PMID- 33644091
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210303
IS  - 2296-858X (Print)
IS  - 2296-858X (Electronic)
IS  - 2296-858X (Linking)
VI  - 8
DP  - 2021
TI  - Effect of Postoperative Adverse Events on Hospitalization Expenditures and Length 
      of Stay Among Surgery Patients in Taiwan: A Nationwide Population-Based 
      Case-Control Study.
PG  - 599843
LID - 10.3389/fmed.2021.599843 [doi]
LID - 599843
AB  - Background: The current study sought to determine the incidence of postoperative 
      adverse events (AEs) based on data from the 2006 Taiwan National Health Insurance 
      Research Database (NHIRD). Methods: This retrospective case-control study 
      included patients who experienced postoperative AEs in 387 hospitals throughout 
      Taiwan in 2006. The independent variable was the presence or absence of 10 
      possible postoperative AEs, as identified by patient safety indicators (PSIs). 
      Results: A total of 17,517 postoperative AEs were identified during the study 
      year. PSI incidence ranged from 0.1/1,000 admissions (obstetric trauma-cesarean 
      section) to 132.6/1,000 admissions (obstetric trauma with instrument). Length of 
      stay (LOS) associated with postoperative AEs ranged from 0.10 days (obstetric 
      trauma with instrument) to 14.06 days (postoperative respiratory failure). Total 
      hospitalization expenditures (THEs) ranged from 363.7 New Taiwan Dollars 
      (obstetric trauma without instrument) to 263,732 NTD (postoperative respiratory 
      failure). Compared to patients without AEs, we determined that the THEs were 2.13 
      times in cases of postoperative AE and LOS was 1.72 times higher. Conclusions: 
      AEs that occur during hospitalization have a major impact on THEs and LOS.
CI  - Copyright (c) 2021 Yang, Chuang, Chen, Tao, Tung and Chien.
FAU - Yang, Chih-Chieh
AU  - Yang CC
AD  - Department of Business Administration, Ming Chuan University, Taipei, Taiwan.
AD  - Department of Critical Care Medicine, Lotung Poh-Ai Hospital, Yilan, Taiwan.
FAU - Chuang, Yi-Fei
AU  - Chuang YF
AD  - Department of Business Administration, Ming Chuan University, Taipei, Taiwan.
FAU - Chen, Pei-En
AU  - Chen PE
AD  - Institute of Health Policy and Management, National Taiwan University, Taipei, 
      Taiwan.
AD  - Taiwan Association of Health Industry Management and Development, Taipei, Taiwan.
FAU - Tao, Ping
AU  - Tao P
AD  - Division of Medical Fees, Department of Medical Affairs, Kaohsiung Veteran 
      General Hospital, Kaohsiung, Taiwan.
FAU - Tung, Tao-Hsin
AU  - Tung TH
AD  - Enze Medical Research Center, Affiliated Taizhou Hospital of Wenzhou Medical 
      College, Taizhou, China.
AD  - Department of Medical Research and Education, Cheng-Hsin General Hospital, 
      Taipei, Taiwan.
FAU - Chien, Ching-Wen
AU  - Chien CW
AD  - Institute for Hospital Management, Tsing Hua University, Shenzhen Campus, 
      Shenzhen, China.
LA  - eng
PT  - Journal Article
DEP - 20210210
PL  - Switzerland
TA  - Front Med (Lausanne)
JT  - Frontiers in medicine
JID - 101648047
PMC - PMC7902791
OTO - NOTNLM
OT  - adverse events patient safety
OT  - hospitalization expenditures
OT  - length of stay
OT  - patient safety
OT  - patient safety indicators
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2021/03/02 06:00
MHDA- 2021/03/02 06:01
PMCR- 2021/02/10
CRDT- 2021/03/01 05:39
PHST- 2020/08/28 00:00 [received]
PHST- 2021/01/18 00:00 [accepted]
PHST- 2021/03/01 05:39 [entrez]
PHST- 2021/03/02 06:00 [pubmed]
PHST- 2021/03/02 06:01 [medline]
PHST- 2021/02/10 00:00 [pmc-release]
AID - 10.3389/fmed.2021.599843 [doi]
PST - epublish
SO  - Front Med (Lausanne). 2021 Feb 10;8:599843. doi: 10.3389/fmed.2021.599843. 
      eCollection 2021.