Results
166463 in-hospital person-time’s records were identified in our hospital
database from 2016 to 2018, and separately 54163 in 2016, 53480 in 2017,
and 58820 in 2018. In three years, 950 patients underwent HACs
(separately, 311 in 2016, 296 in 2017 and 343 in 2018). The overall
incidence was 0.571% (separately, 0.574% in 2016, 0.553 in 2017 and
0.583 in 2018), and the two most common conditions were DVT and PE
(36.79%, 351) and SSI (14.99%,
143). Interestingly, DVT and PE happened in 351 patients with the eldest
mean age, while the patients with SSI had the youngest age in all
in-patients in three years. It is worth noting that intraoperative
devices such as the joint in an arthroplasty, vascular stent, cardiac
valves, and so on were also thought as foreign objects retained after
surgery according to ICD-10-CM. They weren’t considered as HACs, so
there were no other conditions of foreign objects retained after surgery
in our hospital. Manifestations of poor glycemic control ranked third
with 5.56% (53), and followed closely by VCAIs with 5.45% (52), stage
III and IV pressure ulcers with 5.14% (49), CAUTIs with 3.46% (33),
and falls and trauma with 3.14% (30). Meanwhile, the proportion of
iatrogenic pneumothorax with venous catheterization was less than 1%
separately. Air embolism and blood incompatibility didn’t happen.
From an economic perspective, the total costs of the patients with SSI
and DVT and PE ranked in 1st, and 2nd. Stage III and IV pressure ulcers
and falls and trauma ranked in 1st and 2nd from the mean length of
hospitalization (Table 1). Economically, stage III and IV pressure
ulcers took the most averaged to every in-patient.
When comparing these conditions among three years, we saw that the
occurrence rate of stage III and IV pressure ulcers, and DVT and PE
became less and less. However, most of the conditions were increasing,
and the total number increased in 2018 though it underwent a decrease in
2017. About the financial information of three years, no more trends can
be seen, except the gradually reduced mean cost of CAUTIs. In addition,
there was no rule can be found in the length of hospitalization (Figure
1, Supplementary Table 1, 2).