Portal de Periódicos da CAPES

Use of ICD-9-CM coding as a case-finding method for sternal wound infections after CABG procedures

2000; Elsevier BV; Volume: 28; Issue: 2 Linguagem: Inglês

10.1016/s0196-6553(00)90030-0

1527-3296

Joan Hebden,

Medical Coding and Health Information

Surgical site infection of the sternal wound in patients who have undergone coronary artery bypass grafting (CABG) results in high morbidity, mortality, and significantly increased costs. 1 Borger MA Rao V Weisel RD Ivanov J Cohen G Scully HE et al. Deep sternal wound infection: risk factors and outcomes. Ann Thorac Surg. 1998; 65: 1050-1056 Abstract Full Text Full Text PDF PubMed Scopus (279) Google Scholar , 2 Boyce JM Potter-Bynoe G Dziobek L. Hospital reimbursement patterns among patients with surgical wound infections following open heart surgery. Infect Control Hosp Epidemiol. 1990; 11: 89-93 Crossref PubMed Google Scholar , 3 Loop FD Lytle BW Cosgrove DM Mahfood S McHenry MC Goormastic M Stewart RW Golding LA Taylor PC.J. Maxwell Chamberlain memorial paper. Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity, and cost of care. Ann Thorac Surg. 1990; 49 (discussion 86-7): 179-186 Abstract Full Text PDF PubMed Scopus (599) Google Scholar , 4 Stahle E Tammelin A Bergstrom R Hambreus A Nystrom SO Hansson HE. Sternal wound complications—incidence, microbiology and risk factors. Eur J Cardiothorac Surg. 1997; 11: 1146-1153 Crossref PubMed Scopus (198) Google Scholar , 5 Taylor GJ Mikell FL Moses HW Dove JT Katholi RE Malik SA et al. Determinants of hospital charges for coronary artery bypass surgery: the economic consequences of postoperative complications. Am J Cardiol. 1990; 65: 309-313 Abstract Full Text PDF PubMed Scopus (175) Google Scholar Surveillance for these infections is recognized as an important component of quality improvement programs and infection prevention. 2 Boyce JM Potter-Bynoe G Dziobek L. Hospital reimbursement patterns among patients with surgical wound infections following open heart surgery. Infect Control Hosp Epidemiol. 1990; 11: 89-93 Crossref PubMed Google Scholar , 3 Loop FD Lytle BW Cosgrove DM Mahfood S McHenry MC Goormastic M Stewart RW Golding LA Taylor PC.J. Maxwell Chamberlain memorial paper. Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity, and cost of care. Ann Thorac Surg. 1990; 49 (discussion 86-7): 179-186 Abstract Full Text PDF PubMed Scopus (599) Google Scholar , 5 Taylor GJ Mikell FL Moses HW Dove JT Katholi RE Malik SA et al. Determinants of hospital charges for coronary artery bypass surgery: the economic consequences of postoperative complications. Am J Cardiol. 1990; 65: 309-313 Abstract Full Text PDF PubMed Scopus (175) Google Scholar , 6 Mangram AJ Horan TC Pearson ML Silver LC Jarvis WR. Guideline for prevention of surgical site infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control. 1999; 27 (quiz 3-4; discussion 96): 97-132 Abstract Full Text Full Text PDF PubMed Google Scholar However, surveillance for surgical site infections (SSI) is labor intensive, requiring multiple case-finding methods and chart reviews. We report our evaluation of ICD-9-CM coding for sternal wound infections performed by medical record abstractors on hospital discharge as an indirect case-finding method.