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Improving public reporting and data validation for complex surgical site infections after coronary artery bypass graft surgery and hip arthroplasty.
Calderwood, Michael S; Kleinman, Ken; Murphy, Michael V; Platt, Richard; Huang, Susan S.
Afiliación
  • Calderwood MS; Division of Infectious Diseases , Brigham and Women's Hospital , Boston, Massachusetts ; Department of Population Medicine , Harvard Medical School and Harvard Pilgrim Health Care Institute , Boston, Massachusetts.
  • Kleinman K; Department of Population Medicine , Harvard Medical School and Harvard Pilgrim Health Care Institute , Boston, Massachusetts.
  • Murphy MV; Department of Population Medicine , Harvard Medical School and Harvard Pilgrim Health Care Institute , Boston, Massachusetts.
  • Platt R; Department of Population Medicine , Harvard Medical School and Harvard Pilgrim Health Care Institute , Boston, Massachusetts.
  • Huang SS; Division of Infectious Diseases and Health Policy Research Institute , University of California Irvine School of Medicine.
Open Forum Infect Dis ; 1(3): ofu106, 2014 Dec.
Article en En | MEDLINE | ID: mdl-25734174
BACKGROUND: Deep and organ/space surgical site infections (D/OS SSI) cause significant morbidity, mortality, and costs. Rates are publicly reported and increasingly used as quality metrics affecting hospital payment. Lack of standardized surveillance methods threaten the accuracy of reported data and decrease confidence in comparisons based upon these data. METHODS: We analyzed data from national validation studies that used Medicare claims to trigger chart review for SSI confirmation after coronary artery bypass graft surgery (CABG) and hip arthroplasty. We evaluated code performance (sensitivity and positive predictive value) to select diagnosis codes that best identified D/OS SSI. Codes were analyzed individually and in combination. RESULTS: Analysis included 143 patients with D/OS SSI after CABG and 175 patients with D/OS SSI after hip arthroplasty. For CABG, 9 International Classification of Diseases, 9th Revision (ICD-9) diagnosis codes identified 92% of D/OS SSI, with 1 D/OS SSI identified for every 4 cases with a diagnosis code. For hip arthroplasty, 6 ICD-9 diagnosis codes identified 99% of D/OS SSI, with 1 D/OS SSI identified for every 2 cases with a diagnosis code. CONCLUSIONS: This standardized and efficient approach for identifying D/OS SSI can be used by hospitals to improve case detection and public reporting. This method can also be used to identify potential D/OS SSI cases for review during hospital audits for data validation.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Tipo de estudio: Diagnostic_studies Idioma: En Revista: Open Forum Infect Dis Año: 2014 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Tipo de estudio: Diagnostic_studies Idioma: En Revista: Open Forum Infect Dis Año: 2014 Tipo del documento: Article