Enhanced Identification of Postoperative Infections among Outpatients

Miner, Andrew L.; Sands, Kenneth E.; Yokoe, Deborah S.; Freedman, John; Thompson, Kristin; Livingston, James M.; Platt, Richard

doi:10.3201/eid1011.040784

i

Enhanced Identification of Postoperative Infections among Outpatients

Supporting Files

Nov 2004
By Miner, Andrew L. ; Sands, Kenneth E. ; Yokoe, Deborah S. ; ...

File Language:

English

Details

Alternative Title:

Emerg Infect Dis
Personal Author:

Miner, Andrew L. ; Sands, Kenneth E. ; Yokoe, Deborah S. ; Freedman, John ; Thompson, Kristin ; Livingston, James M. ; Platt, Richard
Description:

We investigated using administrative claims data to identify surgical site infections (SSI) after breast surgery and cesarean section. Postoperative diagnosis codes, procedure codes, and pharmacy information were automatically scanned and used to identify claims suggestive of SSI ("indicators") among 426 (22%) of 1,943 breast procedures and 474 (10%) of 4,859 cesarean sections. For 104 breast procedures with indicators explained in available medical records, SSI were confirmed for 37%, and some infection criteria were present for another 27%. Among 204 cesarean sections, SSI were confirmed for 40%, and some criteria were met for 27%. The extrapolated infection rates of 2.8% for breast procedures and 3.1% for cesarean section were similar to those reported by the National Nosocomial Infection Surveillance program but differ in representing predominantly outpatient infections. Claims data may complement other data sources for identification of surgical site infections following breast surgery and cesarean section.
Subjects:

Adult Automation Cesarean Section Female Humans Insurance, Health Insurance Claim Reporting Mammaplasty Medical Records Middle Aged Outpatients Population Surveillance Research Surgical Wound Infection
Source:

Emerg Infect Dis. 10(11):1931-1937.
Document Type:

Journal Article
Funding:

200-95-0957/PHS HHS/United States ; UR8/CCU115079/CC/ODCDC CDC HHS/United States
Place as Subject:

Massachusetts
Location:

North America
Volume:

10
Issue:

11
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha256:04acd336beaa46799b2a3185218ed7cb7547ca23f809a0e8fda43daade3fb94d
Download URL:

https://stacks.cdc.gov/view/cdc/14711/cdc_14711_DS1.pdf
File Type:

[PDF - 131.55 KB ]

File Language:

English

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