Validation of ICD-9-CM Diagnosis Codes for Surgical Site Infection and Noninfectious Wound Complications After Mastectomy
| العنوان: | Validation of ICD-9-CM Diagnosis Codes for Surgical Site Infection and Noninfectious Wound Complications After Mastectomy |
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| المؤلفون: | Anna E. Wallace, Kelly E. Ball, Victoria J. Fraser, Katelin B. Nickel, Margaret A. Olsen |
| المصدر: | Infection Control & Hospital Epidemiology. 38:334-339 |
| بيانات النشر: | Cambridge University Press (CUP), 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Adult, Microbiology (medical), medicine.medical_specialty, Adolescent, Epidemiology, Breast Implants, Mammaplasty, medicine.medical_treatment, 030501 epidemiology, Article, Young Adult, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Hematoma, International Classification of Diseases, Predictive Value of Tests, medicine, Humans, Surgical Wound Infection, Fat necrosis, 030212 general & internal medicine, Mastectomy, Missouri, business.industry, Clinical Coding, Postoperative complication, Middle Aged, medicine.disease, Surgery, Infectious Diseases, Seroma, Female, Diagnosis code, 0305 other medical science, business, Breast reconstruction |
| الوصف: | BACKGROUNDFew studies have validated ICD-9-CM diagnosis codes for surgical site infection (SSI), and none have validated coding for noninfectious wound complications after mastectomy.OBJECTIVESTo determine the accuracy of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes in health insurer claims data to identify SSI and noninfectious wound complications, including hematoma, seroma, fat and tissue necrosis, and dehiscence, after mastectomy.METHODSWe reviewed medical records for 275 randomly selected women who were coded in the claims data for mastectomy with or without immediate breast reconstruction and had an ICD-9-CM diagnosis code for a wound complication within 180 days after surgery. We calculated the positive predictive value (PPV) to evaluate the accuracy of diagnosis codes in identifying specific wound complications and the PPV to determine the accuracy of coding for the breast surgical procedure.RESULTSThe PPV for SSI was 57.5%, or 68.9% if cellulitis-alone was considered an SSI, while the PPV for cellulitis was 82.2%. The PPVs of individual noninfectious wound complications ranged from 47.8% for fat necrosis to 94.9% for seroma and 96.6% for hematoma. The PPVs for mastectomy, implant, and autologous flap reconstruction were uniformly high (97.5%–99.2%).CONCLUSIONSOur results suggest that claims data can be used to compare rates of infectious and noninfectious wound complications after mastectomy across facilities, even though PPVs vary by specific type of postoperative complication. The accuracy of coding was highest for cellulitis, hematoma, and seroma, and a composite group of noninfectious complications (fat necrosis, tissue necrosis, or dehiscence).Infect Control Hosp Epidemiol 2017;38:334–339 |
| تدمد: | 1559-6834 0899-823X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a4b931bf1ef52b0f23efd296a9bcc23e https://doi.org/10.1017/ice.2016.271 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....a4b931bf1ef52b0f23efd296a9bcc23e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15596834 0899823X |
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