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- Title
Cost of postoperative sepsis in Vietnam.
- Authors
Bui, My Hanh; Khuong, Quynh Long; Le, Phuong Anh; Nguyen, The Anh; Doan, Quoc Hung; Duong, Tuan Duc; Pham, Hoang Ha; Pham, Thanh Viet; Tran, Tien Hung; Nguyen, Hong Ha; Tran, Binh Giang; Duong, Duc Hung; Dao, Xuan Co; Du Hoang, Gia; Dao, Xuan Thanh; Nguyen, Truong Son; Le, Quang Cuong
- Abstract
Despite improvements in medical care, the burden of sepsis remains high. In this study, we evaluated the incremental cost associated with postoperative sepsis and the impact of postoperative sepsis on clinical outcomes among surgical patients in Vietnam. We used the national database that contained 1,241,893 surgical patients undergoing seven types of surgery. We controlled the balance between the groups of patients using propensity score matching method. Generalized gamma regression and logistic regression were utilized to estimate incremental cost, readmission, and reexamination associated with postoperative sepsis. The average incremental cost associated with postoperative sepsis was 724.1 USD (95% CI 553.7–891.7) for the 30 days after surgery, which is equivalent to 28.2% of the per capita GDP in Vietnam in 2018. The highest incremental cost was found in patients undergoing cardiothoracic surgery, at 2,897 USD (95% CI 530.7–5263.2). Postoperative sepsis increased patient odds of readmission (OR = 6.40; 95% CI 6.06–6.76), reexamination (OR = 1.67; 95% CI 1.58–1.76), and also associated with 4.9 days longer of hospital length of stay among surgical patients. Creating appropriate prevention strategies for postoperative sepsis is extremely important, not only to improve the quality of health care but also to save health financial resources each year.
- Subjects
VIETNAM; MEDICAL quality control; SEPSIS; PROPENSITY score matching; LENGTH of stay in hospitals; PATIENT readmissions; DIRECT costing
- Publication
Scientific Reports, 2022, Vol 12, Issue 1, p1
- ISSN
2045-2322
- Publication type
Article
- DOI
10.1038/s41598-022-08881-y