{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:04:21Z","timestamp":1787007861879,"version":"build-2736575974"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"S3","license":[{"start":{"date-parts":[[2016,5,10]],"date-time":"2016-05-10T00:00:00Z","timestamp":1462838400000},"content-version":"unspecified","delay-in-days":587,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec id=\"S0899823X00194097_abs1\">\n                    <jats:title>Objective.<\/jats:title>\n                    <jats:p>\n                      <jats:italic>International Classification of Diseases, Ninth Revision, Clinical Modification<\/jats:italic>\n                      (ICD-9-CM) diagnosis codes are increasingly used to identify healthcare-associated infections, often with insufficient evidence demonstrating validity of the codes used. Absent medical record verification, we sought to confirm a claims algorithm to identify surgical site infections (SSIs) by examining the presence of clinically expected SSI treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00194097_abs2\">\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>\n                      We performed a retrospective cohort study, using private insurer claims data from persons less than 65 years old with\n                      <jats:italic>ICD-9-CM<\/jats:italic>\n                      procedure or Current Procedure Terminology (CPT-4) codes for anterior cruciate ligament (ACL) reconstruction from January 2004 through December 2010. SSIs occurring within 90 days after ACL reconstruction were identified by\n                      <jats:italic>ICD-9-CM<\/jats:italic>\n                      diagnosis codes. Antibiotic utilization, surgical treatment, and microbiology culture claims within 14 days of SSI codes were used as evidence to support the SSI diagnosis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00194097_abs3\">\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>Of 40,702 procedures, 401 (1.0%) were complicated by SSI, 172 (0.4%) of which were specifically identified as septic arthritis. Most SSIs were associated with an inpatient admission (232\/401 [58%]), and\/or surgical procedure(s) for treatment (250\/401 [62%]). Temporally associated antibiotics, surgical treatment procedures, and cultures were present for 84% (338\/401), 61% (246\/401), and 59% (238\/401), respectively. Only 5.7% (23\/401) of procedures coded for SSI after the procedure had no antibiotics, surgical treatments, or cultures within 14 days of the SSI claims.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00194097_abs4\">\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>More than 94% of patients identified by our claims algorithm as having an SSI received clinically expected treatment for infection, including antibiotics, surgical treatment, and culture, suggesting that this algorithm has very good positive predictive value. This method may facilitate retrospective SSI surveillance and comparison of SSI rates across facilities and providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1086\/677830","type":"journal-article","created":{"date-parts":[[2014,10,6]],"date-time":"2014-10-06T13:59:31Z","timestamp":1412603971000},"page":"S124-S132","source":"Crossref","is-referenced-by-count":11,"title":["Can Additional Information Be Obtained from Claims Data to Support Surgical Site Infection Diagnosis Codes?"],"prefix":"10.1017","volume":"35","author":[{"given":"David K.","family":"Warren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katelin B.","family":"Nickel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna E.","family":"Wallace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Mines","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria J.","family":"Fraser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret A.","family":"Olsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,5,10]]},"reference":[{"key":"S0899823X00194097_ref016","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510388163"},{"key":"S0899823X00194097_ref026","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512461903"},{"key":"S0899823X00194097_ref006","doi-asserted-by":"publisher","DOI":"10.1086\/660870"},{"key":"S0899823X00194097_ref023","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(00)90032-X"},{"key":"S0899823X00194097_ref030","unstructured":"Centers for Disease Control and Prevention. National Health-care Safety Network (NHSN) procedure-associated (PA) module: surgical site infection (SSI) event, http:\/\/www.cdc.gov\/nhsn\/PDFs\/pscManual\/9pscSSIcurrent.pdf. Accessed November 14, 2013."},{"key":"S0899823X00194097_ref010","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2008.01.004"},{"key":"S0899823X00194097_ref029","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/173.4.963"},{"key":"S0899823X00194097_ref024","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.10.002"},{"key":"S0899823X00194097_ref018","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310031501"},{"key":"S0899823X00194097_ref013","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.12.002"},{"key":"S0899823X00194097_ref011","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507299443"},{"key":"S0899823X00194097_ref001","doi-asserted-by":"publisher","DOI":"10.3201\/eid1011.040572"},{"key":"S0899823X00194097_ref028","doi-asserted-by":"publisher","DOI":"10.3113\/JSOA.2013.0127"},{"key":"S0899823X00194097_ref009","doi-asserted-by":"publisher","DOI":"10.1086\/507281"},{"key":"S0899823X00194097_ref012","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.09.004"},{"key":"S0899823X00194097_ref005","doi-asserted-by":"publisher","DOI":"10.1086\/663207"},{"key":"S0899823X00194097_ref017","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.02.008"},{"key":"S0899823X00194097_ref032","unstructured":"Centers for Medicare and Medicaid Services. Global surgery fact sheet. http:\/\/www.cms.gov\/Outreach-and-Education\/Medicare -Learning-Network-MLN\/MLNProducts\/downloads\/GloballSurgery-ICN907166.pdf. Published August 2013. Accessed November 14, 2013."},{"key":"S0899823X00194097_ref007","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31826b4c4f"},{"key":"S0899823X00194097_ref020","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2010.11.011"},{"key":"S0899823X00194097_ref003","doi-asserted-by":"publisher","DOI":"10.1086\/652155"},{"key":"S0899823X00194097_ref027","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0793-1"},{"key":"S0899823X00194097_ref008","doi-asserted-by":"publisher","DOI":"10.1086\/666626"},{"key":"S0899823X00194097_ref002","doi-asserted-by":"publisher","DOI":"10.1086\/597584"},{"key":"S0899823X00194097_ref019","doi-asserted-by":"crossref","first-page":"228","DOI":"10.47102\/annals-acadmedsg.V33N2p228","article-title":"Septic arthritis after arthroscopic anterior cruciate ligament reconstruction","volume":"33","author":"Fong","year":"2004","journal-title":"Ann AcadMed Singap"},{"key":"S0899823X00194097_ref031","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-12-97"},{"key":"S0899823X00194097_ref025","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500222"},{"key":"S0899823X00194097_ref015","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-2123-y"},{"key":"S0899823X00194097_ref014","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200205000-00026"},{"key":"S0899823X00194097_ref021","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513493589"},{"key":"S0899823X00194097_ref004","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2010.03.015"},{"key":"S0899823X00194097_ref022","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00408"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X00194097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T10:06:17Z","timestamp":1717409177000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X00194097\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10]]},"references-count":32,"journal-issue":{"issue":"S3","published-print":{"date-parts":[[2014,10]]}},"alternative-id":["S0899823X00194097"],"URL":"https:\/\/doi.org\/10.1086\/677830","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10]]}}}