Analysis of MRSA-attributed costs of hospitalized patients in Germany

作者: Claudia Hübner , N-O Hübner , K Hopert , Sebastian Maletzki , Steffen Flessa

DOI: 10.1007/S10096-014-2131-X

关键词: Economic impact analysisPediatricsPayment systemHospitalized patientsEmergency medicineIsolation (health care)Cost driverReimbursementMedicineRetrospective cohort studyOpportunity cost

摘要: Infections with methicillin-resistant Staphylococcus aureus (MRSA) are assumed to have a high economic impact due increased hygienic measures and prolonged hospital length of stay. However, surveys on the real expenditure for prevention treatment MRSA scarce, in particular regard German Diagnosis-Related Groups (G-DRG) payment system. The aim our study is empirically assess additional cost management identify main drivers whole process from hospital’s point view. We conducted one-year retrospective analysis MRSA-positive cases university determined measures, laboratory costs, opportunity costs isolation time extended lengths A total 182 were included analysis. mean stay was 22.75 days 17.08 days, respectively. Overall, calculated MRSA-attributable € 8,673.04 per case, making up, by far, largest share (77.45 %). Our provides detailed up-to-date MRSA-attributed hospital. It allows current comparison previous studies worldwide. Moreover, it offers prerequisites investigate adequate reimbursement burden DRG system efficiency targeted MRSA.

参考文章(21)
Nils-Olaf Hübner, Thomas Dittberner, Claudia Metelmann, Vicki Strübing, Uniform documentation of measures in cases of MRSA - an important step towards improving the quality of treatment. GMS Krankenhaushygiene interdisziplinar. ,vol. 6, ,(2011) , 10.3205/DGKH000178
R Köck, K Becker, B Cookson, J E van Gemert-Pijnen, S Harbarth, J Kluytmans, M Mielke, G Peters, R L Skov, M J Struelens, E Tacconelli, A Navarro Torné, W Witte, A W Friedrich, Methicillin-resistant Staphylococcus aureus (MRSA): burden of disease and control challenges in Europe Eurosurveillance. ,vol. 15, pp. 19688- 19688 ,(2010) , 10.2807/ESE.15.41.19688-EN
Jörg Schlüchtermann, Betriebswirtschaft und Management im Krankenhaus Medizinisch Wissenschaftliche Verlagsgesellschaft. ,(2020) , 10.32745/9783954665273
Caroline Eva Wella Herr, Thomas Hilarius Heckrodt, Frank Andreas Hofmann, Reinhard Schnettler, Thomas Friedrich Eikmann, Additional Costs for Preventing the Spread of Methicillin-Resistant Staphylococcus aureus and a Strategy for Reducing These Costs on a Surgical Ward Infection Control and Hospital Epidemiology. ,vol. 24, pp. 673- 678 ,(2003) , 10.1086/502274
C. Hübner, N.-O. Hübner, M. Muhr, F. Claus, H. Leesch, A. Kramer, S. Fleßa, Kostenanalyse der stationär behandelten Clostridium-difficile-assoziierten Diarrhö (CDAD) Gesundheitsökonomie & Qualitätsmanagement. ,vol. 18, pp. 80- 85 ,(2013) , 10.1055/S-0032-1330635
I.M. Gould, The clinical significance of methicillin-resistant Staphylococcus aureus Journal of Hospital Infection. ,vol. 61, pp. 277- 282 ,(2005) , 10.1016/J.JHIN.2005.06.014
Anne Jul-Jorgensen, Silvio Brusaferro, Leo Ummels, Philippe Hartemann, Bjorn R.G. Iversen, Anne Eastaway, Barry Cookson, Doris Laugesen, Miroslava Girod Schreinerova, Monica Licker, Rose Gallagher, Walter Koller, Ojan Assadian, Truus de Ruiter, Axel Kramer, Walter Popp, Annette Blok, Klaus-Dieter Zastrow, Beatrice Jans, Barbara Nussbaum, Pierre Parneix, Petter Elstrom, Smilja Kalenic, Angel Asensio-Vegas, Kerstin Mannerquist, Elsebeth Tvenstrup Jensen, Comparison of recommendations in national/regional Guidelines for prevention and control of MRSA in thirteen European countries International Journal of Infection Control. ,vol. 6, pp. 1- 10 ,(2010) , 10.3396/IJIC.V6I2.5138
Gijs Hubben, Martin Bootsma, Michiel Luteijn, Diarmuid Glynn, David Bishai, Marc Bonten, Maarten Postma, Modelling the Costs and Effects of Selective and Universal Hospital Admission Screening for Methicillin-Resistant Staphylococcus aureus PLOS ONE. ,vol. 6, pp. 14783- ,(2011) , 10.1371/JOURNAL.PONE.0014783
T G DeWitt, How problematic are nosocomial infections in the DRG reimbursement system? American Journal of Public Health. ,vol. 77, pp. 542- 543 ,(1987) , 10.2105/AJPH.77.5.542