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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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 6 | 8 |
| 2018 Octubre | 0 | 2 | 2 |
| 2018 Febrero | 9 | 7 | 16 |
| 2018 Enero | 13 | 42 | 55 |
| 2017 Diciembre | 18 | 13 | 31 |
| 2017 Noviembre | 36 | 39 | 75 |
| 2017 Octubre | 8 | 7 | 15 |
| 2017 Septiembre | 10 | 10 | 20 |
| 2017 Agosto | 11 | 7 | 18 |
| 2017 Julio | 15 | 5 | 20 |
| 2017 Junio | 12 | 11 | 23 |
| 2017 Mayo | 16 | 11 | 27 |
| 2017 Abril | 9 | 8 | 17 |
| 2017 Marzo | 18 | 8 | 26 |
| 2017 Febrero | 7 | 8 | 15 |
| 2017 Enero | 7 | 3 | 10 |
| 2016 Diciembre | 15 | 9 | 24 |
| 2016 Noviembre | 20 | 8 | 28 |
| 2016 Octubre | 38 | 26 | 64 |
| 2016 Septiembre | 32 | 15 | 47 |
| 2016 Agosto | 28 | 13 | 41 |
| 2016 Julio | 25 | 17 | 42 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Julio | 2 | 0 | 2 |
| 2015 Junio | 12 | 13 | 25 |
| 2015 Mayo | 16 | 22 | 38 |
| 2015 Abril | 14 | 15 | 29 |
| 2015 Marzo | 17 | 17 | 34 |
| 2015 Febrero | 12 | 18 | 30 |
| 2015 Enero | 19 | 15 | 34 |
| 2014 Diciembre | 18 | 16 | 34 |
| 2014 Noviembre | 13 | 17 | 30 |
| 2014 Octubre | 19 | 24 | 43 |
| 2014 Septiembre | 16 | 24 | 40 |
| 2014 Agosto | 20 | 28 | 48 |
| 2014 Julio | 14 | 21 | 35 |
| 2014 Junio | 39 | 22 | 61 |
| 2014 Mayo | 26 | 19 | 45 |
| 2014 Abril | 16 | 30 | 46 |
| 2014 Marzo | 13 | 24 | 37 |
| 2014 Febrero | 15 | 29 | 44 |
| 2014 Enero | 13 | 21 | 34 |
| 2013 Diciembre | 16 | 14 | 30 |
| 2013 Noviembre | 19 | 15 | 34 |
| 2013 Octubre | 24 | 21 | 45 |
| 2013 Septiembre | 20 | 16 | 36 |
| 2013 Agosto | 22 | 18 | 40 |
| 2013 Julio | 19 | 44 | 63 |
| 2013 Junio | 11 | 26 | 37 |
| 2013 Mayo | 10 | 23 | 33 |
| 2013 Abril | 13 | 18 | 31 |
| 2013 Marzo | 11 | 12 | 23 |
| 2013 Febrero | 15 | 18 | 33 |
| 2013 Enero | 13 | 11 | 24 |
| 2012 Diciembre | 11 | 14 | 25 |
| 2012 Noviembre | 1 | 8 | 9 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 8 | 0 | 8 |
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