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

Saeed, Mohammed J; Dubberke, Erik R; Fraser, Victoria J; Olsen, Margaret A

doi:10.1016/j.ajic.2015.02.012

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

Published Date:

Mar 26 2015

Publisher's site:

http://dx.doi.org/10.1016/j.ajic.2015.02.012 New Site Icon

Source:

Am J Infect Control. 43(6):617-623.

[PDF - 520.55 KB]

Details:

Personal Authors:

Saeed, Mohammed J ; Dubberke, Erik R ; Fraser, Victoria J ; Olsen, Margaret A ;

Keywords:

[+]

Pubmed ID:

25818024

Pubmed Central ID:

PMC4573529

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.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

KM1 CA156708/CA/NCI NIH HHS/United States
KM1CA156708/CA/NCI NIH HHS/United States
R24 HS19455/HS/AHRQ HHS/United States
U54CK000162/CK/NCEZID CDC HHS/United States
UL1 TR000448/TR/NCATS NIH HHS/United States
UL1 TR000448/TR/NCATS NIH HHS/United States

Supporting Files:

nihms719170.nxml	application/octet-stream
nihms719170f1.gif	image/gif
nihms719170f1.jpg	image/jpeg

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