Nosocomial bloodstream infection in critically ill patients. Excess length of stay, extra costs, and attributable mortality
作者： D. Pittet
关键词:
摘要: Objective. —To determine the excess length of stay, extra costs, and mortality attributable to nosocomial bloodstream infection in critically ill patients. Design. —Pairwise-matched (1:1) case-control study. Setting. —Surgical intensive care unit (SICU) a tertiary health institution. Patients. —All patients admitted SICU between July 1,1988, June 30, 1990, were eligible. Cases defined as with infection; controls selected according matching variables stepwise fashion. Methods. —Matching primary diagnosis for admission, age, sex, stay before day cases, total number discharge diagnoses. Matching was successful 89% cohort; 86 matched pairs studied. Main Outcome Measures. —Crude mortality, hospital overall costs. Results. —Nosocomial complicated 2.67 per 100 admissions during study period. The crude rates from cases 50% 15%, respectively (P Conclusions. —The is high associated doubling an 24 days survivors, significant economic burden. (JAMA. 1994;271:1598-1601)
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