E-Posters-What is the Cost of Surgical Site Infections and Extended Length of Stay for Obese Patients Undergoing Open Sacrocolpopexy?

What is the Cost of Surgical Site Infections and Extended Length of Stay for Obese Patients Undergoing Open Sacrocolpopexy? - Gabriela E Halder, MD, MPH

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The cost of surgical site infections (SSI) and extended length of stay (LOS) for obese patients undergoing open sacrocolpopexy (OSCP) were evaluated in this descriptive study. The study used previously published data from the American College of Surgeons-National Surgical Quality Improvement Project database between 2005-2013. The costs were estimated as follows: robot purchase and maintenance ($8,043 per surgery), SSI ($10,433 per infection), and LOS ($2,414 per day). The increased risk of SSI and extended LOS associated with OSCP resulted in increased costs across all BMI categories. The increase was most pronounced in obese and morbidly obese patients, resulting in cost increases of $2,662.73 and $3,191.64, respectively. The additional cost of SSI and LOS in OSCP was less than the additional cost of robot purchase and maintenance ($8,043). <br /><br />Given the increased morbidity and cost of OSCP in obese patients, laparoscopic sacrocolpopexy (LSCP) and robotic sacrocolpopexy (RSCP) should be considered as the primary surgical routes for this patient population. The increased costs of RSCP purchase and maintenance should be weighed against the benefits of decreased morbidity among this high-risk group. The findings indicate that SSI and extended LOS for obese patients undergoing OSCP result in an increased cost of at least $2,500 per patient.

Keywords

surgical site infections

extended length of stay

obese patients

open sacrocolpopexy

costs

American College of Surgeons-National Surgical Quality Improvement Project

BMI categories

laparoscopic sacrocolpopexy

robotic sacrocolpopexy

morbidity