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National and State Healthcare-associated Infections Standardized Infection Ratio Report

Using Data Reported to the National Healthcare Safety Network

January – December 2010

Appendix A

Surgical Care Improvement Project (SCIP) Procedures, NHSN Procedures Approximating SCIP Procedures, and Validated Parameters for Surgical Site Infection Risk Models in NHSN.

SCIP Procedure NHSN Procedure Validated Parameters for Risk Model
Vascular Abdominal aortic aneurysm repair Peripheral vascular bypass surgery duration of procedure, wound class age, ASA, duration of procedure, medical school affiliation
Coronary artery bypass graft Coronary artery bypass graft with both chest and donor site incisions; Coronary artery bypass graft with chest incision only age, ASA, duration of procedure, gender, medical school affiliation, age gender (interaction)
Other cardiac Cardiac surgery age, duration of procedure, emergency
Colon surgery Colon surgery
 
 
Rectal surgery
age, ASA, duration, endoscope, medical school affiliation, hospital bed size, wound class
 
duration of procedure, gender, hospital bed size
Hip arthroplasty Hip arthroplasty total/partial/revision, age, anesthesia, ASA, duration of procedure, medical school affiliation, hospital bed size, trauma
Abdominal hysterectomy Abdominal hysterectomy age, ASA, duration of procedure, hospital bed size
Knee arthroplasty Knee arthroplasty age, ASA, duration of procedure, gender, medical school affiliation, hospital bed size, trauma, revision
Knee arthroplasty Knee arthroplasty age, duration of procedure, medical school affiliation

 

Adapted from, Mu Y, Edwards JR, Horan TC, Berrios-Torres SI, Fridkin SK. Improving risk-adjusted measures of Surgical Site Infection for the national healthcare safety network. Infect Control Hosp Epidemiol. 2011 Oct; 32(10):970-986

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