Observational studyThe British journal of surgery2019
Accuracy of surgical complication rate estimation using ICD-10 codes.
Observational study in The British journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05523713 (Development and Validation of a Predictive Score for Surgical Site Infections), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Development and Validation of a Predictive Score for Surgical Site Infections (SSI): a Prospective Preoperative Trial in Major Digestive Surgery
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictive values of trigger tools for identifying adverse events in hospitalized patients using a medical record review: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Pooled it
- Clinical Efficacy of Combined Surgical Patient Safety System and the World Health Organization's Checklists in Surgery: A Nonrandomized Clinical Trial.JAMA surgery · 2020Trial
- Texas statewide incidence and severity of iatrogenic major vascular injury during inpatient laparoscopic surgery: a population-based cohort study.Surgical endoscopy · 2026Article
- No effect of learning from excellence on patient safety culture in a postanaesthesia care unit: a longitudinal quasi-experimental study.BMC health services research · 2026Observational
- Robotic vs. laparoscopic inguinal hernia repair in patients with chronic kidney disease: a propensity score-matched analysis.Journal of robotic surgery · 2026Article
- National utilization of minimally invasive and open liver resections.Surgical endoscopy · 2026Article
- Impact of Sociodemographic and Clinical Factors on Postoperative Outcomes Following Immediate Postmastectomy Autologous Breast Reconstruction.Annals of surgical oncology · 2026Article
- Comparison of utilization trends, outcomes, and costs between open and minimally invasive esophagectomy.Surgical endoscopy · 2025Article
- Sex-specific disparities in postoperative adverse events following intracranial tumor surgery: insights from a tertiary neurosurgical center.Acta neurochirurgica · 2025Observational
- Validating adverse events in administrative healthcare data in ireland: a retrospective chart review study.BMC health services research · 2025Article
- Implementing Learning from Excellence in a postanaesthesia care unit: a qualitative study of healthcare professionals' experiences after six months.BMC health services research · 2025Observational
- Housing Instability and Outcomes Among Patients With Access-Sensitive Surgical Conditions.The Journal of surgical research · 2025Article
- Preoperative Opioid Use and its Association with Postoperative Complications.Journal of substance use · 2025Article
- An Overview of Long-Acting GnRH Agonists in Premenopausal Breast Cancer Patients: Survivorship Challenges and Management.Current oncology (Toronto, Ont.) · 2024Review
- Evaluating frailty using the modified frailty index for colonic diverticular disease surgery: analysis of the national inpatient sample 2015-2019.Surgical endoscopy · 2024Article
- Adapting the World Health Organization's Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial Protocol.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
- The impact of preoperative coronavirus disease 19 infection on early postoperative mortality during the vaccination era: a nationwide retrospective cohort study.Korean journal of anesthesiology · 2024Article
- The modified frailty index predicts postoperative morbidity in elective hernia repair patients: analysis of the national inpatient sample 2015-2019.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Short-term postoperative outcomes for obese versus non-obese inflammatory bowel disease patients undergoing bowel resection: a propensity score matched analysis.International journal of colorectal disease · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe ICD-10 codes are used globally for comparison of diagnoses and complications, and are an important tool for the development of patient safety, healthcare policies and the health economy. The aim of this study was to investigate the accuracy of verified complication rates in surgical admissions identified by ICD-10 codes and to validate these estimates against complications identified using the established Global Trigger Tool (GTT) methodology.
methodsThis was a prospective observational study of a sample of surgical admissions in two Norwegian hospitals. Complications were identified and classified by two expert GTT teams who reviewed patients' medical records. Three trained reviewers verified ICD-10 codes indicating a complication present on admission or emerging in hospital.
resultsA total of 700 admissions were drawn randomly from 12 966 procedures. Some 519 possible complications were identified in 332 of 700 admissions (47·4 per cent) from ICD-10 codes. Verification of the ICD-10 codes against information from patients' medical records confirmed 298 as in-hospital complications in 141 of 700 admissions (20·1 per cent). Using GTT methodology, 331 complications were found in 212 of 700 admissions (30·3 per cent). Agreement between the two methods reached 83·3 per cent after verification of ICD-10 codes. The odds ratio for identifying complications using the GTT increased from 5·85 (95 per cent c.i. 4·06 to 8·44) to 25·38 (15·41 to 41·79) when ICD-10 complication codes were verified against patients' medical records.
conclusionVerified ICD-10 codes strengthen the accuracy of complication rates. Use of non-verified complication codes from administrative systems significantly overestimates in-hospital surgical complication rates.
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