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Economic burden of surgical site infections within the episode of care following joint replacement

BACKGROUND: Recent policy initiatives, including Bundled Payments for Care Improvement (BPCI) Initiative by the Centers for Medicare and Medicaid Health Services (CMS), encourage healthcare providers to manage the total episode of care, rather than just the surgical episode. Surgical site infections...

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Autores principales: Adeyemi, Ayoade, Trueman, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598267/
https://www.ncbi.nlm.nih.gov/pubmed/31248432
http://dx.doi.org/10.1186/s13018-019-1224-8
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author Adeyemi, Ayoade
Trueman, Paul
author_facet Adeyemi, Ayoade
Trueman, Paul
author_sort Adeyemi, Ayoade
collection PubMed
description BACKGROUND: Recent policy initiatives, including Bundled Payments for Care Improvement (BPCI) Initiative by the Centers for Medicare and Medicaid Health Services (CMS), encourage healthcare providers to manage the total episode of care, rather than just the surgical episode. Surgical site infections (SSI) following total joint replacement result in preventable morbidity and suffering for patients and excess healthcare utilization for healthcare providers. This study sought to estimate the additional resources associated with SSIs within the 90-day episode of care following hip and knee joint replacement. METHODS: Using the 2013 Nationwide Readmissions Database (NRD), healthcare resource utilization was compared between propensity score matched patient groups with and without SSI-related readmissions within the 90-day episode of care following total joint replacement. RESULTS: Surgical site infections were associated with significantly longer hospital length of stay and increased costs following hip and knee joint replacement procedures. Generalized estimating equation regression results confirmed that additional costs associated with SSIs following both cohorts were significant, with additional hospital length of stay and costs following total hip and knee replacement procedures ranging from 4.9 to 5.2 days and $12,689 to $12,890, respectively. CONCLUSION: Surgical site infections following total joint replacement account for significant additional healthcare resource use within the 90-day episode of care.
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spelling pubmed-65982672019-07-11 Economic burden of surgical site infections within the episode of care following joint replacement Adeyemi, Ayoade Trueman, Paul J Orthop Surg Res Research Article BACKGROUND: Recent policy initiatives, including Bundled Payments for Care Improvement (BPCI) Initiative by the Centers for Medicare and Medicaid Health Services (CMS), encourage healthcare providers to manage the total episode of care, rather than just the surgical episode. Surgical site infections (SSI) following total joint replacement result in preventable morbidity and suffering for patients and excess healthcare utilization for healthcare providers. This study sought to estimate the additional resources associated with SSIs within the 90-day episode of care following hip and knee joint replacement. METHODS: Using the 2013 Nationwide Readmissions Database (NRD), healthcare resource utilization was compared between propensity score matched patient groups with and without SSI-related readmissions within the 90-day episode of care following total joint replacement. RESULTS: Surgical site infections were associated with significantly longer hospital length of stay and increased costs following hip and knee joint replacement procedures. Generalized estimating equation regression results confirmed that additional costs associated with SSIs following both cohorts were significant, with additional hospital length of stay and costs following total hip and knee replacement procedures ranging from 4.9 to 5.2 days and $12,689 to $12,890, respectively. CONCLUSION: Surgical site infections following total joint replacement account for significant additional healthcare resource use within the 90-day episode of care. BioMed Central 2019-06-27 /pmc/articles/PMC6598267/ /pubmed/31248432 http://dx.doi.org/10.1186/s13018-019-1224-8 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Adeyemi, Ayoade
Trueman, Paul
Economic burden of surgical site infections within the episode of care following joint replacement
title Economic burden of surgical site infections within the episode of care following joint replacement
title_full Economic burden of surgical site infections within the episode of care following joint replacement
title_fullStr Economic burden of surgical site infections within the episode of care following joint replacement
title_full_unstemmed Economic burden of surgical site infections within the episode of care following joint replacement
title_short Economic burden of surgical site infections within the episode of care following joint replacement
title_sort economic burden of surgical site infections within the episode of care following joint replacement
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598267/
https://www.ncbi.nlm.nih.gov/pubmed/31248432
http://dx.doi.org/10.1186/s13018-019-1224-8
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