Procedure-specific Surgical Site Infection Incidence Varies Widely within Certain National Healthcare Safety Network Surgery Groups

Details

• Alternative Title:
  Am J Infect Control
• Personal Author:
  Saeed, Mohammed J ; Dubberke, Erik R ; Fraser, Victoria J ; Olsen, Margaret A
• Description:
  Background ; The National Healthcare Safety Network (NHSN) classifies surgical procedures into 40 categories. The objective of this study was to determine surgical site infection (SSI) incidence for clinically defined subgroups within 5 heterogeneous NHSN surgery categories. ; Methods ; This is a retrospective cohort study using the longitudinal State Inpatient Database. We identified 5 groups of surgical procedures (amputation; biliary, liver and pancreas BILI; breast; colon and hernia) using ICD-9-CM procedure codes in community hospitals in California, Florida and New York from January 2009 through September 2011 in persons aged ≥18 years. Each of these 5 categories was classified to more specific surgical procedures within the group. 90-day SSI rates were calculated using ICD-9-CM diagnosis codes. ; Results ; There were 62,901 amputation, 33,358 BILI, 72,058 breast, 125,689 colon and 85,745 hernia surgeries in 349,298 people. 90-day SSI rates varied significantly within each of the 5 subgroups. Within the BILI category, bile duct, pancreas and laparoscopic liver procedures had SSI rates of 7.2%, 17.2%, and 2.2%, respectively (p<0.0001 for each) compared to open liver procedures (11.1% SSI). ; Conclusion ; 90-day SSI rates varied widely within certain NHSN categories. Risk adjustment for specific surgery type is needed in order to make valid comparisons between hospitals.
• Subjects:
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Amputation, Surgical
  • Breast
  • California
  • Community Networks
  • Digestive System Surgical Procedures
  • Female
  More +
• Keywords:
  • surgical site infection
  • surveillance
  • risk adjustment
  • National Healthcare Safety Network
• Source:
  Am J Infect Control. 43(6):617-623
• Pubmed ID:
  25818024
• Pubmed Central ID:
  PMC4573529
• Document Type:
  Journal Article
• Funding:
  U54CK000162/CK/NCEZID CDC HHSUnited States/ ; R24 HS19455/HS/AHRQ HHSUnited States/ ; UL1 TR000448/TR/NCATS NIH HHSUnited States/ ; U54 CK000162/CK/NCEZID CDC HHSUnited States/ ; KM1CA156708/CA/NCI NIH HHSUnited States/ ; KM1 CA156708/CA/NCI NIH HHSUnited States/
• Volume:
  43
• Issue:
  6
• Download URL:
  https://stacks.cdc.gov/view/cdc/34349/cdc_34349_DS1.pdf
• File Type:
  [PDF - 520.55 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:bae9633bd549d513bd698f22cae03058932c7c31add0c986aade6dd63435a30dc16aa9c0e7ea0866f8a6e9db45fd7fab6fb4dac3e7cbafd53f5defe1a19d2298