Background: The diagnosis-related group (DRG) is a payment system introduced to standardize healthcare costs. However, reimbursement for treatment of infections does not always cover costs. Methods: We used 2015-2018 data from 92 US hospitals in the Becton Dickinson Insights Research Database to compare the financial burden of hospital admissions within non-infection DRGs for patients with a bacterial infection (INF+) versus those without an infection (INF-). Included patients were adults with a hospital length of stay (LOS) ≥3 days and evidence of infection. Multi-variable adjusted analyses via generalized linear mixed models were used to evaluate the impact of an infection on outcomes. Results: We analyzed data from 133,423 INF+ admissions and 170,531 INF- admissions. Infections were associated with an approximately two-fold increase in model-estimated LOS (9.2 vs 4.8 d; P
CITATION STYLE
Puzniak, L., Gupta, V., Yu, K. C., Ye, G., & Outterson, K. (2021). The impact of infections on reimbursement in 92 US hospitals, 2015-2018. American Journal of Infection Control, 49(10), 1275–1280. https://doi.org/10.1016/j.ajic.2021.04.007
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