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Mortality Attributable to Hospital-Acquired Infections Among Surgical Patients

Published online by Cambridge University Press:  02 January 2015

Christine Geffers ,
Dorit Sohr  and
Petra Gastmeier
Christine Geffers*
Affiliation:
German National Reference Center for Surveillance of Nosocomial Infections, and the Institute of Hygiene and Environmental Medicine, Charité–University Medicine Berlin, Berlin, Germany
Dorit Sohr
Affiliation:
German National Reference Center for Surveillance of Nosocomial Infections, and the Institute of Hygiene and Environmental Medicine, Charité–University Medicine Berlin, Berlin, Germany
Petra Gastmeier
Affiliation:
German National Reference Center for Surveillance of Nosocomial Infections, and the Institute of Hygiene and Environmental Medicine, Charité–University Medicine Berlin, Berlin, Germany
*
Institute of Hygiene and Environmental Medicine, Charité–University Medicine Berlin, Heubnerweg 6 (Haus II), 14059 Berlin, Germany ([email protected])
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Abstract

We performed a multicenter prospective matched cohort study to evaluate the mortality attributable to hospital-acquired infections among 12,791 patients admitted to surgical departments. We were able to match 731 patients with 1 or more hospital-acquired infections (ie, case patients) with 731 patients without a hospital-acquired infection (ie, control patients) at a 1 : 1 ratio. Of the 731 case patients, 42 (5.7%) died; of the 731 control patients, 23 (3.1%) died—a significant difference of 2.6%.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 12 , December 2008 , pp. 1167 - 1170
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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References

1. Aranaz-Andrés, JM, Ruiz-López, P, Aibar-Remón, C, et al. Adverse events in general and digestive surgery departments in Spanish hospitals [in Spanish]. Cir Esp 2007;82:268–277.Google Scholar
2. Delgado-Rodriguez, M, Gómez-Ortega, A, Llorca, J, et al. Nosocomial infection, indices of intrinsic infection risk, and in-hospital mortality in general surgery. J Hosp Infect 1999;41:203–211.Google Scholar
3. Horan, TC, Andrus, M, Dudeck, MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008;36:309–332.Google Scholar
4. Khuri, SF, Daley, J, Henderson, W, et al. Risk adjustment of the postoperative mortality rate for the comparative assessment of the quality of surgical care: results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg 1997;185:315–327.Google Scholar
5. Suan, C, Perez-Torres, C, Herrera, A. Postoperative mortality in a general hospital [in Spanish]. Rev Esp Anestesiol Reanim 1997;44:267–272.Google Scholar
6. Sheng, WH, Chie, WC, Chen, YC, et al. Impact of nosocomial infections on medical costs, hospital stay, and outcome in hospitalized patients. J Formos Med Assoc 2005;104:318–326.Google Scholar
7. Barreiro-López, B, Tricas, JM, Mauri, E, Quintana, S, Garau, J. Risk factors and prognostic factors in nosocomial pneumonia outside the intensive care units setting [in Spanish], Enferm Infecc Microbiol Clin 2005;23:519–524.Google Scholar
8. Kirkland, KB, Briggs, JP, Trivette, SL, et al. The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infect Control Hosp Epidemiol 1999;20:725–730.Google Scholar
9. Perl, TM, Dvorak, L, Hwang, T, Wenzel, RP. Long-term survival and function after suspected gram-negative sepsis. JAMA 1995;274:338–345.Google Scholar
10. Delgado-Rodriguez, M, Sillero-Arenas, M, Medina-Cuadros, M, Martinez-Gallego, G. Usefulness of intrinsic infection risk indexes as predictors of in-hospital death. Am J Infect Control 1997;25:365–370.Google Scholar
11. Fabbro-Peray, P, Sotto, A, Defez, C, et al. Mortality attributable to nosocomial infection: a cohort of patients with and without nosocomial infection in a French university hospital. Infect Control Hosp Epidemiol 2007;28:265–272.CrossRefGoogle Scholar