Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-24T23:18:36.786Z Has data issue: false hasContentIssue false

Impact of health insurance status on surgical site infection incidence: A prospective cohort study

Published online by Cambridge University Press:  16 July 2019

Brian T. Duggan
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland
Jan A. Roth*
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland Basel Institute for Clinical Epidemiology and Biostatistics, University Hospital Basel, Basel, Switzerland
Marc Dangel
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland
Manuel Battegay
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland
Andreas F. Widmer
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland Swissnoso, National Center for Infection Prevention, Bern, Switzerland
*
Author for correspondence: Jan A. Roth, MD, Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland. Email: [email protected].

Abstract

Health insurance status may affect the risk for surgical site infection (SSI). A large prospective cohort study in a Swiss tertiary-care hospital did not find evidence of a difference in SSI risk in individuals with basic versus semiprivate or private insurance in a setting with universal health insurance coverage.

Type
Concise Communication
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

a

Authors of equal contribution.

References

Zimlichman, E, Henderson, D, Tamir, O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med 2013;173:20392046.CrossRefGoogle ScholarPubMed
Cassini, A, Plachouras, D, Eckmanns, T, et al. Burden of six healthcare-associated infections on European population health: estimating incidence-based disability-adjusted life years through a population prevalence-based modelling study. PLoS Med 2016;13:e1002150.CrossRefGoogle ScholarPubMed
Manoso, MW, Cizik, AM, Bransford, RJ, Bellabarba, C, Chapman, J, Lee, MJ. Medicaid status is associated with higher surgical site infection rates after spine surgery. Spine (Phila Pa 1976) 2014;39:17071713.CrossRefGoogle ScholarPubMed
Smucny, M, Menendez, ME, Ring, D, Feeley, BT, Zhang, AL. Inpatient surgical site infection after shoulder arthroplasty. J Shoulder Elbow Surg 2015;24:747753.CrossRefGoogle ScholarPubMed
Haleem, A, Chiang, HY, Vodela, R, et al. Risk factors for surgical site infections following adult spine operations. Infect Control Hosp Epidemiol 2016;37:14581467.CrossRefGoogle ScholarPubMed
Olsen, MA, Higham-Kessler, J, Yokoe, DS, et al. Developing a risk stratification model for surgical site infection after abdominal hysterectomy. Infect Control Hosp Epidemiol 2009;30:10771083.CrossRefGoogle ScholarPubMed
Troillet, N, Aghayev, E, Eisenring, MC, Widmer, AF, Swissnoso. First results of the Swiss national surgical site infection surveillance program: who seeks shall find. Infect Control Hosp Epidemiol 2017;38:697704.CrossRefGoogle ScholarPubMed
Horan, TC, Gaynes, RP, Martone, WJ, Jarvis, WR, Emori, TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol 1992;13:606608.CrossRefGoogle ScholarPubMed
Sommers, BD, Grabowski, DC. What is Medicaid? More than meets the eye. JAMA 2017;318:695696.CrossRefGoogle ScholarPubMed
Swiss health survey: hospital insurance class. Federal Statistical Office website. https://www.bfs.admin.ch/bfs/en/home/news/whats-new.assetdetail.7586212.html. Published 2019. Accessed April 12, 2019.Google Scholar