Estimación del coste económico atribuible a la infección postoperatoria en neurocirugía
Evaluation of economic cost due to postoperative infection in neurosurgery
V. Gilete, P. Parés, J. Molet, B. Oliver, P. Tresserras, F. Bartumeus
Servicio de Neurocirugía, Hospital de la Santa Creu i Sant Pau, Facultad de Medicina de la Universidad Autónoma de Barcelona
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Gilete, P. Parés, J. Molet, B. Oliver, P. Tresserras, F. Bartumeus" "autores" => array:6 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Gilete" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Parés" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Molet" ] 3 => array:2 [ "nombre" => "B." "apellidos" => "Oliver" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Tresserras" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "Bartumeus" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital de la Santa Creu i Sant Pau, Facultad de Medicina de la Universidad Autónoma de Barcelona" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluation of economic cost due to postoperative infection in neurosurgery" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163297" "palabras" => array:3 [ 0 => "Neurocirugía" 1 => "Infección postoperatoria" 2 => "Coste económico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163296" "palabras" => array:3 [ 0 => "Economics" 1 => "Cost" 2 => "Neurosurgical infection" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La infección postquirúrgica comporta un aumento en el tiempo de estancia hospitalaria. Mediante un estudio observacional prospectivo se evaluó el coste económico atribuible a la infección postoperatoria en neurocirugía en base al aumento de estancia hospitalaria achacable a ésta. Se identificaron 64 pacientes que sufrieron 73 episodios de infección postoperatoria sobre un total de 832 enfermos que se sometieron a 1.080 intervenciones durante un período de 28 meses.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La comparación de la estancia hospitalaria cuando la intervención quirúrgica no se afectó de una infección postoperatoria con respecto a cuando sí la hubo, demostró que las permanencias hospitalarias en los casos con infección postoperatoria eran 21 días mayores (de mediana) que en los casos sin infección (p<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>0,001), hecho que comporta un gasto extra mínimo en base a la estancia hospitalaria de 549.000 pesetas/1996 por episodio infeccioso. De acuerdo con los resultados obtenidos, una infección de herida podría suponer un gasto adicional de hasta 579.000 ptas./1996; un paciente sometido a intervención de columna e infectado podría comportar un coste extra de 1.098.000 ptas./1996. Sin olvidar las consecuencias en forma de morbimortalidad, la infección postquirúrgica en neurocirugía se demuestra cara. Sólo la aplicación de las medidas preventivas conocidas, entre las que se incluye un programa de vigilancia y control de la infección postoperatoria en neurocirugía, permitiría una reducción del gasto total atribuible a ésta, que implicaría un ahorro considerable para nuestro sistema sanitario.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Postsurgical infection in neurosurgery implies a prolongation of hospital stay. The objective of this study is to estimate the attributable cost of postsurgical infection, based on the increase of hospital stay due to infection. Sixty-four patients suffered 73 infections episodes in a population of 832 patients who underwent 1.080 operations during 28 months. The comparison of stay between the operations that were no affected by infection and the ones that suffered postoperative infection, showed 21 extra days of hospital stay (median) in the infected cases (p<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>0,001), implying an extra cost based on hospital stay of 549.000 pesetas/1996 by infectious episode. In accordance to the obtained results, a wound infection would imply an extra charge of 579.000 pesetas/1996, and 1.098.000 pesetas/1996 if a spine operation was infected. Postneurosurgical infection is expensive. The application of recognized preventive measures, such as infection surveillance and control programs of postoperative infection, would lower the total cost atributable to infection and be a saving for the public health system.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gilete, V.; Parés, P.; Molet, J.; Oliver, B.; Tresserras, P.; Bartumeus, F.: Estimación del coste económico atribuible a la infección postoperatoria en neurocirugía. Neurocirugía 1998; 9: 108–114.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 0 | 1 |
| 2023 March | 2 | 6 | 8 |
| 2018 October | 0 | 2 | 2 |
| 2018 February | 9 | 7 | 16 |
| 2018 January | 13 | 42 | 55 |
| 2017 December | 18 | 13 | 31 |
| 2017 November | 36 | 39 | 75 |
| 2017 October | 8 | 7 | 15 |
| 2017 September | 10 | 10 | 20 |
| 2017 August | 11 | 7 | 18 |
| 2017 July | 15 | 5 | 20 |
| 2017 June | 12 | 11 | 23 |
| 2017 May | 16 | 11 | 27 |
| 2017 April | 9 | 8 | 17 |
| 2017 March | 18 | 8 | 26 |
| 2017 February | 7 | 8 | 15 |
| 2017 January | 7 | 3 | 10 |
| 2016 December | 15 | 9 | 24 |
| 2016 November | 20 | 8 | 28 |
| 2016 October | 38 | 26 | 64 |
| 2016 September | 32 | 15 | 47 |
| 2016 August | 28 | 13 | 41 |
| 2016 July | 25 | 17 | 42 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 1 | 0 | 1 |
| 2015 July | 2 | 0 | 2 |
| 2015 June | 12 | 13 | 25 |
| 2015 May | 16 | 22 | 38 |
| 2015 April | 14 | 15 | 29 |
| 2015 March | 17 | 17 | 34 |
| 2015 February | 12 | 18 | 30 |
| 2015 January | 19 | 15 | 34 |
| 2014 December | 18 | 16 | 34 |
| 2014 November | 13 | 17 | 30 |
| 2014 October | 19 | 24 | 43 |
| 2014 September | 16 | 24 | 40 |
| 2014 August | 20 | 28 | 48 |
| 2014 July | 14 | 21 | 35 |
| 2014 June | 39 | 22 | 61 |
| 2014 May | 26 | 19 | 45 |
| 2014 April | 16 | 30 | 46 |
| 2014 March | 13 | 24 | 37 |
| 2014 February | 15 | 29 | 44 |
| 2014 January | 13 | 21 | 34 |
| 2013 December | 16 | 14 | 30 |
| 2013 November | 19 | 15 | 34 |
| 2013 October | 24 | 21 | 45 |
| 2013 September | 20 | 16 | 36 |
| 2013 August | 22 | 18 | 40 |
| 2013 July | 19 | 44 | 63 |
| 2013 June | 11 | 26 | 37 |
| 2013 May | 10 | 23 | 33 |
| 2013 April | 13 | 18 | 31 |
| 2013 March | 11 | 12 | 23 |
| 2013 February | 15 | 18 | 33 |
| 2013 January | 13 | 11 | 24 |
| 2012 December | 11 | 14 | 25 |
| 2012 November | 1 | 8 | 9 |
| 2012 October | 0 | 1 | 1 |
| 2012 September | 0 | 2 | 2 |
| 2012 January | 8 | 0 | 8 |
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