Health and economic impact of surgical site infections diagnosed after hospital discharge.

Abstract:

:Although surgical site infections (SSIs) are known to cause substantial illness and costs during the index hospitalization, little information exists about the impact of infections diagnosed after discharge, which constitute the majority of SSIs. In this study, using patient questionnaire and administrative databases, we assessed the clinical outcomes and resource utilization in the 8-week postoperative period associated with SSIs recognized after discharge. SSI recognized after discharge was confirmed in 89 (1.9%) of 4,571 procedures from May 1997 to October 1998. Patients with SSI, but not controls, had a significant decline in SF-12 (Medical Outcomes Study 12-Item Short-Form Health Survey) mental health component scores after surgery (p=0.004). Patients required significantly more outpatient visits, emergency room visits, radiology services, readmissions, and home health aide services than did controls. Average total costs during the 8 weeks after discharge were US dollars 5,155 for patients with SSI and US dollars 1,773 for controls (p<0.001).

journal_name

Emerg Infect Dis

authors

Perencevich EN,Sands KE,Cosgrove SE,Guadagnoli E,Meara E,Platt R

doi

10.3201/eid0902.020232

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

196-203

issue

2

eissn

1080-6040

issn

1080-6059

journal_volume

9

pub_type

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