Assessment of the current status and economic burden of hospital-acquired infections in orthopedic patients based on DRG
10.11816/cn.ni.2025-241796
- VernacularTitle:基于DRG评估骨科患者医院感染现况及经济负担
- Author:
Lin YANG
1
;
Yan REN
1
;
Yingnan CAO
1
;
Lihui XU
1
;
Hongxin WEI
1
;
Luyao LI
1
;
Hong LI
1
;
Hui CHEN
1
Author Information
1. 首都医科大学附属北京积水潭医院/北京大学第四临床医学院院感处,北京 100035
- Publication Type:Journal Article
- Keywords:
Diagnosis-related groups;
Hospital-acquired infections;
Economic burden;
Orthopedic patient
- From:
Chinese Journal of Nosocomiology
2025;35(11):1718-1723
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To assess the current status of hospital-acquired infections and their economic burden in or-thopedic patients based on diagnosis-related groups(DRG).METHOD Based on the National Health Insurance dis-ease diagnosis-related groups,32 413 orthopedic patients from a tertiary care hospital in Beijing in 2021 were grouped,hospital-acquired infections were retrospectively analyzed,and the direct and indirect economic burdens of different DRG groups were assess using indictors such as hospitalization time and cost,bed turnover loss,and labor time loss.RESULTS A total of 32 413 patients were included,the incidence of hospital-acquired infection was 0.47％(153/32 413),the site of infection was predominantly the surgical site(57.99％),and hospital-acquired infections in the hematologic system had a greater impact on cost-consumption indices and time-consumption indi-ces.The infection cases were concentrated in 19.58％of the DRGs groups.The IF23 group(lower limb bone sur-gery with complications and comorbidities)had the highest direct economic burden(24 010 yuan/case)due to hos-pital-acquired infections,and the increase in the cost of consumables and medication was the main factor causing the direct economic burden.At both the hospital level and family-society level,the top three DRG groups in terms of indirect economic burden due to hospital-acquired infections were IB15,IB13 and IF23.CONCLUSION Hospital-acquired infections in orthopedic patients have a tendency to be concentrated,quantitatively assessment of their e-conomic burden based on DRGs not only illustrates the importance of hospital-acquired infection prevention and control,but also accurately identifies the disease groups that require focused management,providing an evidence-based basis for precise prevention and control of hospital-acquired infections.
