The cost burden of multiple sclerosis in the United States: a systematic review of the literature

Surgical site infections (SSIs) are among the most common types of postoperative complications in the United States and are associated with significant prevalence of morbidity and mortality in patients undergoing surgical interventions, especially in colorectal surgery (CRS) where SSI rates are significantly higher than those of similar operative sites. SSIs were identified from the National Inpatient Sample-Healthcare Cost and Utilization Project database from 2001 to 2012 based on the specification of an ICD-9 code. Propensity score matching was used to compare costs associated with SSI cases with those of non-SSI controls among elective and nonelective admissions. Results were projected nationally using Healthcare Cost and Utilization Project sampling methodology to evaluate the incidence of SSIs and ascertain the national cost burden retrospectively. Among 4,851,359 sample-weighted hospitalizations, 4.2 per cent (203,597) experienced SSI. Elective admissions associated with SSI-stayed hospitalized for an average of 7.8 days longer and cost $18,410 more than their counterparts who did not experience an SSI. Nonelective admissions that experienced an SSI had an 8.5-day longer hospital stay and cost $20,890 more than counterparts without perioperative infections. This represents a 3 per cent annual growth in costs for SSIs and seems to be largely driven by cost increases in treatment of SSIs for elective surgeries. Current efforts of SSI management after CRS focused on compliance with guidelines and tracking of infection rates would benefit from some improvements. Considering the growing costs and increase in resource utilization associated with SSIs from 2001 to 2012, further research on costs associated with management of SSIs specific to CRS is necessary.

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Consequences of Exposure to Domestic Violence for Children: A Systematic Review of the Literature

Paidéia (Ribeirão Preto) ◽

10.1590/1982-43272355201314 ◽

2013 ◽

Vol 23 (55) ◽

pp. 263-271 ◽

Cited By ~ 10

Author(s):

Lelio Moura Lourenco ◽

Makilim Nunes Baptista ◽

Luciana Xavier Senra ◽

Almeida Adriana A. ◽

Caroline Basilio ◽

...

Keyword(s):

United States ◽

Systematic Review ◽

Domestic Violence ◽

Partner Violence ◽

Web Of Science ◽

The United States ◽

Intimate Partner ◽

Review Of The Literature ◽

Child Exposure ◽

Exposure To Domestic Violence

The aim of this study was to carry out a systematic review of the literature on the consequences of exposure to domestic violence – DV for children. The period 2005-2011 was searched in Medline, Lilacs, Scielo, Web of Science, Dialnet, Redalyc, Google Scholar and PsycInfo, using the following descriptors: intimate partner violence , domestic violence , violence descriptors ( physical , sexual, psychological ), and child , exposure or witness . The author, country, methodology, journal and the consequences of exposure to DV were considered. 122 articles were selected. The United States and Brazil accounted for 78.7% of the publications, with children being the main victims (51.6%). The major impacts upon children´s health were posttraumatic stress and insecurity (75.8%).

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