Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study

PULLUKÇU, Hüsnü; Taner, Safak; GULER, AYSE; SIRIN, HADIYE; ARDA, BİLGİN

Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study

Şafak TANER, (Ege Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, İzmir, Türkiye)

Ayşe GÜLER, (Ege Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, İzmir, Türkiye)

Hadiye ŞİRİN, (Ege Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, İzmir, Türkiye)

Hüsnü PULLUKÇU, (Ege Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, İzmir, Türkiye)

Bilgin ARDA (Ege Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, İzmir, Türkiye)

Journal of Neurological Sciences (Turkish)

4 1

Yıl: 2015 Cilt: 32 Sayı: 3 Sayfa Aralığı: 549 - 557 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study

Öz:

Amaç: Bu çalışmanın amacı, üçüncü basamak bir nöroloji yoğun bakım ünitesinde hastaneenfeksiyonlarına (HE) yol açan risk etkenlerinin belirlenmesi, klinik ve direkt hastanemaliyetlerinin hesaplanmasıdır.Gereç ve Yöntem: Retrospektif olgu-kontrol çalışması olarak planlanmıştır. Örnekbüyüklüğü grup başına en az 51 olarak hesaplanmıştır. Hastane enfeksiyon kontrolkomitesinden, nöroloji yoğun bakım ünitesinde hastane enfeksiyonu tanısı alan en son 55hastanın listesi elde edilmiştir. Bu hastalar yaş, cinsiyet, tanı açısından hastane enfeksiyonugelişmemiş hastalar ile eşleştirilmiştir. Veriler hasta dosyaları ve muhasebe kayıtlarındanalınmıştır.Bulgular: Olgu grubundaki 55 hastada toplam 79 HE saptanmıştır. Pnömoni (% 48) vekateter ile ilgili üriner sistem enfeksiyonu (% 39) en yaygın görülen HE'dir. Acinetobacterbaumannii (% 25)en sık üreyen etmen olarak saptanmıştır. HE, bilinci açık, entübe edilmemiş,kan transfüzyonu yapılmamış, trakeostomisi, üriner kateteri olmayan ya da mekanikventilasyon bağlı olmayan hastalarda daha az görülmüştür. Ölüm oranı olgularda % 53.1 vekontrollerde% 30.8 bulunmuştur. HE'ye ait ek maliyet 7.121,15 $ ve uzamış yatış günü hastabaşına 26,9 gün olarak saptanmıştır. Sosyal Güvenlik Kurumu, geri ödeme süresi altı ayıaşmakla beraber tüm toplam fatura tutarını geri ödemiştir.Sonuç: Hastane enfeksiyonlarının sağlık ve parasal maliyetleri göz önüne alındığında, hastagüvenliği ve hastane itibarı için HE önlemek öncelenmelidir. Üçüncü basamak hastanelerindeyoğun bakım üniteleri hastane bütçesine yük getirmemekte, aksine bütçeyi dengelemek içinbir fırsat sağlamaktadır.

Anahtar Kelime:

Konular: Nörolojik Bilimler

Bir Nöroloji Yoğun Bakım Ünitesinde Hastane Enfeksiyonu Maliyet Analizi: Olgu Kontrol Çalışması

Öz:

Aim: The purpose of this study is to overview nosocomial infections (NI), to determine riskfactors and to evaluate the clinical and financial impact of NI on direct hospital cost amongneurology intensive care unit (NICU) patients in a tertiary-care referral hospital.Material and Methods: A retrospective case control study was performed. The sample sizewas calculated to be at least 51 per group. A list of the last 55 patients who acquired aninfection in NICU was obtained from infection control committee. These patients werematched with uninfected patients according to age, sex, diagnosis. The data were collectedfrom patient files, accounting records.Results: A total of 79 NI occurred in 55 cases. The most common NI were pneumonia (48%),catheter related urinary tract infection (39%). Acinetobacter baumannii (25%) is mostcommonly responsible for NI. NI were detected less in patients who were conscious, non- intubated, without blood transfusion, tracheostomy, urinary catheter or mechanicalventilation. The mortality ratio was 53.1% in cases and 30.8% in controls. The excess costs ofNI were $7121.15 and extra length of stay was 26.9 days. Although reimbursement tooklonger than six months, the Social Security Institution paid back the total billing amount.Conclusion: Given the impact on monetary and health costs of NI, measures to prevent NI inthe hospital are strongly recommended for patient safety and for hospital reputation. NICUs intertiary care referral facilities do not cause financial burden; on the contrary, they provide anopportunity to balance the budget.

Anahtar Kelime:

Konular: Nörolojik Bilimler

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Taner S, GULER A, SIRIN H, PULLUKÇU H, ARDA B (2015). Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study. , 549 - 557.
Chicago	Taner Safak,GULER AYSE,SIRIN HADIYE,PULLUKÇU Hüsnü,ARDA BİLGİN Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study. (2015): 549 - 557.
MLA	Taner Safak,GULER AYSE,SIRIN HADIYE,PULLUKÇU Hüsnü,ARDA BİLGİN Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study. , 2015, ss.549 - 557.
AMA	Taner S,GULER A,SIRIN H,PULLUKÇU H,ARDA B Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study. . 2015; 549 - 557.
Vancouver	Taner S,GULER A,SIRIN H,PULLUKÇU H,ARDA B Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study. . 2015; 549 - 557.
IEEE	Taner S,GULER A,SIRIN H,PULLUKÇU H,ARDA B "Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study." , ss.549 - 557, 2015.
ISNAD	Taner, Safak vd. "Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study". (2015), 549-557.

APA	Taner S, GULER A, SIRIN H, PULLUKÇU H, ARDA B (2015). Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study. Journal of Neurological Sciences (Turkish), 32(3), 549 - 557.
Chicago	Taner Safak,GULER AYSE,SIRIN HADIYE,PULLUKÇU Hüsnü,ARDA BİLGİN Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study. Journal of Neurological Sciences (Turkish) 32, no.3 (2015): 549 - 557.
MLA	Taner Safak,GULER AYSE,SIRIN HADIYE,PULLUKÇU Hüsnü,ARDA BİLGİN Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study. Journal of Neurological Sciences (Turkish), vol.32, no.3, 2015, ss.549 - 557.
AMA	Taner S,GULER A,SIRIN H,PULLUKÇU H,ARDA B Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study. Journal of Neurological Sciences (Turkish). 2015; 32(3): 549 - 557.
Vancouver	Taner S,GULER A,SIRIN H,PULLUKÇU H,ARDA B Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study. Journal of Neurological Sciences (Turkish). 2015; 32(3): 549 - 557.
IEEE	Taner S,GULER A,SIRIN H,PULLUKÇU H,ARDA B "Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study." Journal of Neurological Sciences (Turkish), 32, ss.549 - 557, 2015.
ISNAD	Taner, Safak vd. "Cost Analysis of Nosocomial Infections in a Tertiary Care Referral Hospital's Neurology Intensive Care Unit: A Case-Control Study". Journal of Neurological Sciences (Turkish) 32/3 (2015), 549-557.