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Title: Economic impact of a care bundle to prevent surgical site infection after craniotomy: a cost-analysis study
Author: Jiménez Martínez, Emilio
Cuervo Requena, Guillermo
Carratalà, Jordi
Hornero, Ana
Ciercoles, Pilar
Gabarrós, Andreu
Cabellos Mínguez, Ma. Carmen
Pelegrin, Ivan
Domínguez Luzón, Ma. Ángeles (María Ángeles)
Càmara, Jordi
Moreno Fuentes, Ramon
Adamuz Tomás, Jordi
Pujol, Miquel
Keywords: Anàlisi d'impacte econòmic
Infeccions nosocomials
Economic impact analysis
Nosocomial infections
Issue Date: 13-Oct-2021
Publisher: Springer Science and Business Media LLC
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.
Note: Reproducció del document publicat a:
It is part of: Antimicrobial Resistance & Infection Control, 2021, vol. 10, num. 1
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ISSN: 2047-2994
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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