The burden of surgical site infections in Australia: A cost-of-illness study

Objective: To estimate the cost of surgical site infections in Australian public hospitals in 2018–19, to demonstrate the economic burden of hospital-associated infection in a well-resourced health system. Methods: A cost-of-illness analysis was conducted over a 1-year time horizon based on data fro...

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Main Authors: Ruth Royle, Brigid M. Gillespie, Wendy Chaboyer, Joshua Byrnes, Son Nghiem
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Journal of Infection and Public Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1876034123000989
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author Ruth Royle
Brigid M. Gillespie
Wendy Chaboyer
Joshua Byrnes
Son Nghiem
author_facet Ruth Royle
Brigid M. Gillespie
Wendy Chaboyer
Joshua Byrnes
Son Nghiem
author_sort Ruth Royle
collection DOAJ
description Objective: To estimate the cost of surgical site infections in Australian public hospitals in 2018–19, to demonstrate the economic burden of hospital-associated infection in a well-resourced health system. Methods: A cost-of-illness analysis was conducted over a 1-year time horizon based on data from published literature extrapolated using simulation techniques. The direct and indirect costs of SSI were estimated for Australia and each of its states and territories. Results: An estimated 16,541 cases of SSI occurred in Australian public hospitals in 2018–19, resulting in a total direct cost of A$323.5 million. The average cost per case was A$18,814, which was 2.5 times the average per capita spending on health. The indirect costs of absenteeism and premature death were valued at A$23.0 million and A$2 948.1 million per annum, respectively. Conclusion: SSI is a significant but preventable cost with most of the financial burden coming from premature deaths but underreporting means our costs are likely underestimated.
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spelling doaj.art-8ced3113c2f54bbb8464571795f679d32023-04-07T06:49:24ZengElsevierJournal of Infection and Public Health1876-03412023-05-01165792798The burden of surgical site infections in Australia: A cost-of-illness studyRuth Royle0Brigid M. Gillespie1Wendy Chaboyer2Joshua Byrnes3Son Nghiem4Centre for Applied Health Economics, School of Medicine and Dentistry, Griffith University, Nathan, Queensland, AustraliaNHMRC CRE in Wiser Wounds, MHIQ, Griffith University, Southport, Queensland, Australia; Correspondence to: G0. 1, NHMRC Wiser Wounds CRE, MHIQ, Griffith University, Parklands Drive, Southport, QLD 4222, Australia.NHMRC CRE in Wiser Wounds, MHIQ, Griffith University, Southport, Queensland, AustraliaCentre for Applied Health Economics, School of Medicine and Dentistry, Griffith University, Nathan, Queensland, AustraliaCentre for Applied Health Economics, School of Medicine and Dentistry, Griffith University, Nathan, Queensland, Australia; Department of Health Economics, Wellbeing and Society, University Drive, Australian National University, ACT 0200, AustraliaObjective: To estimate the cost of surgical site infections in Australian public hospitals in 2018–19, to demonstrate the economic burden of hospital-associated infection in a well-resourced health system. Methods: A cost-of-illness analysis was conducted over a 1-year time horizon based on data from published literature extrapolated using simulation techniques. The direct and indirect costs of SSI were estimated for Australia and each of its states and territories. Results: An estimated 16,541 cases of SSI occurred in Australian public hospitals in 2018–19, resulting in a total direct cost of A$323.5 million. The average cost per case was A$18,814, which was 2.5 times the average per capita spending on health. The indirect costs of absenteeism and premature death were valued at A$23.0 million and A$2 948.1 million per annum, respectively. Conclusion: SSI is a significant but preventable cost with most of the financial burden coming from premature deaths but underreporting means our costs are likely underestimated.http://www.sciencedirect.com/science/article/pii/S1876034123000989Hospital-associated infectionsPost-operative wound infectionIncidenceAdverse eventSurveillanceEconomic evaluation
spellingShingle Ruth Royle
Brigid M. Gillespie
Wendy Chaboyer
Joshua Byrnes
Son Nghiem
The burden of surgical site infections in Australia: A cost-of-illness study
Journal of Infection and Public Health
Hospital-associated infections
Post-operative wound infection
Incidence
Adverse event
Surveillance
Economic evaluation
title The burden of surgical site infections in Australia: A cost-of-illness study
title_full The burden of surgical site infections in Australia: A cost-of-illness study
title_fullStr The burden of surgical site infections in Australia: A cost-of-illness study
title_full_unstemmed The burden of surgical site infections in Australia: A cost-of-illness study
title_short The burden of surgical site infections in Australia: A cost-of-illness study
title_sort burden of surgical site infections in australia a cost of illness study
topic Hospital-associated infections
Post-operative wound infection
Incidence
Adverse event
Surveillance
Economic evaluation
url http://www.sciencedirect.com/science/article/pii/S1876034123000989
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