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01-07-2012 | Original Article

Impact of surgical site infection after colorectal surgery on hospital stay and medical expenditure in Japan

Authors: Nobuichi Kashimura, Shinya Kusachi, Toshiro Konishi, Junzo Shimizu, Masato Kusunoki, Masaaki Oka, Toshiro Wakatsuki, Yoshinobu Sumiyama

Published in: Surgery Today | Issue 7/2012

Abstract

Purpose

To clarify the impact of surgical site infection (SSI) after colorectal surgery on the length of hospital stay and medical expenditure in Japan.

Methods

This was a multi-center, retrospective-matched case–control study.

Results

The total number of patients enrolled was 334 (167 case/control pairs). The average hospital stay after surgery was prolonged by 17.8 days (95% CI 11.9–23.5) and the average medical cost after surgery was increased by $5,938 (95% CI 3,610–8,367) in the SSI group versus the non-SSI group. Hospital charges comprised the largest among all cost categories and accounted for 53% of the additional cost. The hospital stay and medical costs both increased proportionately to the depth of the SSI, from 4.4 days and $608 for superficial incisional SSI, to 39.2 days and $14,448 for organ/space SSI. SSI caused by MRSA prolonged the hospital stay by 19.3 days and incurred an additional cost of $7,015.

Conclusions

SSI clearly prolonged the hospital stay and increased medical costs. The numerical values revealed by this study reinforce the medical-economic importance of instigating preventive measures against SSI.

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Title: Impact of surgical site infection after colorectal surgery on hospital stay and medical expenditure in Japan
Authors: Nobuichi Kashimura
Shinya Kusachi
Toshiro Konishi
Junzo Shimizu
Masato Kusunoki
Masaaki Oka
Toshiro Wakatsuki
Yoshinobu Sumiyama
Publication date: 01-07-2012
Publisher: Springer Japan
Published in: Surgery Today / Issue 7/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-012-0126-8

At a glance: The STEP trials

Springer Medicine

Impact of surgical site infection after colorectal surgery on hospital stay and medical expenditure in Japan

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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