Developing a model for analysis the extra costs associated with surgical site infections (SSIs): an orthopaedic and traumatological study run by the Gaetano Pini Orthopaedic Institute

Nobile, Maria; Navone, Paola; Orzella, A; Colciago, R; Auxilia, F.; Calori, G.M.

doi:10.1186/2047-2994-4-s1-p68

Cited by 7 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One study reported the results of an SSI cost analysis in Italy [33]. This study was detailed in an abstract and reported the direct costs associated with SSIs following orthopaedic and trauma surgery (Table III).…”

Section: Italymentioning

confidence: 99%

“…Nobile et al reported that in orthopaedic and trauma surgery patients, the development of an SSI was associated with additional total medical costs of V32,000, relative to uninfected patients, corresponding to an average cost per SSI of V9,560 [33]. It was noted that the abstract did not specify which resources and costs were considered in the estimation of the total cost of SSIs (Table III).…”

Section: Italymentioning

confidence: 99%

See 1 more Smart Citation

Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries

Badia

Casey

Petrosillo

et al. 2017

Journal of Hospital Infection

658

465

View full text Add to dashboard Cite

show abstract

Section: Italymentioning

confidence: 99%

Section: Italymentioning

confidence: 99%

Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries

Badia

Casey

Petrosillo

et al. 2017

Journal of Hospital Infection

658

465

View full text Add to dashboard Cite

show abstract

“…Further, the cost burden of surgeries is much higher in patients afflicted with SSI than in patients who did not get complicated with SSI (9)(10)(11)(12) . Besides, the occurrence of SSI after surgical procedures leads to prolonged hospitalization and even prolonged admission to the intensive care unit (ICU) (13,14) . Therefore, the current study evaluated the risk factors for SSI after surgical interventions in the patients who sustained DSF and assessed the effect of time duration from the accident on its occurrence.…”

Section: Discussionmentioning

confidence: 99%

Compound Depressed Skull Fracture, Its Association With Infection, and Importance of the Time From the Accident

Rasheed,

Faraj

2022

JSMC

View full text Add to dashboard Cite

Background Infection can occur after compound depressed skull fracture (DSF) if not timely treated. Objectives To assess the time effect from accident to surgical intervention on surgical site infection (SSI). Patients and Methods A retrospective cohort study was performed on 63 patients admitted to Shar Hospital from September 1, 2020, to May 13, 2021. Demographic features, type of trauma, time from accident to intervention, Glasgow Coma Scale (GCS), DSF location, associated brain injuries, dural tear, and admission to intensive trauma care unit (ITCU) were recorded. Patients followed up for 30 days. Results Mean±SD (standard deviation) of ages was 23.8±18.1 years, ranging from 1-70. The male-to-female ratio was (4.25:1), and patient majorities (46% and 87.3%) were workers outside the city, respectively. Patients’ ages, occupations, and residencies were significantly associated with SSI; p-values of <0.001, <0.001, and 0.004, respectively. 4.8% of patients were afflicted with SSI. Associations of admission GCS and DSF location with SSI were significant. Surgery was done for most patients (52.4%) within six hours, but the association of time from accident to surgery was non-significant. Mean±SD duration from accident to surgery was 8.1±5.1 hours, ranging from 1.5-29. All afflicted patients with SSI had basal skull fracture (BSF) and aerocele. The dural tear did not associate with SSI. All afflicted patients who underwent frontal sinus cranialization were admitted to the ITCU and significantly associated with SSI. Conclusion There was no significant association between SSI occurrence and the time from the accident until surgical intervention.

show abstract

“…[19] In Italy, in orthopedic and trauma surgery patients, the development of an SSI was associated with additional total medical costs of € 32.000, relative to uninfected patient average cost per SSI of €9.560. [20] In Spain, the estimated direct total healthcare cost of developing an SSI was €1.084.639, which was mainly attributable to prolonged hospitalization (37%) and other hospital costs (43%). [21] In the UK, Tanner et al reported that general surgery patients who contracted an SSI constituted an additional healthcare burden of £10.523 per patient; the primary cost drivers identified in this study were prolonged LOS and readmission costs.…”

Section: Discussionmentioning

confidence: 99%

Cost-Effectiveness of Closed Incison Negative Pressure Wound Therapy for Reducing Surgical Site Infection

Çelikcan¹

2019

Anatol JFM

View full text Add to dashboard Cite

Objectives: Current preventive measures for the prevention of surgical site infections (SSI) are still not sufficient. We aimed to investigate the cost-effectiveness of negative pressure wound therapy (NPWT) on closed incisions in reducing SSI by reviewing local data or available data and values. Methods: We suggested a complication cost model for 100 patients, one-fourth of which were presumed as high-risk patients. In high-risk patients, the cost of negative pressure wound therapy (Prevena TM) was added to the complication cost. The control group was another hypothetical group of patients, and the SSI cost was also calculated. The cost of negative pressure wound therapy (Prevena TM) in this calculation was the actual raised price of the therapy system in Turkey in the beginning of 2019. Results: There was an additional 11.953 USD cost for the SSI in 100 amputation patients when standard care was performed. If we apply negative pressure wound therapy (Prevena TM) in 25 patients who would be considered as high risk, the additional cost would be 11.361 USD. In the case of median sternotomy, the cost of SSI burden was 27.889 USD for standard care, and the cost burden including negative pressure wound therapy (Prevena TM) cost for high-risk patients was calculated as 11.281 USD. In the laparotomy group, the cost burden of SSI in standard care was 165.105 USD, and negative pressure wound therapy (Prevena TM) group had 96.767 USD. Conclusion: Applying negative pressure wound therapy (Prevena TM) in high-risk patients, as recommended in World Health Organization guideline in different surgery types, demonstrates cost benefit. The cost benefit of PrevenaTM was more apparent in median sternotomy and laparotomy compared to amputation. Negative pressure wound therapy (Prevena TM) can be a good choice in high-risk patients in cost perspective. Further studies would be needed to confirm the cost-effectiveness of negative pressure wound therapy (Prevena TM) in different types of surgeries.

show abstract

Developing a model for analysis the extra costs associated with surgical site infections (SSIs): an orthopaedic and traumatological study run by the Gaetano Pini Orthopaedic Institute

Cited by 7 publications

References 0 publications

Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries

Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries

Compound Depressed Skull Fracture, Its Association With Infection, and Importance of the Time From the Accident

Cost-Effectiveness of Closed Incison Negative Pressure Wound Therapy for Reducing Surgical Site Infection

Contact Info

Product

Resources

About