Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/180968
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Jiménez Martínez, Emilio | - |
dc.contributor.author | Cuervo Requena, Guillermo | - |
dc.contributor.author | Carratalà, Jordi | - |
dc.contributor.author | Hornero, Ana | - |
dc.contributor.author | Ciercoles, Pilar | - |
dc.contributor.author | Gabarrós, Andreu | - |
dc.contributor.author | Cabellos Mínguez, Ma. Carmen | - |
dc.contributor.author | Pelegrin, Ivan | - |
dc.contributor.author | Domínguez Luzón, Ma. Ángeles (María Ángeles) | - |
dc.contributor.author | Càmara, Jordi | - |
dc.contributor.author | Moreno Fuentes, Ramon | - |
dc.contributor.author | Adamuz Tomás, Jordi | - |
dc.contributor.author | Pujol, Miquel | - |
dc.date.accessioned | 2021-11-02T14:39:56Z | - |
dc.date.available | 2021-11-02T14:39:56Z | - |
dc.date.issued | 2021-10-13 | - |
dc.identifier.issn | 2047-2994 | - |
dc.identifier.uri | http://hdl.handle.net/2445/180968 | - |
dc.description.abstract | Background: Surgical site infections after craniotomy (SSI-CRAN) significantly impact patient outcomes and healthcare costs by increasing length of stay and readmission and reoperation rates. However, to our knowledge, no study has yet analysed the economic impact of a surgical care bundle for preventing SSI-CRAN. The aim is to analyse the hospital cost saving after implementation of a care bundle for the prevention of SSI-CRAN. Methods: A retrospective cost-analysis was performed, considering two periods: pre-care bundle (2013-2015) and care bundle (2016-2017). A bottom-up approach was used to calculate the costs associated with infection in patients who developed a SSI-CRAN in comparison to those who did not, in both periods and on a patient-by-patient basis. The derived cost of SSI-CRAN was calculated considering: (1) cost of the antibiotic treatment, (2) cost of length of stay in the neurosurgery ward within the 1-year follow up period, (3) cost of the re-intervention, and (4) cost of the implant for cranial reconstruction, when necessary. Results: A total of 595 patients were included in the pre-care bundle period and 422 in the care bundle period. Mean cost of a craniotomy procedure was approximately €8000, rising to €24,000 in the case of SSI-CRAN. Mean yearly hospital costs fell by €502,857 in the care bundle period (€714,886 vs. €212,029). Extra costs between periods were mainly due to increased length of hospital stay (€573,555.3 vs. €183,958.9; difference: €389,596.4), followed by the cost of implant for cranial reconstruction (€69,803.4 vs. €9,936; difference: €59,867.4). Overall, implementation of the care bundle saved the hospital €500,844.3/year. Conclusion: The implementation of a care bundle for SSI-CRAN had a significant economic impact. Hospitals should consider the deployment of this multimodal preventive strategy to reduce their SSI-CRAN rates, and also their costs. | - |
dc.format.extent | 8 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Springer Science and Business Media LLC | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1186/s13756-021-01016-4 | - |
dc.relation.ispartof | Antimicrobial Resistance & Infection Control, 2021, vol. 10, num. 1 | - |
dc.relation.uri | https://doi.org/10.1186/s13756-021-01016-4 | - |
dc.rights | cc by (c) Jiménez Martínez, Emilio et al, 2021 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Anàlisi d'impacte econòmic | - |
dc.subject.classification | Infeccions nosocomials | - |
dc.subject.other | Economic impact analysis | - |
dc.subject.other | Nosocomial infections | - |
dc.title | Economic impact of a care bundle to prevent surgical site infection after craniotomy: a cost-analysis study | - |
dc.type | info:eu-repo/semantics/article | - |
dc.identifier.idgrec | 717538 | - |
dc.date.updated | 2021-10-28T09:50:58Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 34645525 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
s13756-021-01016-4.pdf | 775.36 kB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License