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Potential Economic Impact of Hospital-Acquired Infections in Uninsured Patients: A Preliminary Investigation

Published online by Cambridge University Press:  02 January 2015

Jess Thompson
Affiliation:
Program in Public Health, Warren Alpert Medical School of Brown University, Providence, Rhode Island
Julie Jefferson
Affiliation:
Department of Community Health, Warren Alpert Medical School of Brown University, Providence, Rhode Island Department of Epidemiology and Infection Control, Rhode Island Hospital, Providence, Rhode Island
Leonard A. Mermel*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Providence, Warren Alpert Medical School of Brown University, Rhode Island Department of Epidemiology and Infection Control, Rhode Island Hospital, Providence, Rhode Island
*
Division of Infectious Diseases, Rhode Island Hospital, 593 Eddy St., Providence, RI 02903 ([email protected])

Abstract

We studied uninsured patients admitted to Rhode Island Hospital from January 1 through June 30, 2005, and from January 1 through June 30, 2006. The mean total hospital charge for an uninsured patient with a hospital-acquired infection was $18,487; for those without such an infection, it was $4,951 (P < .001). Multivariable linear regression revealed that a hospital-acquired infection accounted for 11.8 excess hospital days (P = .001). Length of stay was the only independent variable associated with total excess hospital charges.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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References

1.Roberts, RR, Scott, RD 2nd, Cordell, R, et al.The use of economic modeling to determine the hospital costs associated with nosocomial infections. Clin Infect Dis 2003;36:14241432.CrossRefGoogle ScholarPubMed
2.Stone, PW, Larson, E, Kawar, LN. A systematic audit of economic evidence linking nosocomial infections and infection control interventions: 1990-2000. Am J Infect Control 2002;30:145152.CrossRefGoogle ScholarPubMed
3.Perencevich, EN, Stone, PW, Wright, SB, Carmeli, Y, Fisman, DN, Cosgrove, SE; Society for Healthcare Epidemiology of America. Raising standards while watching the bottom line: making a business case for infection control. Infect Control Hasp Epidemiol 2007;28:11211133.CrossRefGoogle ScholarPubMed
4.Chen, YY, Chou, YC, Chou, P. Impact of nosocomial infection on cost of illness and length of stay in intensive care units. Infect Control Hosp Epidemiol 2005;26:281287.Google Scholar
5.Cosgrove, SE. The relationship between antimicrobial resistance and patient outcomes: mortality, length of hospital stay, and health care costs. Clin Infect Dis 2006;42 (suppl 2):S8289.Google Scholar
6.Digiovine, B, Chenoweth, C, Watts, C, et al.The attributable mortality and costs of primary nosocomial bloodstream infections in the intensive care unit. Am J Respir Crit Care Med 1999;160:976981.Google Scholar
7.Horan, TC, Gaynes, RP. Surveillance of nosocomial infections. In: Mayhall, CG, ed. Hospital Epidemiology and Infection Control, 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2004.Google Scholar
8.International Classification of Diseases, Ninth Revision. Clinical Modification. Hart, A, Hopkins, CA, eds. Reston, VA: St. Anthony Publishing and West Valley City, UT: Ingenix; 2000.Google Scholar
9.Dorr, DA, Jones, SS, Burns, L, et al.Use of health-related, quality-of-life metrics to predict mortality and hospitalizations in community-dwelling seniors. J Am Geriatr Soc 2006;54:667673.Google Scholar
10.Engemann, JJ, Carmeli, Y, Cosgrove, SE, et al.Adverse clinical and economic outcomes attributable to methicillin resistance among patients with Staphylococcus aureus surgical site infection. Clin Infect Dis 2003;36:592598.CrossRefGoogle ScholarPubMed
11.Kaiser Family Foundation. Covering the uninsured: growing need, strained resources. Kaiser Commission on Medicaid and the Uninsured. 2007. Available at: http://www.kff.org/uninsured/7429.cfm. Accessed April 24, 2007.Google Scholar
12.Agency for Healthcare Research and Quality. National and regional estimates on hospital use for all patients from the HCUP nationwide inpatient sample. Available at: http://hcupnet.ahrq.gov. Accessed April 24, 2007.Google Scholar