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[Method to calculate the additional hospital stay in patients with cross infection]. / Estimación de la estancia adicional en pacientes con infección hospitalaria.
Angeles-Garay, Ulises; Velázquez-Chávez, Yesenia; Molinar-Ramos, Fernando; Anaya-Flores, Verónica E; Uribe-Márquez, Samuel E.
Afiliación
  • Angeles-Garay U; División de Medicina Preventiva y Epidemiología Hospitalaria, Hospital de Especialidades, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Distrito Federal, México. ulises.angeles@imss.gob.mx
Rev Med Inst Mex Seguro Soc ; 47(4): 387-92, 2009.
Article en Es | MEDLINE | ID: mdl-20553643
OBJECTIVE: To calculate additional hospital stay due to specific cross infection. METHODS: Cases and controls study; matched by age +/- 2 years, sex, specialty in which were taken care, diagnosis, surgical procedure and hospitalization stay, between July 2005-June 2006. ANALYSIS: t test, chi(2) to calculate death risk, Kaplan-Meier analysis to calculate survival, Hosmer-Lemeshow test to know the contribution of cross infection for additional hospital stay due to cross infection (AHSDCI). RESULTS: We identified 851 patients with 1347 cross infection in 16 528 discharges. We could match 677. The cases stayed 25.42 days and the controls 13.29 (p < 0.01). The death risk for the cases was 5.8 (CI 95 % = 3.7-8.6, p < 0.01), four weeks survival 55.3 % for cases and 79.2 % for the controls. The AHSDCI for pneumonia was 10.39 days, urinary-tract-infection 6.28, bacteremia 8.92, vascular-catheter-related infection 3.31, surgical site infections 7.42, and skin and soft-tissue-infection 3.31 (p < 0.05). CONCLUSIONS: We used a multivariate model fitted to patient's gravity and complexity to extract the proportion days of AHSDCI of each cross infection.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Hospitalaria / Tiempo de Internación Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: Es Revista: Rev Med Inst Mex Seguro Soc Asunto de la revista: MEDICINA / MEDICINA SOCIAL Año: 2009 Tipo del documento: Article Pais de publicación: México
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Hospitalaria / Tiempo de Internación Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: Es Revista: Rev Med Inst Mex Seguro Soc Asunto de la revista: MEDICINA / MEDICINA SOCIAL Año: 2009 Tipo del documento: Article Pais de publicación: México