Impact of postoperative remote infection on length of stay and medical costs in hospitals in Japan
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ORIGINAL ARTICLE
Impact of postoperative remote infection on length of stay and medical costs in hospitals in Japan Hironobu Nishimuta1 · Shinya Kusachi2 · Manabu Watanabe1 · Koji Asai1 · Takaharu Kiribayashi1 · Toru Niitsuma1 · Hiroshi Maruyama3 · Kazuo Tanemoto4 Received: 25 September 2019 / Accepted: 29 June 2020 © Springer Nature Singapore Pte Ltd. 2020
Abstract Purpose To analyze the impact of postoperative remote infections (PRIs) on medical expenditure. Methods The subjects of this retrospective study were 338 patients who had undergone gastroenterological surgery at one of the 20 Japanese institutions within the Japan Society for Surgical Infection (JSSI) and mainly authorized as educational institutions. The patients were allocated to 169 pairs of those with a PRI (PRI (+) group) matched with those without a PRI (PRI (−) group). PRIs included pneumonia, urinary tract infection (UTI), catheter-associated blood stream infection (CABSI), and antibiotic-associated enteritis. Results SSI developed in 74 of the 338 patients (22 without PRI and 52 with PRI). The SSI incidence was significantly higher in the PRI (+) group (p
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