Volume 10, Number 11—November 2004
Enhanced Identification of Postoperative Infections among Outpatients
|Characteristic||Breast (%)||Cesarean (%)|
|Procedures with possible SSIb||410 (21)||474 (10)|
|Requested 1 or more records (% of those with possible SSI)c||395 (96)||443 (93)|
|Records received (% of requested)||295 (75)||342 (77)|
|Adequate record received (% of requested)||209 (53)||255 (58)|
|No. among adequate records (% of adequate records)d|
|Confirmed SSI||38 (18)||82 (32)|
|Some signs and symptoms of SSI, does not meet criteria||28 (13)||56 (22)|
|No evidence of SSI|
|Another infection found, responsible for indicator||9 (4)||38 (15)|
|SSI indicator explained, not caused by infection||29 (14)||28 (11)|
|SSI indicator could not be explained||105 (50)||51 (20)|
aSSI, surgical site infection.
bFor breast procedures, those with possible SSI are procedures with predicted probability of infection >0.03. For cesarean section, procedures with possible SSI are those with any SSI indicator and no mastitis indicators.
cCommon reasons for not requesting records were the following: member's information restricted, no provider could be identified from claims, or no current contact information could be obtained for a provider.
dBreast procedure outcomes based on 60 postoperative days; cesarean section outcomes based on 30 postoperative days.