What is the likely impact on surgical site infections in Australian hospitals if smoking rates are reduced? A cost analysis.

<h4>Introduction</h4>Assisting smokers to quit before surgery reduces surgical site infection (SSI) risk. The short-term economic benefits of reducing SSIs by embedding tobacco dependence treatment in Australian hospitals are unknown. Estimated annual number of SSIs prevented, and hospit...

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Autores principales:	Nikki McCaffrey, Michelle Scollo, Emma Dean, Sarah L White
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/28885fd8402d439a8adda8bf6d831a7f
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spelling	oai:doaj.org-article:28885fd8402d439a8adda8bf6d831a7f2021-12-02T20:19:33ZWhat is the likely impact on surgical site infections in Australian hospitals if smoking rates are reduced? A cost analysis.1932-620310.1371/journal.pone.0256424https://doaj.org/article/28885fd8402d439a8adda8bf6d831a7f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256424https://doaj.org/toc/1932-6203<h4>Introduction</h4>Assisting smokers to quit before surgery reduces surgical site infection (SSI) risk. The short-term economic benefits of reducing SSIs by embedding tobacco dependence treatment in Australian hospitals are unknown. Estimated annual number of SSIs prevented, and hospital bed-days (HBD) and costs saved from reducing smoking before surgery are calculated.<h4>Methods</h4>The most recent number of surgical procedures and SSI rates for Australia were sourced. The number of smokers and non-smokers having a SSI were calculated using the UK Royal College of Physicians reported adjusted odds ratio (1.79), and the proportion of SSIs attributable to smoking calculated. The potential impact fraction was used to estimate reductions in SSIs and associated HBDs and costs from reducing the smoking rates among surgical patients from 23.9% to 10% or 5% targets. Uncertainty around the final estimates was calculated using probabilistic sensitivity analysis.<h4>Results</h4>In 2016-17, approximately 40,593 (95% UI 32,543, 50,239) people having a surgical procedure in Australia experienced a SSI leading to 101,888 extra days (95% UI 49,988, 200,822) in hospital. If the smoking rate among surgical patients was reduced to 10%, 3,580 (95% UI 2,312, 5,178) SSIs would be prevented, and 8,985 (95% UI 4,094, 19,153) HBDs and $19.1M (95% UI $7.7M, $42.5M) saved in one year. If the smoking rate was reduced to 5%, 4,867 (95% UI 3,268, 6,867) SSIs would be prevented, and 12,217 (95% UI 5,614, 25,642) HBDs and $26.0M (95% UI $10.8M, $57.0M) would be saved.<h4>Conclusions</h4>The findings suggest achieving smoking rate targets of 10% or 5% would provide substantial short-term health and economic benefits through reductions in SSIs. Embedding tobacco dependence treatment in Australian hospitals would provide value for money by reducing costs and improving clinical quality and safety. A more comprehensive, modelled economic evaluation synthesising the best available evidence is needed to confirm findings.Nikki McCaffreyMichelle ScolloEmma DeanSarah L WhitePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0256424 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Nikki McCaffrey Michelle Scollo Emma Dean Sarah L White What is the likely impact on surgical site infections in Australian hospitals if smoking rates are reduced? A cost analysis.
description	<h4>Introduction</h4>Assisting smokers to quit before surgery reduces surgical site infection (SSI) risk. The short-term economic benefits of reducing SSIs by embedding tobacco dependence treatment in Australian hospitals are unknown. Estimated annual number of SSIs prevented, and hospital bed-days (HBD) and costs saved from reducing smoking before surgery are calculated.<h4>Methods</h4>The most recent number of surgical procedures and SSI rates for Australia were sourced. The number of smokers and non-smokers having a SSI were calculated using the UK Royal College of Physicians reported adjusted odds ratio (1.79), and the proportion of SSIs attributable to smoking calculated. The potential impact fraction was used to estimate reductions in SSIs and associated HBDs and costs from reducing the smoking rates among surgical patients from 23.9% to 10% or 5% targets. Uncertainty around the final estimates was calculated using probabilistic sensitivity analysis.<h4>Results</h4>In 2016-17, approximately 40,593 (95% UI 32,543, 50,239) people having a surgical procedure in Australia experienced a SSI leading to 101,888 extra days (95% UI 49,988, 200,822) in hospital. If the smoking rate among surgical patients was reduced to 10%, 3,580 (95% UI 2,312, 5,178) SSIs would be prevented, and 8,985 (95% UI 4,094, 19,153) HBDs and $19.1M (95% UI $7.7M, $42.5M) saved in one year. If the smoking rate was reduced to 5%, 4,867 (95% UI 3,268, 6,867) SSIs would be prevented, and 12,217 (95% UI 5,614, 25,642) HBDs and $26.0M (95% UI $10.8M, $57.0M) would be saved.<h4>Conclusions</h4>The findings suggest achieving smoking rate targets of 10% or 5% would provide substantial short-term health and economic benefits through reductions in SSIs. Embedding tobacco dependence treatment in Australian hospitals would provide value for money by reducing costs and improving clinical quality and safety. A more comprehensive, modelled economic evaluation synthesising the best available evidence is needed to confirm findings.
format	article
author	Nikki McCaffrey Michelle Scollo Emma Dean Sarah L White
author_facet	Nikki McCaffrey Michelle Scollo Emma Dean Sarah L White
author_sort	Nikki McCaffrey
title	What is the likely impact on surgical site infections in Australian hospitals if smoking rates are reduced? A cost analysis.
title_short	What is the likely impact on surgical site infections in Australian hospitals if smoking rates are reduced? A cost analysis.
title_full	What is the likely impact on surgical site infections in Australian hospitals if smoking rates are reduced? A cost analysis.
title_fullStr	What is the likely impact on surgical site infections in Australian hospitals if smoking rates are reduced? A cost analysis.
title_full_unstemmed	What is the likely impact on surgical site infections in Australian hospitals if smoking rates are reduced? A cost analysis.
title_sort	what is the likely impact on surgical site infections in australian hospitals if smoking rates are reduced? a cost analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/28885fd8402d439a8adda8bf6d831a7f
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What is the likely impact on surgical site infections in Australian hospitals if smoking rates are reduced? A cost analysis.

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