A comparison of competing methods for the detection of surgical-site infections in patients undergoing total arthroplasty of the knee, partial and total arthroplasty of hip and femoral or similar vascular bypass

The Journal of Hospital Infection
M CurtisM Whitby

Abstract

Recent research suggests that the retrospective review of the International Classification of Disease (ICD-9-CM) codes assigned to a patient episode will identify a similar number of healthcare-acquired surgical-site infections as compared with prospective surveillance by infection control practitioners (ICP). We tested this finding by replicating the methods for 380 surgical procedures. The sensitivity and specificity of the ICP undertaking prospective surveillance was 80% and 100%, and the sensitivity and specificity of the review of ICD-10-AM codes was 60% and 98.9%. Based on these results we do not support retrospective review of ICD-10-AM codes in preference prospective surveillance for SSI.

Citations

Dec 6, 2011·Surgical Infections·Mandar ApteElaine Larson
Oct 12, 2005·American Journal of Infection Control·Frank HuengerSebastian W Lemmen
May 20, 2015·The Journal of Arthroplasty·Maria C S InacioStephen E Graves
Mar 8, 2013·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Maaike S M van MourikMarc J M Bonten
Apr 14, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Luciana B PerdizEduardo A S Medeiros
Aug 11, 2007·The Journal of Arthroplasty·Kafai LaiDavid R Hedden
Jul 31, 2013·The Journal of Arthroplasty·Eric B SmithElizabeth A Younkins
Oct 22, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Marci DreesGrace M Lee
Oct 7, 2004·The American Journal of Medicine·Andrej TrampuzRobin Patel
Dec 13, 2006·American Journal of Infection Control·Sue BarnesKathy Hoare
Nov 24, 2018·BMJ Quality & Safety·Christopher Kandel, Nick Daneman
Aug 29, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Janneke D M VerberkMaaike S M van Mourik
Oct 1, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Christopher E KandelAllison McGeer
May 1, 2009·Acta Orthopaedica·Esa JämsenYrjö T Konttinen

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