E Gili-Ortiz1, R González-Guerrero2, L Béjar-Prado3, J López-Méndez4, G Ramírez-Ramírez4. 1. Servicio de Anestesiología y Bloque Quirúrgico, Hospital Universitario Virgen Macarena, Sevilla, España. Electronic address: egiliort@gmail.com. 2. Servicio de Anestesiología y Bloque Quirúrgico, Hospital Universitario Virgen Macarena, Sevilla, España. 3. Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Sevilla, Sevilla, España. 4. Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Sevilla, Sevilla, España; Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Virgen Macarena, Sevilla, España.
Abstract
BACKGROUND: The aim of this study was to analyze the impact of surgical site infections (SSI) in patients who underwent radical cystectomy, in terms of excess hospital mortality, stay prolongation and cost overruns. MATERIAL AND METHODS: A retrospective observational study was conducted on a sample of patients who underwent radical cystectomy as recorded in the basic minimum data sets of 87 Spanish hospitals from 2008-2010. RESULTS: We studied 4377 patients who underwent radical cystectomy (3904 men and 473 women) of whom 849 (19.4%) experienced an SSI. The patients with SSI were predominantly men, elderly and had a higher prevalence of alcohol-related disorders and more comorbidities. The patients with SSI had significant excess mortality (125.6%), undue stay prolongation (17.8 days) and cost overruns (14,875.70 euros). CONCLUSIONS: After controlling for demographic variables, hospital type, addiction disorders and comorbidities using multivariate pairing, the onset of SSI in patients who underwent radical cystectomy significantly increased the mortality, stay and cost. Certain preventive measures already established in previous studies could reduce the incidence of SSI and its healthcare and financial impact.
BACKGROUND: The aim of this study was to analyze the impact of surgical site infections (SSI) in patients who underwent radical cystectomy, in terms of excess hospital mortality, stay prolongation and cost overruns. MATERIAL AND METHODS: A retrospective observational study was conducted on a sample of patients who underwent radical cystectomy as recorded in the basic minimum data sets of 87 Spanish hospitals from 2008-2010. RESULTS: We studied 4377 patients who underwent radical cystectomy (3904 men and 473 women) of whom 849 (19.4%) experienced an SSI. The patients with SSI were predominantly men, elderly and had a higher prevalence of alcohol-related disorders and more comorbidities. The patients with SSI had significant excess mortality (125.6%), undue stay prolongation (17.8 days) and cost overruns (14,875.70 euros). CONCLUSIONS: After controlling for demographic variables, hospital type, addiction disorders and comorbidities using multivariate pairing, the onset of SSI in patients who underwent radical cystectomy significantly increased the mortality, stay and cost. Certain preventive measures already established in previous studies could reduce the incidence of SSI and its healthcare and financial impact.
Authors: Manuel Bustamante Montalvo; Miguel Cainzos; Luis Prieto Carreiras; Andrea Castiñeira Piñeiro; Adrián García Iglesias; Ana Fernandez Novo; Lara María González Gómez; Ana Flores; Rita Diz Gil; Carlos Fernández Baltar Journal: Infect Prev Pract Date: 2021-06-07