Surgical Site Infections Associated with Excess Costs at Veterans Affairs Hospitals
SSIs are associated with increased complications and death. Treatment can include long courses of antibiotics, physical therapy, hospital readmissions and reoperations. Costs associated with SSIs after surgery have been under scrutiny since the Centers for Medicare and Medicaid stopped paying for increased costs associated with SSIs after some surgical procedures because many of these infections are potentially preventable.
In their study, the authors examined total, superficial and deep (more serious infections involving tissue under the skin, organs or implanted devices) SSIs in patients from 129 VA hospitals in 2010.
Among 54,233 patients who underwent surgery, 1,756 (3.2 percent) experienced an SSI. Overall, 0.8 percent of the patients had a deep SSI and 2.4 percent a superficial SSI. The average costs for patients without and with an SSI were $31,580 and $52,620, respectively. The relative costs were 1.43 times greater for patients with an SSI than for patients without. Patients with a deep SSI had associated costs 1.93 times greater and superficial SSIs had costs 1.25 times greater. The proportion of surgical patients with an SSI in the VA study group was consistent with that among the private sector National Surgical Quality Improvement Program cohort, which is used to measure surgical quality in the private sector. In high-volume specialties, the greatest average cost related to SSIs was $23,755 among patients undergoing neurosurgery, followed by patients undergoing orthopedic, general, peripheral vascular and urologic surgeries. The authors estimate the Veterans Health Administration could save millions of dollars annually if hospitals reduced their SSI rates.
Reference: JAMA Surgery. Published online May 21, 2014. doi:10.1001/jamasurg.2013.4663.
- AAMI Publication Touts Systems Thinking in Healthcare Technology
- Clorox Healthcare Announces New Optimum-UV Enlight System with Advanced Reporting Features
- Marlite Introduces Induro FRP with SaniSEAL Trim Technology Wall System for Healthcare Facilities
- Crothall Healthcare Partners With Hygiena for ATP Cleaning Verification Systems
- Healthcare Providers are a Major Contributor to Problem of Antibiotic Overuse
- Antibacterial Product Flows Through Streams, Crops
- Zika Risk Communication, Community Engagement are Focus of Prevention Efforts by CDC and PAHO
- Tackling Infection Prevention and Control Problems With Stakeholders
- HAI Prevalence Increased in Major Canadian Hospitals Due to C. difficile and Urinary Tract Infection
- Researchers Make a Key Discovery in How Malaria Evades the Immune System