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Medicare reimbursement attributable to catheter-associated urinary tract infection in the inpatient setting: a retrospective cohort analysis
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6-2014
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Source: Med Care. 52(6):469-478
Details:
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Alternative Title:Med Care
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Personal Author:
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Description:Background:
Most catheter-associated urinary tract infections (CAUTIs) are considered preventable and thus a potential target for healthcare quality improvement and cost savings.
Objectives:
We sought to estimate excess Medicare reimbursement, length of stay, and inpatient death associated with CAUTI among hospitalized beneficiaries.
Research design:
Using a retrospective cohort design with linked Medicare inpatient claims and National Healthcare Safety Network data from 2009, we compared Medicare reimbursement between Medicare beneficiaries with and without CAUTIs.
Subjects:
Fee-for-Service Medicare beneficiaries aged ≥65 years with continuous coverage of Parts A (hospital insurance) and B (supplementary medical insurance).
Results:
We found that beneficiaries with CAUTI had higher median Medicare reimbursement (Intensive care unit [ICU]: $8,548, non-ICU: $1,479) and length of stay (ICU: 8.1 days, non-ICU: 3.6 days) compared to those without CAUTI controlling for potential confounding factors. Odds of inpatient death were higher among beneficiaries with versus without CAUTI only among those with an ICU stay (ICU: odds ratio 1.37).
Conclusions:
Beneficiaries with CAUTI had increased Medicare reimbursement and length of stay compared with those without CAUTI after adjusting for potential confounders.
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Subjects:
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Keywords:
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Source:
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Pubmed ID:24699236
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Pubmed Central ID:PMC11413967
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Document Type:
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Funding:
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Volume:52
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Issue:6
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Main Document Checksum:
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Download URL:
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File Type:
[PDF-620.10 KB]
