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Hospital-acquired infections associated with higher costs and length of stay in discharged cancer center patients.

Hospital-acquired infections associated with higher costs and length of stay in discharged cancer ce…
Photo by National Cancer Institute / Unsplash
Key Takeaway
Interpret findings cautiously as retrospective data links infections to higher costs and longer stays without reported effect sizes.

This retrospective cohort study evaluated discharged patients at a regional cancer center with conditions including cancer-related nosocomial infections and malignant neoplasm of thoracic esophagus. The sample size was not reported. Patients were categorized by exposure to hospital-acquired infections compared against non-HAI patients. Follow-up duration was not reported.

The infected group demonstrated significantly higher DIP deficits, hospitalization costs, and diagnostic test and procedure costs compared to the comparator group, with p < 0.05 reported for all comparisons. Length of stay was also longer in the infected group, achieving statistical significance at p < 0.05. Additionally, MDRO type count positively correlated with hospitalization costs, diagnostic test and procedure costs, length of stay, and DIP deficits, where p < 0.05. Surgical site wound contamination grade similarly showed positive correlation with hospitalization costs, diagnostic test and procedure costs, length of stay, and DIP deficits, with p < 0.05.

Safety data regarding adverse events, serious adverse events, discontinuations, and tolerability were not reported. The study limitations section was empty. Funding or conflicts of interest were not reported. Practice relevance was not reported. Causality and certainty notes were not reported.

Clinicians should interpret these findings cautiously given the observational nature of the retrospective cohort study. Absolute numbers and effect sizes were not reported, limiting the assessment of clinical magnitude. The lack of sample size and follow-up details further constrains generalizability to other settings.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
BackgroundThis study aimed to analyze the distribution and economic burden of cancer-related nosocomial infections under the Diagnosis-Intervention Packet (DIP) payment model.MethodsA retrospective study was conducted using 2024 medical insurance and healthcare-associated infection (HAI) data from discharged patients at a regional cancer center. We compared the differences in medical insurance settlement indicators between HAI and non-HAI patients within major DIP categories, as well as among different HAI types. After adjusting for time-dependent bias and confounding factors via risk-set matching, we further compared the above indicators between HAI and non-HAI patients, and generalized linear model (GLM) was used to identify independent factors for DIP settlement difference.ResultsHAIs were most concentrated in the DIP category Malignant neoplasm of thoracic esophagus: Partial esophagectomy via cervical-thoracic-abdominal three-incision approach. With major DIP categories, the infected group had significantly higher hospitalization costs, diagnostic test and procedure costs, longer length of stay, and greater DIP deficits (all p < 0.05). MDRO type count and surgical site wound contamination grade were positively correlated with the above indicators and DIP deficits (all p 
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