Incidence of Surgical Site Infection Following Mastectomy With and Without Immediate Reconstruction Using Private Insurer Claims Data
| العنوان: | Incidence of Surgical Site Infection Following Mastectomy With and Without Immediate Reconstruction Using Private Insurer Claims Data |
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| المؤلفون: | Kelly E. Ball, Katelin B. Nickel, Anna E. Wallace, Victoria J. Fraser, Daniel Mines, Ida K. Fox, Margaret A. Olsen, Julie A. Margenthaler |
| المصدر: | Infection Control & Hospital Epidemiology. 36:907-914 |
| بيانات النشر: | Cambridge University Press (CUP), 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Adult, Microbiology (medical), medicine.medical_specialty, Time Factors, Adolescent, Epidemiology, Breast Implants, Mammaplasty, medicine.medical_treatment, Surgical Flaps, Article, Young Adult, International Classification of Diseases, Humans, Surgical Wound Infection, Medicine, Young adult, Mastectomy, Retrospective Studies, Insurance, Health, business.industry, Incidence, Incidence (epidemiology), Retrospective cohort study, Middle Aged, United States, Surgery, Infectious Diseases, Female, Implant, Diagnosis code, business, Administrative Claims, Healthcare, Surgical site infection |
| الوصف: | OBJECTIVEThe National Healthcare Safety Network classifies breast operations as clean procedures with an expected 1%–2% surgical site infection (SSI) incidence. We assessed differences in SSI incidence following mastectomy with and without immediate reconstruction in a large, geographically diverse population.DESIGNRetrospective cohort studyPATIENTSCommercially insured women aged 18–64 years with ICD-9-CM procedure or CPT-4 codes for mastectomy from January 1, 2004 through December 31, 2011METHODSIncident SSIs within 180 days after surgery were identified by ICD-9-CM diagnosis codes. The incidences of SSI after mastectomy with and without immediate reconstruction were compared using the χ2 test.RESULTSFrom 2004 to 2011, 18,696 mastectomy procedures among 18,085 women were identified, with immediate reconstruction in 10,836 procedures (58%). The incidence of SSI within 180 days following mastectomy with or without reconstruction was 8.1% (1,520 of 18,696). In total, 49% of SSIs were identified within 30 days post-mastectomy, 24.5% were identified 31–60 days post-mastectomy, 10.5% were identified 61–90 days post-mastectomy, and 15.7% were identified 91–180 days post-mastectomy. The incidences of SSI were 5.0% (395 of 7,860) after mastectomy only, 10.3% (848 of 8,217) after mastectomy plus implant, 10.7% (207 of 1,942) after mastectomy plus flap, and 10.3% (70 of 677) after mastectomy plus flap and implant (PP=.001) than without (6.1% vs 4.7%, P=.021) immediate reconstruction.CONCLUSIONSSSI incidence was twice that after mastectomy with immediate reconstruction than after mastectomy alone. Only 49% of SSIs were coded within 30 days after operation. Our results suggest that stratification by procedure type facilitates comparison of SSI rates after breast operations between facilities.Infect Control Hosp Epidemiol 2015;36(8):907–914 |
| تدمد: | 1559-6834 0899-823X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::371b9712ee280c724024d6873477df74 https://doi.org/10.1017/ice.2015.108 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....371b9712ee280c724024d6873477df74 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15596834 0899823X |
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