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Direct health care costs and length of hospital stay related to health care-acquired infections in adult patients based on point prevalence measurements
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Region Östergötland, Center for Health and Developmental Care, Department of Infection Control. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Health and Developmental Care, Patient Safety. Public Health Agency, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Thoracic and Vascular Surgery.
2016 (English)In: American Journal of Infection Control, ISSN 0196-6553, E-ISSN 1527-3296, Vol. 44, no 5, 500-506 p.Article in journal (Refereed) PublishedText
Abstract [en]

Background: The incidence of health care-acquired infection (HAI) and the consequence for patients with HAI tend to vary from study to study. By including all patients, all medical specialties, and performing a follow-up analysis, this study contributes to previous findings in this research field. Methods: Data from the Swedish National Point Prevalence Surveys of HAI 2010-2012 was merged with cost per patient data from the county Health Care Register (N=6,823). Extended length of stay (LOS) and costs related to an HAI were adjusted for sex, age, intensive care unit use, and surgery. Results: Patients with HAI (n=732) had a larger proportion of readmissions compared with patients with no HAI (29.0% vs 16.5%). Of the total bed days, 9.3% was considered to be excess days attributed to the group of patients with an HAI. The excess LOS comprised 11.4% of the total costs (95% CI, 10.2-12.7). The 1-year overall mortality rate for patients with HAI in comparison to all other patients was 1.75 (95% CI, 1.45-2.11), all 5 of these differences were statistically significant (P<.001). Conclusions: Even if not all outcomes for patients with an HAI can be explained by the HAI itself, the increase in inpatient days, readmissions, associated costs, and higher mortality rates are quite notable. (C) 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Place, publisher, year, edition, pages
MOSBY-ELSEVIER , 2016. Vol. 44, no 5, 500-506 p.
Keyword [en]
Point prevalence survey; Readmission; Mortality rate
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-128727DOI: 10.1016/j.ajic.2016.01.035ISI: 000375483200006PubMedID: 26988332OAI: oai:DiVA.org:liu-128727DiVA: diva2:932347
Note

Funding Agencies|Region Ostergotland, Sweden [LiO 2014-580]

Available from: 2016-06-01 Created: 2016-05-30 Last updated: 2016-08-11

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Rahmqvist, MikaelSamuelsson, AnnikaBastami, SalumehRutberg, Hans
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Division of Health Care AnalysisFaculty of Medicine and Health SciencesDivision of Microbiology and Molecular MedicineDepartment of Infection ControlDepartment of Medical and Health SciencesPatient SafetyDepartment of Thoracic and Vascular Surgery
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American Journal of Infection Control
Health Care Service and Management, Health Policy and Services and Health Economy

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