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Association of Respiratory Tract Infection after Gastroenterological Surgery with Postoperative Duration of

Hiroshi Maruyama1, Shinya Kusachi2, Hiroshi Yoshida3

  • 1Department of Surgery, Nippon Medical School Tama Nagayama Hospital, Tokyo, Japan.

Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|February 4, 2020
PubMed
Abstract

Insights

Postoperative respiratory tract infections (PRTI) significantly increase hospital stays and costs for gastrointestinal surgery patients. This study highlights PRTI as a costly complication, underscoring the need for effective prevention strategies.

Area of Science:

  • Infectious Diseases
  • Surgical Outcomes
  • Health Economics

Background:

  • Postoperative infections include surgical site infections and remote infections.
  • Postoperative respiratory tract infections (PRTI) are a type of remote infection.
  • PRTI can lead to extended hospitalization and higher medical costs.

Purpose of the Study:

  • To compare the duration of hospitalization and medical expenses in patients with and without PRTI after gastrointestinal surgery.
  • To evaluate the economic impact of PRTI in the context of gastrointestinal procedures.

Main Methods:

  • Retrospective analysis of data from a multicenter study.
  • Inclusion of 86 patients undergoing gastrointestinal surgery between March 2014 and February 2016.
  • Application of 1-to-1 matching analysis for patient comparison.

Main Results:

  • Patients with PRTI experienced significantly longer hospital stays (38.6 days) compared to those without PRTI (16.1 days).
  • Postoperative medical expenses were substantially higher for patients with PRTI (1388.2 USD) versus those without (629.4 USD).

Conclusions:

  • PRTI is associated with prolonged hospitalization and increased medical expenses following gastrointestinal surgery.
  • Findings support the hypothesis that remote infections, like PRTI, impact patient outcomes similarly to surgical site infections.
  • Further research is recommended to validate these findings and explore preventative measures.
Keywords:
Remote infectionhospitalization periodmedical expensespostoperative respiratory infection

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