Who bears the cost of healthcare-acquired surgical site infection?

Graves, N., Halton, K., Doidge, S., Clements, A. C. A., Lairson, D and Whitby, M (2008) Who bears the cost of healthcare-acquired surgical site infection?. Journal of Hospital Infection, 69 3: 274-282. doi:10.1016/j.jhin.2008.04.022

Author Graves, N.
Halton, K.
Doidge, S.
Clements, A. C. A.
Lairson, D
Whitby, M
Title Who bears the cost of healthcare-acquired surgical site infection?
Journal name Journal of Hospital Infection   Check publisher's open access policy
ISSN 0195-6701
Publication date 2008-07-01
Year available 2008
Sub-type Article (original research)
DOI 10.1016/j.jhin.2008.04.022
Open Access Status Not Open Access
Volume 69
Issue 3
Start page 274
End page 282
Total pages 9
Editor Stephen Barrett
Place of publication London, United Kingdom
Publisher W.B Saunders Co. Ltd.
Language eng
Subject C1
140208 Health Economics
920299 Health and Support Services not elsewhere classified
Abstract The aim of this study was to estimate the economic costs of healthcare-acquired surgical site infection (HA-SSI) and show how they are distributed between the in-hospital and post-discharge phases of care and recovery. A quantitative model of the epidemiology and economic consequences of HA-SSI was used, with data collected from a prospective cohort of surgical patients and other relevant sources. A logical model structure was specified and data applied to model parameters. A hypothetical cohort of 10 000 surgical patients was evaluated. We found that 111 cases of infection would be diagnosed in hospital and 784 cases would first appear after discharge. Of the total costs incurred, either 31% or 67% occurred during the hospital phase, depending on whether production losses incurred after discharge were included. Most of the costs incurred by the hospital sector arose from lost bed-days and only a small proportion arose from variable costs. We discuss the issues relating to the size of these costs and provide data on where they are incurred. These results can be used to inform subsequent cost-effectiveness analyses that evaluate the efficiency of programmes to reduce the risks of HA-SSI.
Keyword Costs
Surgical site infection
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Special edition: Surveillance of Hospital Acquired Infection

Document type: Journal Article
Sub-type: Article (original research)
Collections: Faculty of Health and Behavioural Sciences -- Publications
2009 Higher Education Research Data Collection
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Citation counts: TR Web of Science Citation Count  Cited 15 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 17 times in Scopus Article | Citations
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Created: Wed, 01 Apr 2009, 21:43:11 EST by Geraldine Fitzgerald on behalf of School of Public Health