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ファイル
言語
英語
属性
原著論文
著者
中林 愛恵
内容記述(抄録等)
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.
主題
hospital-acquired infection
additional medical costs
prolonged hospital stay
antimicrobial drug use
colorectal surgery
open and laparoscopic surgery
hospital administration
掲載誌名
Shimane journal of medical science
32
1
開始ページ
1
終了ページ
12
ISSN
03865959
ISSN(Online)
24332410
発行日
2015-09-01
NCID
AA00841586
出版者
Shimane University Faculty of Medicine
資料タイプ
紀要論文
ファイル形式
PDF
著者版/出版社版
出版社版
部局
医学部
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