Evidence map›Paper›PMID 32892295›Full record

ArticleSurgery today2021

Impact of postoperative remote infection on length of stay and medical costs in hospitals in Japan.

Hironobu Nishimuta, Shinya Kusachi, Manabu Watanabe, Koji Asai, Takaharu Kiribayashi, Toru Niitsuma, Hiroshi Maruyama, Kazuo Tanemoto

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Article in Surgery today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hironobu NishimutaDepartment of Surgery, Toho University Medical Center Ohashi Hospital, Tokyo, Japan.
Shinya KusachiDepartment of Surgery, Tohokamagaya Hospital, 594 Awano, Kamagaya, Chiba, Japan. kusachi@med.toho-u.ac.jp.
Manabu WatanabeDepartment of Surgery, Toho University Medical Center Ohashi Hospital, Tokyo, Japan.
Koji AsaiDepartment of Surgery, Toho University Medical Center Ohashi Hospital, Tokyo, Japan.
Takaharu KiribayashiDepartment of Surgery, Toho University Medical Center Ohashi Hospital, Tokyo, Japan.
Toru NiitsumaDepartment of Surgery, Toho University Medical Center Ohashi Hospital, Tokyo, Japan.
Hiroshi MaruyamaDepartment of Surgery, Japan Medical University Tamanagayama Hospital, 1-7-1 Nagayama, Tama, Tokyo, Japan.
Kazuo TanemotoDepartment of Cardiovascular Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the impact of postoperative remote infections (PRIs) on medical expenditure.

methodsThe subjects of this retrospective study were 338 patients who had undergone gastroenterological surgery at one of the 20 Japanese institutions within the Japan Society for Surgical Infection (JSSI) and mainly authorized as educational institutions. The patients were allocated to 169 pairs of those with a PRI (PRI (+) group) matched with those without a PRI (PRI (-) group). PRIs included pneumonia, urinary tract infection (UTI), catheter-associated blood stream infection (CA-BSI), and antibiotic-associated enteritis.

resultsSSI developed in 74 of the 338 patients (22 without PRI and 52 with PRI). The SSI incidence was significantly higher in the PRI (+) group (p < 0.001). The difference in the median postoperative length of hospital stay was 15 days, indicating a significant prolongation in the PRI (+) group (p < 0.001). The PRI (+) group also had a higher rate of inter-hospital transfer (p < 0.01) and mortality (p < 0.001). Similarly, the difference in median postoperative medical fees was $6832.3, representing a significant increase in the PRI (+) group (p < 0.001).

conclusionsThe postoperative length of hospital stay is longer and the postoperative medical expenditure is higher for patients with a PRI than for those without a PRI.

Indexed as

Health ExpendituresAdultAgedAged, 80 and overDigestive System Surgical ProceduresFemaleHospitalizationHumansIncidenceInfectionsJapanLength of StayMaleMiddle AgedPostoperative ComplicationsC. difficileHealthcare associated infectionMRSAPostoperative infectionSSI

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.