Validation of coronary artery bypass graft surgical site infection surveillance data from a statewide surveillance system in Australia.
作者： N. Deborah Friedman , Philip L. Russo , Ann L. Bull , Michael J. Richards , Heath Kelly
DOI: 10.1086/518455
关键词:
摘要: objective. To measure the accuracy and determine positive predictive value (PPV) negative (NPV) of data submitted to a statewide surveillance system for identifying surgical site infection (SSI) complicating coronary artery bypass graft (CABG) surgery. design. Retrospective review hospital medical records comparing SSI with by control consultants (ICCs). setting. Victorian Hospital Acquired Infection Surveillance System (VICNISS) Coordinating Centre in Victoria, Australia. patients. All patients reported have an following CABG surgery random sample approximately 10% not results. The VICNISS ascertainment rate procedures Victoria was 95%. One hundred sixty-nine were reviewed, reviewers agreed ICCs about 46 (96%) as infected 31 (91%) identified sternal ICCs. In one-third SSIs, depth documented discordant that reviewers. Disagreement donor frequent. When findings used reference standard, PPV ICC-reported 96% (95% confidence interval [CI], 86%-99%), NPV 97% CI, 92%-99%). For SSI, 91% 76%-98%) 98% 94%-100%). conclusions. There broad agreement on number SSI. However, discordance frequent respect identification We recommend modifications methodology National Noscomial System‐based
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