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Volume 8, Number 12—December 2002

Research

Using Automated Health Plan Data to Assess Infection Risk from Coronary Artery Bypass Surgery

Richard Platt*†‡Comments to Author , Ken Kleinman*†, Kristin Thompson*†, Rachel S. Dokholyan*†, James M. Livingston*‡, Andrew Bergman*§, John H. Mason*#, Teresa C. Horan**, Robert P. Gaynes#, Steven L. Solomon#, and Kenneth E. Sands*††
Author affiliations: *Centers for Disease Control and Prevention Eastern Massachusetts Prevention Epicenter, Boston, Massachusetts, USA; †Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA; ‡Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA; §Tufts Health Plan, Boston, Massachusetts, USA; #Blue Cross Blue Shield of Massachusetts, Boston, Massachusetts, USA; **Centers for Disease Control and Prevention, Atlanta, Georgia, USA; ††Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA;

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Table 3

Infections noted in full text medical record reviewa

Plan 1 Plan 2 Plan 4 Plan 5 All
Records sought 53 182 86 47 368
Records obtained (%) 51 (96) 125 (69) 68 (79) 31 (66) 275 (75)
Adequate documentation (% of records received) 45 (88) 62 (50) 29 (43) 13 (42) 149 (54)
Adequate documentation among records sought 45 (85) 62 (34) 29 (34) 13 (28) 149 (40)
Surgical site status 
(% of those with adequate documentation)
Confirmed surgical site infection 23 (51) 31 (50) 15 (52) 10 (77) 79 (53)
Problem wound healing, not meeting criteria for infection. 7 (16) 7 (11) 3 (10) 2 (15) 19 (13)
No evidence of infection 15 (33) 24 (31) 11 (38) 1 (8) 51 (34)

aFor logistical reasons, records were not sought from plan 3.

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