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수술부위감염에 따른 경제적 손실

Other Titles
 The Economical Impacts of Surgical Site Infections 
Authors
 박은숙  ;  김경식  ;  김준명  ;  최준용  ;  장선영  ;  이우정 
Citation
 Korean Journal of Nosocomial Infection Control (병원감염관리), Vol.10(2) : 57-64, 2005 
Journal Title
Korean Journal of Nosocomial Infection Control(병원감염관리)
ISSN
 1226-6299 
Issue Date
2005
MeSH
Surgical site infection ; Economical impact ; Length of stay ; Hospital charge
Keywords
Surgical site infection ; Economical impact ; Length of stay ; Hospital charge
Abstract
BACKGROUND: The purpose of this study was to estimate the economical impacts of surgical site infection (SSI) after general surgeries.
METHODS: A prospective study was performed with the surgeries from September to December, 2002 and the SSI cases were collected based on the definitions of Centers for Disease Control and Prevention, The length of stay (LOS) and the hospital charge for the SSI group were compared with the non-SSI (NSSI) group by a matched cohort study for age, sex, operation procedure, and NNIS risk groups.
RESULTS: There were 1,007 cases of surgeries and the 52 cases of SSI and the 26 cases have been matched. The LOS of the SSI group was 5.2 days longer than that of the NSSI group (P<0.05) which was significant, The injection and dressing meal, and total hospital charge were \157,562, \72,251, and \2,153,964 more in SSI group than those of NSSI group (P<0,05) for post-operation stay. The charge of medication and room in SSI group were \558,146 and \723,114 more than those of the NSSI group, but there were no significant difference.
CONCLUSION: The SSI could increase the LOS and the hospital charge; therefore, this economic loss had an impact on the hospitals as well as the patients. To estimate the economic impacts of SSI precisely, however, further studies are needed to analyze and control other factors for the cost such as a type of surgery. In addition, the scope and setting of cost analysis should be expanded into the aspects of an individual, the hospital, and society.
Files in This Item:
T200501714.pdf Download
DOI
OAK-2005-02024
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Kim, June Myung(김준명)
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Choi, Jun Yong(최준용) ORCID logo https://orcid.org/0000-0002-2775-3315
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114854
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