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Estimating the Extra Charges and Prolongation of Hospitalization Due to Nosocomial Infections: A Comparison of Methods
Abstract
Estimates of the economic consequences of nosocomial infections were derived by studying the same patient population with two different methods: physician's assessment and comparisons of patients with nosocomial infection and those without, matched on five characteristics. Estimates of extra days and extra routine charges obtained by the comparison were about 2 1/2 times greater than those obtained by the physician's assessment (P less than 0.0001). Even when the match of patients was exact and measures were taken to avoid confounding, patients with nosocomial infection had more discharge diagnoses recorded (P = 0.02) and experienced more episodes of pulmonary embolism, renal failure, and death in the hospital than did their counterparts. These differences suggest that, despite careful matching, the members of the pairs were not comparable in their intrinsic predisposition to prolonged hospitalization. Unless patients can be matched on this prediposition, the estimates from a comparison study will be exaggerated.
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Citations
Cited by
Hospital-Acquired Candidemia: The Attributable Mortality and Excess Length of Stay
Wey, S. B. (1988) · Archives of Internal Medicine · doi:10.1001/archinte.1988.00380120094019 · Cited by 831
Plowman, R., Graves, N., Griffin, M. A. S., Roberts, J. A., Swan, A. V., Cookson, B., & Taylor, L. (2001) · Journal of Hospital Infection · doi:10.1053/jhin.2000.0881 · Cited by 438
Hospital-Acquired Infections in Intensive Care Unit Patients An Overview with Emphasis on Epidemics
Wenzel, R. P., Thompson, R. L., Landry, S. M., Russell, B. S., Miller, P. J., de Leon, S. P., & Miller, G. B. (1983) · Infection Control · doi:10.1017/s0195941700059774 · Cited by 277
Surgical site infection – a European perspective of incidence and economic burden
Leaper, D. J., Van Goor, H., Reilly, J., Petrosillo, N., Geiss, H. K., Torres, A. J., & Berger, A. (2004) · International Wound Journal · doi:10.1111/j.1742-4801.2004.00067.x · Cited by 240
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Metadata
- Authors
- Haley, R. W., Schaberg, D. R., Von Allmen, S. D., & McGowan, J. E.
- Venue
- Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1980-02-01
- Volume
- 141
- Issue
- 2
- Pages
- 248-257
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W2162961229
- Cited by
- 175
- References
- 0
- FWCI
- 10.24
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Estimating the Extra Charges and Prolongation of Hospitalization Due to Nosocomial Infections: A Comparison of Methods. https://app.cochat.ai/papers/10.1093/infdis/141.2.248
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- Haley, R. W., Schaberg, D. R., Von Allmen, S. D., & McGowan, J. E. (1980). Estimating the Extra Charges and Prolongation of Hospitalization Due to Nosocomial Infections: A Comparison of Methods. Journal of Infectious Diseases. https://doi.org/10.1093/infdis/141.2.248
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