Incremental expenditure for hospital care associated infections
Journal Title: Al Ameen Journal of Medical Sciences - Year 2019, Vol 12, Issue 3
Abstract
Background: Hospital care associated infections [HAI] are time varying and they substantially increase the burden for the patients, relatives, Payers, Third party Administrators and Hospital Administrators. An incremental cost / expenditure is the difference in total costs as the result of a change in some activity. Objectives: To find out the incremental cost in the hospital and the total number of beds in each ward. Methods: Cross sectional retrospective data was collected for all the in - Patients admitted to Ramaiah Medical College Hospital for the period of 2013 to 2015 (3 years). To find out the incremental cost in the hospital, the total number of beds in each ward were taken into consideration. Extra cost calculated department wise for all different types of commonly occurring HAI. The wards of the hospital have been categorized into Medicine and Allied wards, Surgery and Allied wards, Intensive Care Units and Paediatrics wards and data was analysed using simple tabular form. Results: Incremental cost of different types of Health care associated infections calculated based on Medicine and Allied departments, Surgery and Allied departments, Paediatrics and Intensive care units. The incremental cost forover all Medicine and allied departments for urinary tract infections [UTI] - 3,995/-, Blood stream infections [BSI] - 7641/- and ventilator associated pneumonia [VAP] - 1386 /- per day / patient. The incremental cost for Surgery allied urinary tract infections [UTI] - 4832 /-, blood stream infections BSI - 9241 /-, ventilator associated pneumonia VAP - 1677/- and SSI - 336/- per day / patient. The incremental cost of Paediatrics UTI - 1677 /-, BSI - 12340 /- and VAP - 5284 /- per day / patient. Conclusion: The analysis showed that the incremental cost related to the health care associated infections was more common among the patients who had nosocomial infection when compared with the patients who had not suffered from any of the nosocomial infection.
Authors and Affiliations
Sarala K. S. , Narendranath V. , Nanda Kumar B. S.
Keywords
Related Articles
- EP ID EP596349
- DOI -
- Views 72
- Downloads 0
Prevalence of urinary incontinence in Indian multigravida
Background: Urinary incontinence is a problem that creates both physical and psychological nuisance to a woman. This problem needs to be studied in detail in Indian population because of lack of precise data. The present...
Our experience of diagnostic laparoscopy in chronic abdominal pain
Background: In patients with chronic abdominal pain, laparoscopy can identify abnormal findings and improve the outcome in a majority of patients with chronic abdominal pain, as it allows surgeon to see and treat many ab...
Study of elbow carrying angle and its relationship with the length of second and fourth digit
Background: The acute angle produced medially when the axis of the forearm deviates laterally from the long axis of the humerus, with the arm extended and the palm facing forward, is referred to as the carrying angle. Va...
Knowledge, attitude and practice of type 2 diabetic patients of selected outreach clinic, Dharan, Nepal
Background and Objectives: The burden of type 2 Diabetes Mellitus continues to rise and constitutes a real threat especially in the developing world. A cross sectional study was carried out to determine knowledge, attitu...
Impact of Dexmedetomidine on Bupivacaine in ultrasound-guided supraclavicular brachial plexus block in forearm surgeries
Background and Aims: Many adjuvants have been used with local anesthetics to enhance the analgesic duration of brachial plexus block. Our study aimed to evaluate the effect of Dexmedetomidine as an adjuvant to Bupivacain...