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Healthcare resource use and costs related to surgical infections of tibial fractures in a Spanish cohort
Surgical site infection constitutes a serious complication in the healing process of bone fractures and has been associated with increases in medical resource use and healthcare costs. This study evaluates the economic impact of surgical site infection in tibial fractures in a Spanish cohort. It is...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9651570/ https://www.ncbi.nlm.nih.gov/pubmed/36367898 http://dx.doi.org/10.1371/journal.pone.0277482 |
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author | Barrés-Carsí, Mariano Navarrete-Dualde, Jorge Quintana Plaza, Javier Escalona, Elena Muehlendyck, Christian Galvain, Thibaut Baeza, José Balfagón, Antonio |
author_facet | Barrés-Carsí, Mariano Navarrete-Dualde, Jorge Quintana Plaza, Javier Escalona, Elena Muehlendyck, Christian Galvain, Thibaut Baeza, José Balfagón, Antonio |
author_sort | Barrés-Carsí, Mariano |
collection | PubMed |
description | Surgical site infection constitutes a serious complication in the healing process of bone fractures and has been associated with increases in medical resource use and healthcare costs. This study evaluates the economic impact of surgical site infection in tibial fractures in a Spanish cohort. It is a retrospective, single-centre, comparative cohort study of patients with tibial fractures with longitudinal follow-up for up to 18 months post-surgery. Included patients (n = 325) were adults, with tibial fracture, either isolated or polyfracture, or polytrauma with an Injury Severity Score >15. Patients had been surgically treated within 30 days of the tibial fracture by external or internal fixation, or external followed by internal fixation. Most patients (84.9%) had an American Society of Anaesthesiology score of 1–2. 20% of the patients had one open tibial fracture, 12.3% had polytrauma, and 20% had multiple fractures. Most patients were treated with a nail (41.8%) or a plate (33.8%). 56 patients (17.2%) developed surgical site infection. Patients with infection had significantly higher hospital length of stay (34.9 vs 12.0 days; p<0.001; +191%), readmissions (1.21 vs 0.25; p<0.001; +380%) and mean operating theatre time (499 vs 219 min; p<0.001; +128%) than patients without infection. Mean length of stay in intensive care did not significantly increase with infection (2.8 vs 1.7 days; p = 0.25). Total in-hospital costs for patients with infection increased from €7,607 to €17,538 (p<0.001; +131%). Overall, infections were associated with significantly increased healthcare resource use and costs. Preventive strategies to avoid infections could lead to substantial cost savings. |
format | Online Article Text |
id | pubmed-9651570 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-96515702022-11-15 Healthcare resource use and costs related to surgical infections of tibial fractures in a Spanish cohort Barrés-Carsí, Mariano Navarrete-Dualde, Jorge Quintana Plaza, Javier Escalona, Elena Muehlendyck, Christian Galvain, Thibaut Baeza, José Balfagón, Antonio PLoS One Research Article Surgical site infection constitutes a serious complication in the healing process of bone fractures and has been associated with increases in medical resource use and healthcare costs. This study evaluates the economic impact of surgical site infection in tibial fractures in a Spanish cohort. It is a retrospective, single-centre, comparative cohort study of patients with tibial fractures with longitudinal follow-up for up to 18 months post-surgery. Included patients (n = 325) were adults, with tibial fracture, either isolated or polyfracture, or polytrauma with an Injury Severity Score >15. Patients had been surgically treated within 30 days of the tibial fracture by external or internal fixation, or external followed by internal fixation. Most patients (84.9%) had an American Society of Anaesthesiology score of 1–2. 20% of the patients had one open tibial fracture, 12.3% had polytrauma, and 20% had multiple fractures. Most patients were treated with a nail (41.8%) or a plate (33.8%). 56 patients (17.2%) developed surgical site infection. Patients with infection had significantly higher hospital length of stay (34.9 vs 12.0 days; p<0.001; +191%), readmissions (1.21 vs 0.25; p<0.001; +380%) and mean operating theatre time (499 vs 219 min; p<0.001; +128%) than patients without infection. Mean length of stay in intensive care did not significantly increase with infection (2.8 vs 1.7 days; p = 0.25). Total in-hospital costs for patients with infection increased from €7,607 to €17,538 (p<0.001; +131%). Overall, infections were associated with significantly increased healthcare resource use and costs. Preventive strategies to avoid infections could lead to substantial cost savings. Public Library of Science 2022-11-11 /pmc/articles/PMC9651570/ /pubmed/36367898 http://dx.doi.org/10.1371/journal.pone.0277482 Text en © 2022 Barrés-Carsí et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Barrés-Carsí, Mariano Navarrete-Dualde, Jorge Quintana Plaza, Javier Escalona, Elena Muehlendyck, Christian Galvain, Thibaut Baeza, José Balfagón, Antonio Healthcare resource use and costs related to surgical infections of tibial fractures in a Spanish cohort |
title | Healthcare resource use and costs related to surgical infections of tibial fractures in a Spanish cohort |
title_full | Healthcare resource use and costs related to surgical infections of tibial fractures in a Spanish cohort |
title_fullStr | Healthcare resource use and costs related to surgical infections of tibial fractures in a Spanish cohort |
title_full_unstemmed | Healthcare resource use and costs related to surgical infections of tibial fractures in a Spanish cohort |
title_short | Healthcare resource use and costs related to surgical infections of tibial fractures in a Spanish cohort |
title_sort | healthcare resource use and costs related to surgical infections of tibial fractures in a spanish cohort |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9651570/ https://www.ncbi.nlm.nih.gov/pubmed/36367898 http://dx.doi.org/10.1371/journal.pone.0277482 |
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