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A Cost-Benefit Analysis of Reducing Surgical Site Infections.

Abstract Surgical Site Infections (SSI) represent an onerous burden on our health-care system. This study was undertaken to determine the impact of a protocol aimed at reducing SSIs on the frequency and cost of SSIs after abdominal surgery. Beginning in 2013, 811 patients undergoing gastrointestinal operations were prospectively followed. In 2014, we initiated a protocol to reduce SSIs. SSIs were monitored before and after protocol implementation, and differences in SSI incidence and associated costs were determined. Before protocol initiation, standardized operative preparation cost was $40.85 to $126.94 per patient depending on the results of methicillin-resistant Staphylococcus aureus screen; after protocol initiation, the cost was $43.85 per patient, saving up to $83.09 per patient. With the protocol in place, SSI rate was reduced from 4.9 to 3.4 per cent (13 of 379) representing a potential prevention of eight infections that would have cost payers $166,280 ($20,785 per infection). Notably, the SSI rate after pancreatectomy was reduced by 63 per cent (P = 0.04). With preparation and diligence, SSI rate can be meaningfully reduced and potential cost savings can be achieved. In particular, SSI rate reduction for major abdominal operations and especially pancreatic resections can be achieved. A protocol to reduce SSI is a "win-win" for all stakeholders and should be encouraged with thoughtful and active participation from all hospital disciplines.
PMID
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Authors

Mayor MeshTerms

Cost-Benefit Analysis

Keywords
Journal Title the american surgeon
Publication Year Start




PMID- 29580355
OWN - NLM
STAT- MEDLINE
DCOM- 20180404
LR  - 20180404
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 84
IP  - 2
DP  - 2018 Feb 1
TI  - A Cost-Benefit Analysis of Reducing Surgical Site Infections.
PG  - 254-261
AB  - Surgical Site Infections (SSI) represent an onerous burden on our health-care
      system. This study was undertaken to determine the impact of a protocol aimed at 
      reducing SSIs on the frequency and cost of SSIs after abdominal surgery.
      Beginning in 2013, 811 patients undergoing gastrointestinal operations were
      prospectively followed. In 2014, we initiated a protocol to reduce SSIs. SSIs
      were monitored before and after protocol implementation, and differences in SSI
      incidence and associated costs were determined. Before protocol initiation,
      standardized operative preparation cost was $40.85 to $126.94 per patient
      depending on the results of methicillin-resistant Staphylococcus aureus screen;
      after protocol initiation, the cost was $43.85 per patient, saving up to $83.09
      per patient. With the protocol in place, SSI rate was reduced from 4.9 to 3.4 per
      cent (13 of 379) representing a potential prevention of eight infections that
      would have cost payers $166,280 ($20,785 per infection). Notably, the SSI rate
      after pancreatectomy was reduced by 63 per cent (P = 0.04). With preparation and 
      diligence, SSI rate can be meaningfully reduced and potential cost savings can be
      achieved. In particular, SSI rate reduction for major abdominal operations and
      especially pancreatic resections can be achieved. A protocol to reduce SSI is a
      "win-win" for all stakeholders and should be encouraged with thoughtful and
      active participation from all hospital disciplines.
FAU - Rosemurgy, Alexander
AU  - Rosemurgy A
FAU - Whitaker, Jacqueline
AU  - Whitaker J
FAU - Luberice, Kenneth
AU  - Luberice K
FAU - Rodriguez, Christian
AU  - Rodriguez C
FAU - Downs, Darrell
AU  - Downs D
FAU - Ross, Sharona
AU  - Ross S
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Adult
MH  - Aged
MH  - Clinical Protocols
MH  - Cost Savings/statistics & numerical data
MH  - *Cost-Benefit Analysis
MH  - Digestive System Surgical Procedures
MH  - Female
MH  - Florida
MH  - Follow-Up Studies
MH  - Hospital Costs/*statistics & numerical data
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Perioperative Care/*economics/methods
MH  - Prospective Studies
MH  - Surgical Wound Infection/economics/epidemiology/*prevention & control
EDAT- 2018/03/28 06:00
MHDA- 2018/04/05 06:00
CRDT- 2018/03/28 06:00
PHST- 2018/03/28 06:00 [entrez]
PHST- 2018/03/28 06:00 [pubmed]
PHST- 2018/04/05 06:00 [medline]
PST - ppublish
SO  - Am Surg. 2018 Feb 1;84(2):254-261.