| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 42, 240-246, Copyright © 1986 by The Society of Thoracic Surgeons
RM Nelson and DJ Dries
To assess the economic impact of infection, the records of 496 patients
aged 18 to 82 years (mean, 61 years) undergoing open-heart operations in
1981 and 1982 were reviewed, and the costs (length of stay, hospital
charges, pharmacy charges) were compared for matched pairs of patients with
and without infection who had coronary artery bypass grafting (CABG)
procedures. Patients received a 5-day regimen of prophylactic
cephalosporin. Operative site infections occurred within 6 months of
operation in 17 patients (3.4%), urinary tract infections in 9 (1.8%), and
pulmonary infections in 6 (1.2%). Early and late mortality was each 2%. No
deaths were infection related, and no postoperative bacterial endocarditis
occurred (minimum one-year follow-up). For the matched CABG patient in whom
a postoperative wound infection developed, the average length of hospital
stay was 16.7 days longer and the average hospital bill was $8,118 greater,
with the average cost to the hospital $6,605 greater.
ARTICLES
The economic implications of infection in cardiac surgery
This article has been cited by other articles:
|
|
 |
|
  G. A. Noskin, R. J. Rubin, J. J. Schentag, J. Kluytmans, E. C. Hedblom, M. Smulders, E. Lapetina, and E. Gemmen The Burden of Staphylococcus aureus Infections on Hospitals in the United States: An Analysis of the 2000 and 2001 Nationwide Inpatient Sample Database Arch Intern Med, August 8, 2005; 165(15): 1756 - 1761. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Bottio, G. Rizzoli, V. Vida, D. Casarotto, and G. Gerosa Double crisscross sternal wiring and chest wound infections: A prospective randomized study J. Thorac. Cardiovasc. Surg., November 1, 2003; 126(5): 1352 - 1356. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. L. Rosenfeldt, J. Negri, D. Holdaway, B. B. Davis, J. Mack, M. J. Grigg, C. Miles, and D. S. Esmore Occlusive wrap dressing reduces infection rate in saphenous vein harvest site Ann. Thorac. Surg., January 1, 2003; 75(1): 101 - 105. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. M. Perl, J. J. Cullen, R. P. Wenzel, M. B. Zimmerman, M. A. Pfaller, D. Sheppard, J. Twombley, P. P. French, L. A. Herwaldt, and the Mupirocin and the Risk of Staphylococcus aureu Intranasal Mupirocin to Prevent Postoperative Staphylococcus aureus Infections N. Engl. J. Med., June 13, 2002; 346(24): 1871 - 1877. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Borer, J. Gilad, N. Meydan, K. Riesenberg, F. Schlaeffer, M. Alkan, and P. Schlaeffer Impact of active monitoring of infection control practices on deep sternal infection after open-heart surgery Ann. Thorac. Surg., August 1, 2001; 72(2): 515 - 520. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. E. Cimochowski, M. D. Harostock, R. Brown, M. Bernardi, N. Alonzo, and K. Coyle Intranasal mupirocin reduces sternal wound infection after open heart surgery in diabetics and nondiabetics Ann. Thorac. Surg., May 1, 2001; 71(5): 1572 - 1579. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. De Feo, A. Renzulli, G. Ismeno, R. Gregorio, A. Della Corte, R. Utili, and M. Cotrufo Variables predicting adverse outcome in patients with deep sternal wound infection Ann. Thorac. Surg., January 1, 2001; 71(1): 324 - 331. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. A. Catarino, M. H. Chamberlain, N. C. Wright, E. Black, K. Campbell, D. Robson, and R. G. Pillai High-pressure suction drainage via a polyurethane foam in the management of poststernotomy mediastinitis Ann. Thorac. Surg., December 1, 2000; 70(6): 1891 - 1895. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Saginur, D. Croteau, and M. G. Bergeron Comparative efficacy of teicoplanin and cefazolin for cardiac operation prophylaxis in 3027 patients J. Thorac. Cardiovasc. Surg., December 1, 2000; 120(6): 1120 - 1130. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. F. Berg, W. G.B. Brands, T. R. van Geldorp, M. F.Q. Kluytmans-VandenBergh, and J. A.J.W. Kluytmans Comparison between closed drainage techniques for the treatment of postoperative mediastinitis Ann. Thorac. Surg., September 1, 2000; 70(3): 924 - 929. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. S. Hollenbeak, D. M. Murphy, S. Koenig, R. S. Woodward, W. C. Dunagan, and V. J. Fraser The Clinical and Economic Impact of Deep Chest Surgical Site Infections Following Coronary Artery Bypass Graft Surgery Chest, August 1, 2000; 118(2): 397 - 402. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Harbarth, M. H. Samore, D. Lichtenberg, and Y. Carmeli Prolonged Antibiotic Prophylaxis After Cardiovascular Surgery and Its Effect on Surgical Site Infections and Antimicrobial Resistance Circulation, June 27, 2000; 101(25): 2916 - 2921. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. Godje, P. Lamm, K. Adelhard, A. Schutz, E. Kilger, A. Gotz, T. Lange, H. Mair, and B. Reichart Surgical versus medical care for postoperative cardiac surgical patients at the general ward Eur. J. Cardiothorac. Surg., August 1, 1999; 16(2): 222 - 227. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Zickmann, A. Sablotzki, R. Fussle, G. Gorlach, and G. Hempelmann PERIOPERATIVE MICROBIOLOGIC MONITORING OF TRACHEAL ASPIRATES AS A PREDICTOR OF PULMONARY COMPLICATIONS AFTER CARDIAC OPERATIONS J. Thorac. Cardiovasc. Surg., June 1, 1996; 111(6): 1213 - 1218. [Abstract] [Full Text]
|
|
|
|
|
|
R. M. El Oakley and J. E. Wright Postoperative Mediastinitis: Classification and Management Ann. Thorac. Surg., March 1, 1996; 61(3): 1030 - 1036. [Abstract] [Full Text]
|
|
|
|
 |
|
 R. L. Kalish, J. Daley, C. C. Duncan, R. B. Davis, G. A. Coffman, and L. I. Iezzoni Costs of Potential Complications of Care for Major Surgery Patients American Journal of Medical Quality, March 1, 1995; 10(1): 48 - 54. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
