Costs of hospital-acquired infection for patients hospitalized in intensive care unit of an Iranian referral hospital

Abstract

Background: Hospital infections have affected millions of people around the world and are considered as one of the most important issues related to patient safety. Therefore, this study was conducted to estimate the extra costs caused by hospital-acquired infections in hospitals. Methods: This retrospective cohort study was conducted in Tehran province, Iran, in 2017. Medical records of 235 patients hospitalized in one of Tehran hospitals were reviewed for the study. They were divided into case (90 patients) and control (145 patients) groups. Data were analyzed using SPSS and STATA software. Results: Results revealed no significant relationship between age and gender with the incidence of nosocomial infection (p>0.05). However, the chance of nosocomial infection is most affected by length of hospital stay and costs paid by patients. Moreover, nosocomial infection increases the length of hospital stay up to 25 days. Our results revealed that the mean±SD hospital stay of infected and non-infected patients were 15.8±17.2 and 40.8±19.1 days, respectively. Furthermore, the total cost of patients without any hospital infection was 2451±3098 USD (83 674 480±105 765 500 Rials). On the other hand, the cost for infected patients was 3264±6078 USD (207 497 500±111 430 700 Rials). Conclusion: Hospital-acquired infections can impose great costs on both patients and the health system. The results of this study indicated the importance of taking specific measures for infection control in hospitals.

Economic burden attributable to healthcare-associated infections in tertiary public hospitals of Central China: a multi-centre case-control study

“…To our knowledge, this retrospective study is the first to estimate the current economic burden and analyze the health economic characteristics of HAIs in tertiary public hospitals of Central China. In this work, the estimated economic losses attributable to HAIs was $2047.07, accounting for 28.00% of per capita GDP ($7310.79) and 63.94% of per capita disposable income ($3201.68) in Henan Province, 2018 [8], which is both higher than that of a retrospective survey conducted by Jia HX et al on 68 general hospitals in China, 2015 [12] and a research that estimated the costs of HAIs for patients hospitalized in ICU of an Iranian referral hospital, 2017 [13], but lower than the direct economic loss of HAIs estimated by Li H et al in 5 tertiary public hospitals of Hubei Province, 2016 [14] and that of a similar study made in tertiary hospitals of German, 2015 [15]. On the one hand, it is because the survey region varies among these studies.…”

“…than that of a retrospective survey conducted by Jia et al on 68 general hospitals in China, 2015 [12] and a research that estimated the costs of HAIs for patients hospitalised in ICU of an Iranian referral hospital, 2017 [13], but lower than the direct economic loss of HAIs estimated by Li et al in five tertiary public hospitals of Hubei Province, 2016 [14] and that of a similar study made in tertiary hospitals of German, 2015 [15]. On the one hand, it is because the survey region varies among these studies.…”

Economic Burden Attributable to Healthcare-Associated Infections in Tertiary Public Hospitals of Central China: A Multi-Center Case-Control Study

“…To our knowledge, this retrospective study is the rst to estimate the current economic burden and analyze the health economic characteristics of HAIs in tertiary public hospitals of Central China. In this work, the estimated economic losses attributable to HAIs was $2047.07, accounting for 28.00% of per capita GDP ($7310.79) and 63.94% of per capita disposable income ($3201.68) in Henan Province, 2018 [8], which is both higher than that of a retrospective survey conducted by Jia HX et al on 68 general hospitals in China, 2015 [12] and a research did in a referral hospital of Iran, 2017 [13], but lower than the direct economic loss of HAIs estimated by Li H et al in 5 tertiary public hospitals of Hubei Province, 2016 [14] and that of a similar study made in tertiary hospitals of German, 2015 [15]. On the one hand, it is because the sample size and survey region vary among these studies.…”

Economic Burden Attributable to Healthcare-Associated Infections in Tertiary Public Hospitals of Central China: A Multi-center Case-control Study

“…In addition, the economic losses caused by CRE, CRPa, MRSA and CRAb were 4.06, 3.64, 3.02 and 1.45 times signi cantly higher than those caused by CSE, CSPa, MSSA and CSAb, respectively (Table 6). [12] and a research did in a referral hospital of Iran, 2017 [13], but lower than the direct economic loss of HAIs estimated by Li H et al in 5 tertiary public hospitals of Hubei Province, 2016 [14] and that of a similar study made in tertiary hospitals of German, 2015 [15]. On the one hand, it is because the sample size and survey region vary among these studies.…”