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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;

Main Article

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.

Main Article

Page created: July 19, 2010
Page updated: July 19, 2010
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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