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| Format: | Artículo científico |
| Sprache: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2023
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| Online-Zugang: | https://www.redalyc.org/articulo.oa?id=398975506005 https://www.redalyc.org/journal/3989/398975506005/ https://www.redalyc.org/journal/3989/398975506005/html/ https://www.redalyc.org/journal/3989/398975506005/398975506005.epub https://www.redalyc.org/journal/3989/398975506005/movil https://doi.org/10.21470/1678-9741-2022-0261 |
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Inhaltsangabe:
- Financial Impact of Deep Sternal Wound Infections After Coronary Surgery: A Microcosting Analysis Bianca Maria Maglia Orlandi Omar Asdrúbal Vilca Mejia Evelinda Marramon Trindade Fabio B. Jatene Medicina electronics mediastinitis propensity score patient discharge Coronary artery bypass Introduction: Deep sternal wound infections (DSWI) are so serious and costly that hospital services continue to strive to control and prevent these outcomes. Microcosting is the more accurate approach in economic healthcare evaluation, but there are no studies in this field applying this method to compare DSWI after isolated coronary artery bypass grafting (CABG). This study aims to evaluate the incremental risk-adjusted costs of DSWI on isolated CABG.Methods: This is a retrospective, single-center observational cohort study with a propensity score matching for infected and non-infected patients to compare incremental risk-adjusted costs between groups. Data to homogeneity sample was obtained from a multicentric database, REPLICCAR II, and additional sources of information about costs were achieved with the electronic hospital system (Si3). Inflation variation and dollar quotation in the study period were corrected using the General Market Price Index. Groups were compared using analysis of variance, and multiple linear regression was performed to evaluate the cost drivers related to the event.Results: As expected, infections were costly; deep infection increased the costs by 152% and mediastinitis by 188%. Groups differed among hospital stay, exams, medications, and multidisciplinary labor, and hospital stay costs were the most critical cost driver.Conclusion: In summary, our results demonstrate the incremental costs of a detailed microcosting evaluation of infections on CABG patients in São Paulo, Brazil. Hospital stay was an important cost driver identified, demonstrating the importance of evaluating patients’ characteristics and managing risks for a faster, safer, and more effective discharge. 2023 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398975506005 https://www.redalyc.org/journal/3989/398975506005/ https://www.redalyc.org/journal/3989/398975506005/html/ https://www.redalyc.org/journal/3989/398975506005/398975506005.epub https://www.redalyc.org/journal/3989/398975506005/movil https://doi.org/10.21470/1678-9741-2022-0261 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.5 Vol.38