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Table 4 CDI-attributable LOS and CDI-related LOS

From: Cost of hospital management of Clostridium difficile infection in United States—a meta-analysis and modelling study

Reference

Population

Statistic

CDI VS NO CDI LOS (Days)

CDI LOS (Days)

Sample size

Value

SD or 95 % CI

Sample size

Value

SD or 95 % CI

CO-CDI Inpatient days

 

Arora 2011 [29]

Horn’s index 1&2

Mean

33

15.1

16.2

 

33

15.1

16.2

 

Arora 2011 [29]

Horn’s index 3&4

Mean

52

33.4

33.3

 

52

33.4

33.3

 

Kuntz 2012 [41]

General outpatient

Mean

1650

10.0

17.0

 

1650

10.0

17.0

 

Kuntz 2012 [41]

General inpatient

Mean

1316

14.9

20.9

 

1316

14.9

20.9

 

O’Brien 2007 [51]

General

Mean

4015

6.4

  

4015

6.4

  

Pant 2013 [55]

IBD

Coefficient

12,610

2.1

1.4

2.8

 

2.1

1.4

2.8

Peery 2012 [56]

General

Median

110,553

5.0

  

110,553

5.0

  

Quimbo 2013 [57]

CDAD History

Mean

1866

2.9

2.4

3.6

933

8.9

7.2

11.0

Sammons 2013 [59]

Children

Median

2060

5.6

4.5

6.6

2060

6.0

4.0a

13.0a

VeerLee 2012 [64]

General

Mean

68,686

7.1

7.0

 

68,686

7.1

7.0

 

Weighted Mean

 

202,841

5.7

  

189,298

5.9

  

HO-CDI inpatient days

Jiang 2013 [39]

General

Median

7264

8.0

  

1211

13.0

  

Lipp 2012 [46]

General

Mean

3826

12.0

  

3826

12.0

  

Pakyz 2011 [52]

General

Mean

30,071

11.1

  

10,857

21.1

21.0

21.2

Tabak 2013 [63]

General

Median

1020

2.3

0.9

3.8

255

12.0

9.0a

21.0a

Wang 2013

General

Median

7,227,788

7.0

  

78,273

6.0

4.0a

11.0a

Campbell 2013 [31]

Age > = 65

Mean

3064

3.0

1.4

4.6

3064

21.3

25.3

 

Quimbo 2013 [57]

Elderly

Mean

34,732

7.8

7.5

8.1

10,933

18.8

18.2

19.5

Sammons 2013 [59]

Children

Median

2414

21.6

19.3

23.9

2414

23.0

12.0a

44.0a

Ananthakrishnan 2008 [28]

IBD

Median

80,170

3.0

  

2804

7.0

  

Campbell 2013 [31]

IBD

Mean

84

3.0

−2.3

8.3

84

21.0

19.1

 

Quimbo 2013 [57]

IBD

Mean

3618

3.3

2.9

3.7

1206

12.8

11.6

14.2

Nguyen 2008 [49]

Crohn’s disease

Mean

73,197

3.8

  

329

9.5

  

Nguyen 2008 [49]

Ulcerative colitis

Mean

43,645

3.2

  

196

9.9

  

Reed 2008

Digestive disorders

Mean

2394

3.0

  

320

6.9

5.2

 

Damle 2014 [14]

Colorectal surgery

Median

84,648

8.4

8.0

8.9

1266

13.0

18.0

 

Lesperance 2011 [45]

Elective colonic resection

Mean

695,010

11.7

  

10,077

22.6

  

Reed 2008

Major bowel procedures

Mean

1035

10.0

  

45

20.9

11.3

 

Wilson 2013 [66]

Ileostomy

Mean

13,462

11.6

  

217

18.7

  

Campbell 2013 [31]

Cabx exposure

Mean

1641

7.8

5.7

9.9

1641

29.3

34.7

 

Quimbo 2013 [57]

Concomitant Antibiotic Use

Mean

17,716

7.8

7.4

8.3

4429

17.9

17.0

18.9

Lagu 2014 [42]

Sepsis

Mean

4736

5.1

4.4

5.7

2368

19.2

  

Reed 2008

Septicemia

Mean

1211

5.0

  

92

10.7

7.6

 

Egorova 2015 [35]

Vascular surgery

Median

450,251

6.7

  

4708

15.0

9.0a

25.0a

Flagg 2014 [36]

Cardiac surgery

Median

349,122

10.0

  

2580

21.0

  

Glance 2011 [38]

Trauma

Median

149,656

10.0

  

768

16.0

  

Lemaire 2015 [43]

Cardiac surgery (CABG)

Median

421,294

12.0

   

19.0

  

Lemaire 2015 [43]

Cardiac surgery (VS)

Median

90,923

16.0

   

24.0

  

Reed 2008

Congestive Heart Failure

Mean

2542

5.0

  

35

9.7

7.0

 

Reed 2008

OR procedure for infectious /parasitic diseases

Mean

449

2.0

  

32

14.7

8.6

 

Lawrence 2007 [44]

ICU

Median

    

76

14.9

1.0b

86.0b

Lawrence 2007 [44]

ICU

Median

    

76

38.3

4.0b

184.0b

Ali 2012 [27]

Liver transplant

Mean

193,714

10.1

  

5159

17.8

  

Singal 2014 [60]

Cirrhosis

Mean

89,673

7.5

  

1444

13.9

  

Quimbo 2013 [57]

Immunocompromised

Mean

14,344

8.4

7.9

9.0

3586

22.1

20.6

23.7

Campbell 2013 [31]

Renal impairment

Mean

3236

4.0

2.9

5.1

3236

22.7

28.2

 

Quimbo 2013 [57]

Renal impairment

Mean

22,132

17.3

16.4

18.3

5533

37.5

35.5

39.6

Campbell 2013 [31]

Cancer/BMT

Mean

782

4.0

2.3

5.7

782

21.3

18.5

 

Weighted Mean

  

10,120,864

7.8

  

168,892

13.5

  

Both CO-CDI and HO-CDI inpatient cost

Song 2008 [61]

General

Median

1260

4.0

  

630

22.0

  

Stewart 2011 [62]

General

Mean

82,414

5.1

  

41,207

13.0

14.0

 

Nylund 2011 [50]

Children, 1997

Median

3565

3.0

  

3565

5.0

3.0a

14.0a

Nylund 2011 [50]

Children, 2000

Median

4356

4.0

  

4356

6.0

3.0a

15.0a

Nylund 2011 [50]

Children, 2003

Median

5574

4.0

  

5574

6.0

3.0a

14.0a

Nylund 2011 [50]

Children, 2006

Median

7779

4.0

  

7779

6.0

3.0a

15.0a

Sammons 2013 [59]

Children

Median

698,616

12.2

10.6

13.8

698,616

10.0

5.0a

23.0a

Bajaj 2010 [30]

Cirrhosis

Mean

83,230

7.1

  

1165

14.4

  

Bajaj 2010 [30]

CDI only

Mean

    

58,220

12.7

  

Pant 2013 [55]

IBD

Mean

12,610

2.2

1.5

2.8

447

8.2

  

Dubberke 2008 [33]

Non-surgical

Median

24,691

6.0

  

439

10.0

2. 0b

87.0b

Lawrence 2007 [44]

ICU stay

Median

1872

3.1

  

76

6.1

1.0b

86.0b

Lawrence 2007 [44]

Hospital stay

Median

1872

14.4

  

76

24.5

2.0b

184.0b

Maltenfort 2013 [47]

Arthroplasty

Median

7.0

  

10.0

7.0a

17.0a

Zerey 2007 [67]

Surgical

Median

1,553,597

16.0

15.6

16.4

8113

18.0

  

Pant 2012 [53]

Organ transplant

Median

49,198

9.6

9.3

9.9

63,651

   

Pant 2012 (2) [54]

Renal disease

Coefficient

184,139

9.4

9.2

9.5

59,793

   

Zilberberg 2009 [68]

Prolonged acute mechanical ventilation

Median

3370

6.1

4.9

7.4

3468

25.0

15.0a

40.0a

Weighted Mean

 

2,718,143

13.6

  

957,175

9.0

  
  1. Abbreviations: CO-CDI community-onset CDI, HO-CDI Hospital-onset CDI, PAMV prolonged acute mechanical ventilation, Cabx concomitant antibiotic use, UC ulcerative colitis, CD Crohn’s disease, IBD inflammatory bowel disease, ICU intensive care unit, CABG coronary artery bypass grafting, VS valvular surgery, BMT, PD primary diagnosis, SD secondary diagnosis, Calculated numbers were marked in Italic, attributable cost = cost of CDI group- cost of control non-CDI group
  2. aQ1-Q3
  3. bMin-Max