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Risk Factors of Clostridium Difficile Infection After Spinal Surgery: National Health Insurance Database

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dc.contributor.author문성환-
dc.contributor.author이병호-
dc.contributor.author이환모-
dc.contributor.author권지원-
dc.date.accessioned2020-12-01T17:47:44Z-
dc.date.available2020-12-01T17:47:44Z-
dc.date.issued2020-03-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/180454-
dc.description.abstractThe purpose of this study was to evaluate risk factors of Clostridium Difficile infection (CDI) after spinal surgery using the Health Insurance Review and Assessment Service (HIRA) data. The incidence of postoperative CDI was investigated using HIRA data from 2012 to 2016. Cases involving CDI that occurred within a 30-day postoperative period were identified. Risk factors, including age, sex, comorbidities, postoperative infection, spinal surgery procedure, type of antibiotic, and duration of antibiotic use, were evaluated. Duration of hospital stay, medical cost, and mortality were also evaluated. In total, 71,322 patients were included. Presumed cases of CDI were identified in 57 patients, with CDI rate of 0.54 per 10,000 patient days. Advanced age, staged operation, postoperative infection, and the use of multiple antibiotics were significant risk factors. First-generation cephalosporins were shown to be associated with a lower incidence of CDI. CDI was also associated with longer hospital stays and increased medical cost, and it was an independent risk factor for increased mortality. Extra attention should be paid to patients at high risk for the development of postoperative CDI, and unnecessary use of multiple antibiotics should be avoided. Level of Evidence: Level III, retrospective cohort study.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherNature Publishing Group-
dc.relation.isPartOfSCIENTIFIC REPORTS-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleRisk Factors of Clostridium Difficile Infection After Spinal Surgery: National Health Insurance Database-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Orthopedic Surgery (정형외과학교실)-
dc.contributor.googleauthorSahyun Sung-
dc.contributor.googleauthorJi-Won Kwon-
dc.contributor.googleauthorSoo-Bin Lee-
dc.contributor.googleauthorHwan-Mo Lee-
dc.contributor.googleauthorSeong-Hwan Moon-
dc.contributor.googleauthorByung Ho Lee-
dc.identifier.doi10.1038/s41598-020-61327-1-
dc.contributor.localIdA01365-
dc.contributor.localIdA02801-
dc.contributor.localIdA03333-
dc.relation.journalcodeJ02646-
dc.identifier.eissn2045-2322-
dc.identifier.pmid32157186-
dc.contributor.alternativeNameMoon, Seong Hwan-
dc.contributor.affiliatedAuthor문성환-
dc.contributor.affiliatedAuthor이병호-
dc.contributor.affiliatedAuthor이환모-
dc.citation.volume10-
dc.citation.number1-
dc.citation.startPage4438-
dc.identifier.bibliographicCitationSCIENTIFIC REPORTS, Vol.10(1) : 4438, 2020-03-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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