在脑脊液分流手术中使用抗菌缝线伤口闭合术降低感染率所带来的医疗保健费用节省。

Healthcare savings associated with reduced infection rates using antimicrobial suture wound closure for cerebrospinal fluid shunt procedures.

作者信息

Stone Jonathan, Gruber Thomas J, Rozzelle Curtis J

机构信息

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.

出版信息

Pediatr Neurosurg. 2010;46(1):19-24. doi: 10.1159/000314053. Epub 2010 May 5.

DOI:10.1159/000314053

PMID:20453559

Abstract

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.

RESULT

We found that the treatment and management of a shunt infection resulted in a 5.3-fold increase in hospital charges.

CONCLUSION

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.

摘要

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。