1.A 1∶1 matched case-control study on direct economic losses due to orthopedic surgical site infection
Weibiao YE ; Lixian XIE ; Xinxia ZHU
Chinese Journal of Nosocomiology 2025;35(20):3084-3088
OBJECTIVE To investigate the direct economic losses caused by surgical site infection(SSI)in patients undergoing orthopedic surgery and provide references for medical institutions to develop infection prevention and control measures.METHODS Clinical data of 8 207 patients undergoing orthopedic surgery from the People's Hospital of Sanshui District,Foshan City,between 2021 and 2023 were retrospectively collected.Among them,98 patients with SSI were assigned to the SSI group,while non-infected patients were included in the non-infection group.Based on a 1∶1 matched case-control principle,68 well-matched pairs of case-control samples were select-ed for comparative analysis.Key indicators such as hospitalization costs and postoperative hospital stays were de-scribed as medians,and intergroup differences were analyzed with the Wilcoxon signed-rank test.RESULTS The SSI incidence rate was 1.19%(98/8 207).Compared to non-infected patients,those with SSI had an average pro-longed postoperative hospital stay of 13.95 days,with an average direct economic loss of RMB 14 305.50 yuan per case.Direct economic losses due to SSI varied among patients with different surgical sites,age groups and wheth-er medical devices were implanted.There were statistically significant differences in the increased hospitalization costs and postoperative hospital stays between the SSI group and the non-infected group(P<0.05).CONCLUSIONS SSI in patients undergoing orthopedic surgery leads to increased hospitalization costs,prolonged postoperative hospital stays and greater direct economic losses.Therefore,medical institutions should implement a series of efficient and targeted prevention and control measures to effectively reduce SSI incidence rate,there-by improve medical quality and patient safety.
2.A 1∶1 matched case-control study on direct economic losses due to orthopedic surgical site infection
Weibiao YE ; Lixian XIE ; Xinxia ZHU
Chinese Journal of Nosocomiology 2025;35(20):3084-3088
OBJECTIVE To investigate the direct economic losses caused by surgical site infection(SSI)in patients undergoing orthopedic surgery and provide references for medical institutions to develop infection prevention and control measures.METHODS Clinical data of 8 207 patients undergoing orthopedic surgery from the People's Hospital of Sanshui District,Foshan City,between 2021 and 2023 were retrospectively collected.Among them,98 patients with SSI were assigned to the SSI group,while non-infected patients were included in the non-infection group.Based on a 1∶1 matched case-control principle,68 well-matched pairs of case-control samples were select-ed for comparative analysis.Key indicators such as hospitalization costs and postoperative hospital stays were de-scribed as medians,and intergroup differences were analyzed with the Wilcoxon signed-rank test.RESULTS The SSI incidence rate was 1.19%(98/8 207).Compared to non-infected patients,those with SSI had an average pro-longed postoperative hospital stay of 13.95 days,with an average direct economic loss of RMB 14 305.50 yuan per case.Direct economic losses due to SSI varied among patients with different surgical sites,age groups and wheth-er medical devices were implanted.There were statistically significant differences in the increased hospitalization costs and postoperative hospital stays between the SSI group and the non-infected group(P<0.05).CONCLUSIONS SSI in patients undergoing orthopedic surgery leads to increased hospitalization costs,prolonged postoperative hospital stays and greater direct economic losses.Therefore,medical institutions should implement a series of efficient and targeted prevention and control measures to effectively reduce SSI incidence rate,there-by improve medical quality and patient safety.
3.Practices on"Center-Multidisciplinary Team"Structure for Rare Disease Management in General Hospitals
Yu ZHUANG ; Yuan ZHONG ; Xinxia WU ; Xuedong XU ; Rong MU ; Xiaohui ZHU ; Rong LI ; Wei FU
Chinese Hospital Management 2024;44(9):37-40
Objectives It was a preliminary exploration on rare disease management of comprehensive hospital based on the"Center-Multidisciplinary Team"structure.Methods By applying interrupted time series analysis,the characteristics and related medical service of rare disease patients discharged from sample hospitals from 2021 to 2023 were measured.Results The results showed that the hospital served 19 825 rare disease patients from 2021 to 2023.The proportion of patients whose main diagnosis were rare diseases was approximately 27%.The interrupted time series technique indicated that the expected proportion of rare disease patients increased instantly by 1.89 thousand points.The capability to diagnose has significantly improved,with a growing trend on volume of bioinformatics analysis services for rare diseases patients.Conclusion The rare disease management based on the"Center-Team"structure can increase the attention of medical staff to rare diseases,strengthen the diagnostic capacity of rare diseases,and make patient management more continuous and disciplinary co-operation more efficient without significantly increasing the input burden on hospitals.
4.Practices on"Center-Multidisciplinary Team"Structure for Rare Disease Management in General Hospitals
Yu ZHUANG ; Yuan ZHONG ; Xinxia WU ; Xuedong XU ; Rong MU ; Xiaohui ZHU ; Rong LI ; Wei FU
Chinese Hospital Management 2024;44(9):37-40
Objectives It was a preliminary exploration on rare disease management of comprehensive hospital based on the"Center-Multidisciplinary Team"structure.Methods By applying interrupted time series analysis,the characteristics and related medical service of rare disease patients discharged from sample hospitals from 2021 to 2023 were measured.Results The results showed that the hospital served 19 825 rare disease patients from 2021 to 2023.The proportion of patients whose main diagnosis were rare diseases was approximately 27%.The interrupted time series technique indicated that the expected proportion of rare disease patients increased instantly by 1.89 thousand points.The capability to diagnose has significantly improved,with a growing trend on volume of bioinformatics analysis services for rare diseases patients.Conclusion The rare disease management based on the"Center-Team"structure can increase the attention of medical staff to rare diseases,strengthen the diagnostic capacity of rare diseases,and make patient management more continuous and disciplinary co-operation more efficient without significantly increasing the input burden on hospitals.
5.Practices on"Center-Multidisciplinary Team"Structure for Rare Disease Management in General Hospitals
Yu ZHUANG ; Yuan ZHONG ; Xinxia WU ; Xuedong XU ; Rong MU ; Xiaohui ZHU ; Rong LI ; Wei FU
Chinese Hospital Management 2024;44(9):37-40
Objectives It was a preliminary exploration on rare disease management of comprehensive hospital based on the"Center-Multidisciplinary Team"structure.Methods By applying interrupted time series analysis,the characteristics and related medical service of rare disease patients discharged from sample hospitals from 2021 to 2023 were measured.Results The results showed that the hospital served 19 825 rare disease patients from 2021 to 2023.The proportion of patients whose main diagnosis were rare diseases was approximately 27%.The interrupted time series technique indicated that the expected proportion of rare disease patients increased instantly by 1.89 thousand points.The capability to diagnose has significantly improved,with a growing trend on volume of bioinformatics analysis services for rare diseases patients.Conclusion The rare disease management based on the"Center-Team"structure can increase the attention of medical staff to rare diseases,strengthen the diagnostic capacity of rare diseases,and make patient management more continuous and disciplinary co-operation more efficient without significantly increasing the input burden on hospitals.
6.Practices on"Center-Multidisciplinary Team"Structure for Rare Disease Management in General Hospitals
Yu ZHUANG ; Yuan ZHONG ; Xinxia WU ; Xuedong XU ; Rong MU ; Xiaohui ZHU ; Rong LI ; Wei FU
Chinese Hospital Management 2024;44(9):37-40
Objectives It was a preliminary exploration on rare disease management of comprehensive hospital based on the"Center-Multidisciplinary Team"structure.Methods By applying interrupted time series analysis,the characteristics and related medical service of rare disease patients discharged from sample hospitals from 2021 to 2023 were measured.Results The results showed that the hospital served 19 825 rare disease patients from 2021 to 2023.The proportion of patients whose main diagnosis were rare diseases was approximately 27%.The interrupted time series technique indicated that the expected proportion of rare disease patients increased instantly by 1.89 thousand points.The capability to diagnose has significantly improved,with a growing trend on volume of bioinformatics analysis services for rare diseases patients.Conclusion The rare disease management based on the"Center-Team"structure can increase the attention of medical staff to rare diseases,strengthen the diagnostic capacity of rare diseases,and make patient management more continuous and disciplinary co-operation more efficient without significantly increasing the input burden on hospitals.
7.Practices on"Center-Multidisciplinary Team"Structure for Rare Disease Management in General Hospitals
Yu ZHUANG ; Yuan ZHONG ; Xinxia WU ; Xuedong XU ; Rong MU ; Xiaohui ZHU ; Rong LI ; Wei FU
Chinese Hospital Management 2024;44(9):37-40
Objectives It was a preliminary exploration on rare disease management of comprehensive hospital based on the"Center-Multidisciplinary Team"structure.Methods By applying interrupted time series analysis,the characteristics and related medical service of rare disease patients discharged from sample hospitals from 2021 to 2023 were measured.Results The results showed that the hospital served 19 825 rare disease patients from 2021 to 2023.The proportion of patients whose main diagnosis were rare diseases was approximately 27%.The interrupted time series technique indicated that the expected proportion of rare disease patients increased instantly by 1.89 thousand points.The capability to diagnose has significantly improved,with a growing trend on volume of bioinformatics analysis services for rare diseases patients.Conclusion The rare disease management based on the"Center-Team"structure can increase the attention of medical staff to rare diseases,strengthen the diagnostic capacity of rare diseases,and make patient management more continuous and disciplinary co-operation more efficient without significantly increasing the input burden on hospitals.
8.Practices on"Center-Multidisciplinary Team"Structure for Rare Disease Management in General Hospitals
Yu ZHUANG ; Yuan ZHONG ; Xinxia WU ; Xuedong XU ; Rong MU ; Xiaohui ZHU ; Rong LI ; Wei FU
Chinese Hospital Management 2024;44(9):37-40
Objectives It was a preliminary exploration on rare disease management of comprehensive hospital based on the"Center-Multidisciplinary Team"structure.Methods By applying interrupted time series analysis,the characteristics and related medical service of rare disease patients discharged from sample hospitals from 2021 to 2023 were measured.Results The results showed that the hospital served 19 825 rare disease patients from 2021 to 2023.The proportion of patients whose main diagnosis were rare diseases was approximately 27%.The interrupted time series technique indicated that the expected proportion of rare disease patients increased instantly by 1.89 thousand points.The capability to diagnose has significantly improved,with a growing trend on volume of bioinformatics analysis services for rare diseases patients.Conclusion The rare disease management based on the"Center-Team"structure can increase the attention of medical staff to rare diseases,strengthen the diagnostic capacity of rare diseases,and make patient management more continuous and disciplinary co-operation more efficient without significantly increasing the input burden on hospitals.
9.Practices on"Center-Multidisciplinary Team"Structure for Rare Disease Management in General Hospitals
Yu ZHUANG ; Yuan ZHONG ; Xinxia WU ; Xuedong XU ; Rong MU ; Xiaohui ZHU ; Rong LI ; Wei FU
Chinese Hospital Management 2024;44(9):37-40
Objectives It was a preliminary exploration on rare disease management of comprehensive hospital based on the"Center-Multidisciplinary Team"structure.Methods By applying interrupted time series analysis,the characteristics and related medical service of rare disease patients discharged from sample hospitals from 2021 to 2023 were measured.Results The results showed that the hospital served 19 825 rare disease patients from 2021 to 2023.The proportion of patients whose main diagnosis were rare diseases was approximately 27%.The interrupted time series technique indicated that the expected proportion of rare disease patients increased instantly by 1.89 thousand points.The capability to diagnose has significantly improved,with a growing trend on volume of bioinformatics analysis services for rare diseases patients.Conclusion The rare disease management based on the"Center-Team"structure can increase the attention of medical staff to rare diseases,strengthen the diagnostic capacity of rare diseases,and make patient management more continuous and disciplinary co-operation more efficient without significantly increasing the input burden on hospitals.
10.Practices on"Center-Multidisciplinary Team"Structure for Rare Disease Management in General Hospitals
Yu ZHUANG ; Yuan ZHONG ; Xinxia WU ; Xuedong XU ; Rong MU ; Xiaohui ZHU ; Rong LI ; Wei FU
Chinese Hospital Management 2024;44(9):37-40
Objectives It was a preliminary exploration on rare disease management of comprehensive hospital based on the"Center-Multidisciplinary Team"structure.Methods By applying interrupted time series analysis,the characteristics and related medical service of rare disease patients discharged from sample hospitals from 2021 to 2023 were measured.Results The results showed that the hospital served 19 825 rare disease patients from 2021 to 2023.The proportion of patients whose main diagnosis were rare diseases was approximately 27%.The interrupted time series technique indicated that the expected proportion of rare disease patients increased instantly by 1.89 thousand points.The capability to diagnose has significantly improved,with a growing trend on volume of bioinformatics analysis services for rare diseases patients.Conclusion The rare disease management based on the"Center-Team"structure can increase the attention of medical staff to rare diseases,strengthen the diagnostic capacity of rare diseases,and make patient management more continuous and disciplinary co-operation more efficient without significantly increasing the input burden on hospitals.

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