日本腹部和心脏手术部位感染的住院时间和花费：一项多中心研究
Surg Infect (Larchmt). 2012 Aug 7.
Length of Stay and Cost for Surgical Site Infection after Abdominal and Cardiac Surgery in Japanese Hospitals: Multi-Center Surveillance.Kusachi S, Kashimura N, Konishi T, Shimizu J, Kusunoki M, Oka M, Wakatsuki T, Kobayashi J, Sawa Y, Imoto H, Motomura N, Makuuchi H, Tanemoto K, Sumiyama Y.
Source1 Department of Surgery, Ohashi Hospital,Toho University Medical Center , Tokyo,Japan .
AbstractAbstract Purpose: This study evaluated the influence of surgical site infections (SSIs) after abdominal or cardiac surgery on the post-operative duration of hospitalization and cost. Methods: A retrospective 1:1 matched case-control study of length of stay and healthcare expenditures for patients who were discharged from nine hospitals, between April 1, 2006 and March 31, 2008, after undergoing abdominal or cardiac surgery and who did and did not have a SSI. Results: Information was obtained from 246 pairs of patients who had undergone abdominal surgery and 27 pairs of patients who had undergone cardiac surgery. Overall, the mean post-operative hospitalization was 20.7 days longer and the mean post-operative healthcare expenditure was $8,791 higher in the SSI group than for the SSI-free group. Among the patients who had undergone abdominal surgery, development of SSI extended the average hospitalization by 17.6 days and increased the average healthcare expenditure by $6,624. Among the patients who had undergone cardiac surgery, SSI extended the post-operative hospitalization by an average of 48.9 days and increased the post-operative healthcare expenditure by an average of $28,534. Conclusions: Under the current healthcare system in Japan, the development of SSI after abdominal surgery necessitates extension of hospitalization two-fold and increases the post-operative healthcare expenditure 2.5-fold. Development of SSI after cardiac surgery necessitates extension of hospitalization fourfold and increases the healthcare expenditure six-fold.
结论：腹部手术部位感染延长2倍住院时间，增加2.5倍术后医疗费用。心脏手术部位感染延长4倍住院时间，增加6倍术后医疗费用。
好多英文，，，难道国学生。。。。。。。。。。。。。。。。。。。。。。
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