Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA.
J Arthroplasty. 2013 Aug;28(7):1061-5. doi: 10.1016/j.arth.2013.02.026. Epub 2013 Mar 27.
The purpose of this study was to evaluate the overall annual healthcare cost savings of adding a pre-operative chlorhexidine cloth preparation protocol. We used reports from the National Healthcare Safety Network and previously published reports to determine a range of surgical site infection rates following total knee arthroplasty and the cost per revision procedure. The savings listed are potential, but may be less. The cost benefit of using chlorhexidine at our institution per 1,000 total knee arthroplasty patients was a net savings of approximately $2.1 million. The annual healthcare savings ranged from $0.78 to $3.18 billion. This epidemiologic evaluation of using chlorhexidine prior to undergoing total knee arthroplasty has demonstrated the potential to decrease healthcare costs primarily by decreasing the incidence of surgical site infections.
本研究旨在评估术前使用洗必泰布巾准备方案带来的整体年度医疗成本节约。我们使用了来自国家医疗保健安全网络的报告和之前发表的报告，以确定全膝关节置换术后手术部位感染的发生率范围，以及每次翻修手术的费用。列出的节省额是潜在的，但可能会减少。我们机构每 1000 例全膝关节置换术患者使用洗必泰的成本效益是净节省约 210 万美元。年度医疗保健节省额范围从 7800 万美元到 31.8 亿美元。这项关于在进行全膝关节置换术前使用洗必泰的流行病学评估表明，主要通过降低手术部位感染的发生率，有降低医疗成本的潜力。
