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File
language
eng
Attribute
original article
Author
Nakabayashi, Narue
Description
We performed a retrospective study using 161 colorectal surgical patients to explore the additional medical costs due to postoperative infections. Patients were divided into two groups based on antimicrobial drug use duration: the control group included 112 patients with standard antimicrobial prophylaxis use, and the case group included 49 patients with additional antimicrobial drug use (indicating postoperative infection). The case group had additional medical costs of US$7,993 (95% CI: 5,481-10,506)and hospital stay of 24.8 days (95% CI: 17.5-32.2). Factors significantly associated with postoperative infections were preoperative physical status scores of 3 or higher (OR: 3.447, 95%CI: 1.127-10.546), preoperative ileus (OR 6.618, 95%CI: 2.491-17.579), hypertension (OR: 2.140, 95%CI: 1.082-4.232), contaminated surgery (OR: 11.784, 95%CI: 3.151-44.066), open surgery (OR: 2.111, 95%CI: 1.065-4.187), and operative duration exceeding 400 minutes (OR: 2.465, 95%CI: 1.111- 5.471). These findings suggest that hospital administrators should take appropriate measures to prevent postoperative infections in surgical inpatients.
Subject
hospital-acquired infection
additional medical costs
prolonged hospital stay
antimicrobial drug use
colorectal surgery
open and laparoscopic surgery
hospital administration
Journal Title
Shimane journal of medical science
Volume
32
Issue
1
Start Page
1
End Page
12
ISSN
03865959
ISSN(Online)
24332410
Published Date
2015-09-01
NCID
AA00841586
Publisher
Shimane University Faculty of Medicine
NII Type
Departmental Bulletin Paper
Format
PDF
Text Version
出版社版
OAI-PMH Set
Faculty of Medicine
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