Stone Jonathan, Gruber Thomas J, Rozzelle Curtis J
Department of Neurosurgery, Women and Children's Hospital of Buffalo, Kaleida Health, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY 14209, USA.
Pediatr Neurosurg. 2010;46(1):19-24. doi: 10.1159/000314053. Epub 2010 May 5.
BACKGROUND/AIMS/METHODS: This is a follow-up study from a recent randomized controlled trial conducted at the Women and Children's Hospital of Buffalo that investigated the use of antimicrobial sutures (AMS) for wound closure during cerebrospinal fluid shunting procedures. Our purpose was to determine the average cost of shunt infections at our institution and estimate the healthcare savings associated with reduced infection rates secondary to AMS use.
We found that the treatment and management of a shunt infection resulted in a 5.3-fold increase in hospital charges.
The potential healthcare savings associated with reduced infection rates are significant. These calculations demonstrate the profound economic effect a reduction in shunt infection rates may have on a healthcare system.
背景/目的/方法：这是一项对近期在布法罗妇女儿童医院进行的随机对照试验的随访研究，该试验调查了在脑脊液分流手术中使用抗菌缝线（AMS）进行伤口闭合的情况。我们的目的是确定我们机构分流感染的平均成本，并估计因使用AMS导致感染率降低而节省的医疗费用。
我们发现，分流感染的治疗和管理使医院费用增加了5.3倍。
与感染率降低相关的潜在医疗费用节省是巨大的。这些计算表明，分流感染率的降低可能对医疗系统产生深远的经济影响。
