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Socioeconomic effects of surgical site infection after cardiac surgery in Japan

Junjiro Kobayashi1, Shinya Kusachi, Yoshiki Sawa

  • 1Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan, jkobayas@hsp.ncvc.go.jp.

Surgery Today
|June 29, 2014
PubMed

Insights

Surgical site infections (SSI) after cardiovascular surgery significantly increase hospital stays and costs. Preventing SSI is crucial for reducing the socioeconomic burden of these infections.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Health Economics

Background:

  • Surgical site infections (SSI) are a significant complication following cardiovascular surgery.
  • Existing research lacks multicenter data on the socioeconomic impact of SSI in Japan.

Purpose of the Study:

  • To examine the socioeconomic effects, specifically hospital stay duration and healthcare expenditure, of SSI after cardiovascular surgery in Japan.

Main Methods:

  • A retrospective, 1:1 matched case-controlled study was conducted across four hospitals.
  • Data from 30 pairs of patients undergoing coronary artery bypass grafting and/or valve surgery (April 2006-March 2008) were analyzed.

Main Results:

  • Patients with SSI experienced a mean postoperative stay of 49.1 days (3.7 times longer than non-SSI patients).
  • Mean postoperative healthcare expenditure for SSI patients was ¥2,763,000 (US$27,630), five times higher than non-SSI patients.
  • Increased costs were primarily due to antibiotics and inpatient care.

Conclusions:

  • SSI substantially prolongs hospitalization and escalates medical costs after cardiovascular surgery.
  • Preventing SSI is of significant socioeconomic importance in cardiovascular surgery.
Abstract

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