occurred in 13% of patients and was correlated with mortality (55% vs 10% in patients without severe sepsis or septic shock;P=.01).Conclusions:Nosocomial BSI in neutropenic patients is significantly associated with an excess length of hospital stay, extra costs, and excess mortality. Severe sepsis and septic shock are closely correlated with an adverse outcome.


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