Hweidi Issa M, Al-Ibraheem Saba W, Jebreel Omar H
Faculty of Nursing, Jordan University of Science & Technology, Irbid, Jordan.
Heliyon. 2024 Dec 20;11(1):e41387. doi: 10.1016/j.heliyon.2024.e41387. eCollection 2025 Jan 15.
To assess the increased hospital length of stay and healthcare costs associated with SSIs among ventriculoperitoneal shunting surgery patients in Jordan.
Retrospective and nested 1:1 pair-matched case-control design.
A non-probability convenience sample of 48 VP shunt patients was recruited into SSI and non-SSI groups, to standardize the matching variables and exclude their effects as confounders.
Patients' electronic medical records from January 2016 to August 2021.
The SSI-group had an extra mean healthcare cost of USD 13,696.53 and a longer hospital length of stay (22.64 mean additional days). Furthermore, and were identified as being the most predominant causative agents of SSIs.
The results of this study provide baseline data for national and regional benchmarking to evaluate the quality of care provided to likewise patients. Adherence to infection control strategies and protocols considering new surveillance methods of SSIs are encouraged.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: National benchmarking and remediation are required for post-VP shunting SSIs.
There are significant associations of SSI post neurosurgery with increased financial burden and wastage of healthcare resources. The findings of this study can be utilized as a standard source for national benchmarking to evaluate the quality of care delivered to likewise patients and promote their infection control measures. Multidrug-resistant bacteria have recently been considered a growing concern for SSIs post-VP shunting. These impacts affect post-VP shunting patients and their healthcare professionals.
EQUATOR's reporting guidelines for Observational studies (STOBE- Strengthening the Reporting of Observational Studies in Epidemiology) have been followed for this research design.
Patients' EMRs were used to source data.
评估约旦脑室腹腔分流术患者中与手术部位感染（SSIs）相关的住院时间延长和医疗费用增加情况。
回顾性和嵌套式1:1配对病例对照设计。
选取48例脑室腹腔分流术患者的非概率便利样本，分为手术部位感染组和非手术部位感染组，以标准化匹配变量并排除其作为混杂因素的影响。
2016年1月至2021年8月患者的电子病历。
手术部位感染组的平均医疗费用额外增加了13,696.53美元，住院时间更长（平均额外延长22.64天）。此外，[此处原文可能缺失部分内容]被确定为手术部位感染最主要的致病因素。
本研究结果为国家和地区基准评估提供了基线数据，以评估为类似患者提供的护理质量。鼓励遵循感染控制策略和方案，并考虑采用新的手术部位感染监测方法。
对专业和/或患者护理的影响：脑室腹腔分流术后手术部位感染需要进行国家基准评估和整改。
神经外科手术后手术部位感染与经济负担增加和医疗资源浪费存在显著关联。本研究结果可作为国家基准评估的标准来源，以评估为类似患者提供的护理质量，并促进其感染控制措施。耐多药细菌最近被认为是脑室腹腔分流术后手术部位感染日益关注的问题。这些影响涉及脑室腹腔分流术后患者及其医疗专业人员。
本研究设计遵循了EQUATOR观察性研究报告指南（STROBE - 加强流行病学观察性研究报告）。
使用患者的电子病历获取数据。
