Infection in surgical patients

Effects on mortality, hospitalization, and postdischarge care

Joseph T. Dipiro, Robert Martindale, Alan Bakst, Paul F. Vacani, Phillip Watson, Martin T. Miller

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

In-hospital mortality, length of stay (LOS), and level of postdischarge care in infected and noninfected surgical patients were studied. An analysis was conducted of a database that included diagnostic, procedure, and drug data collected when surgical patients were discharged from the hospital. Hospitals consisted of 90 nongovernment, nonspecialty, teaching, and nonteaching acute care hospitals of more than 100 beds. Patients in the database included 288,906 patients of all ages hospitalized between July and September 1994. Patients selected for analysis consisted of those who had undergone procedures likely to pose a moderate to high risk of infection. Of the 288,906 patients, 12,384 had undergone a moderate- to high-risk procedure; of these, 1,479 (11.9%) had an infection during their hospitalization. Infection rates ranged from 1.9% to 25.4%, depending on the procedure. The in-hospital mortality rate in infected patients was 14.5%, versus 1.8% for noninfected patients. Similarly, LOS in infected patients (median, 14 days) was substantially greater than in noninfected patients (4 days). About 24% of infected patients required additional professional care after discharge, compared with 7% of noninfected patients. Infection occurs in a substantial portion of surgical patients and is associated with a higher death rate, longer hospitalization, and more intense postdischarge care.

Original languageEnglish (US)
Pages (from-to)777-781
Number of pages5
JournalAmerican Journal of Health-System Pharmacy
Volume55
Issue number8
StatePublished - Apr 15 1998
Externally publishedYes

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Hospitalization
Mortality
Infection
Hospital Mortality
Length of Stay
Databases
Teaching

Keywords

  • Costs
  • Hospitals
  • Mortality
  • Patients
  • Surgery
  • Surgical wound infection

ASJC Scopus subject areas

  • Pharmaceutical Science
  • Leadership and Management

Cite this

Infection in surgical patients : Effects on mortality, hospitalization, and postdischarge care. / Dipiro, Joseph T.; Martindale, Robert; Bakst, Alan; Vacani, Paul F.; Watson, Phillip; Miller, Martin T.

In: American Journal of Health-System Pharmacy, Vol. 55, No. 8, 15.04.1998, p. 777-781.

Research output: Contribution to journalArticle

Dipiro, Joseph T. ; Martindale, Robert ; Bakst, Alan ; Vacani, Paul F. ; Watson, Phillip ; Miller, Martin T. / Infection in surgical patients : Effects on mortality, hospitalization, and postdischarge care. In: American Journal of Health-System Pharmacy. 1998 ; Vol. 55, No. 8. pp. 777-781.
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