|
BQS-Bundesauswertung
2006 |
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Knie-Totalendoprothesen-Erstimplantation |
|
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Qualitätsindikatoren |
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|
Risikoadjustierte
postoperative Wundinfektion |
|
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|
Postoperative Wundinfektion: Stratifizierung
nach Risikoklassen gemäß NNIS¹ |
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Risikofaktor |
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Bedingung |
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Risikopunkt |
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ASA |
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ASA >= 3 |
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1 |
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OP-Dauer |
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OP-Dauer > 75%-Perzentile |
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1 |
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der OP-Dauerverteilung |
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in der Grundgesamtheit |
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hier: > 105 min |
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Wundkontaminations- |
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klassifikation |
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kontaminierter oder septischer Eingriff |
1 |
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Risikoklassen |
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0 |
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|
Patienten mit 0 Risikopunkten |
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1 |
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|
Patienten mit 1 Risikopunkt |
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2 |
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|
Patienten mit 2 Risikopunkten |
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3 |
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|
Patienten mit 3 Risikopunkten |
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¹ |
National Nosocomial Infections Surveillance,
Centers for Disease Control |
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|
Referenz: Culver et al: Surgical Wound
Infection Rates By Wound Class, |
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|
Operative Procedure, and Patient Risk Index |
|
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|
Am J Med 91:152 (1991) |
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|
|
|
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|
|
Risikoadjustierte postoperative Wundinfektion |
|
|
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|
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|
|
|
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|
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|
|
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|
|
|
|
|
|
|
Postoperative Wundinfektion: Stratifizierung
nach Risikoklassen gemäß NNIS¹ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
Grundgesamtheit: |
|
Gruppe 1: |
Alle Patienten |
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|
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|
Gruppe 2: |
Patienten mit Voroperation im Kniegelenk oder
kniegelenknah |
|
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|
|
Gesamt 2006 |
|
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|
|
|
|
|
|
Gruppe 1 |
|
|
Gruppe 2 |
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|
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|
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|
|
Risikoklasse 0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
64.160 / 125.322 |
|
21.172 / 40.057 |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
51,20% |
|
|
|
52,85% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
|
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|
|
Risikoklasse 1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
50.441 / 125.322 |
|
15.566 / 40.057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
40,25% |
|
|
|
38,86% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Risikoklasse 2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
10.686 / 125.322 |
|
3.299 / 40.057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
8,53% |
|
|
|
8,24% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Risikoklasse 3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
35 / 125.322 |
|
|
20 / 40.057 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0,03% |
|
|
|
0,05% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
¹ |
National Nosocomial Infections Surveillance,
Centers for Disease Control |
|
|
|
|
|
|
|
|
|
|
|
|
|
Referenz: Culver et al: Surgical Wound
Infection Rates By Wound Class, |
|
|
|
|
|
|
|
|
|
|
|
|
|
Operative Procedure, and Patient Risk Index |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Am J Med 91:152 (1991) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Risikoadjustierte postoperative Wundinfektion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Postoperative Wundinfektion: Stratifizierung
nach Risikoklassen gemäß NNIS¹ |
|
|
|
|
|
|
|
Risikoklasse 0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Grundgesamtheit: |
|
Gruppe 1: |
Alle Patienten der Risikoklasse 0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gruppe 2: |
Patienten der Risikoklasse 0 mit Voroperation
im Kniegelenk oder kniegelenknah |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gesamt 2006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gruppe 1 |
|
|
Gruppe 2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Alle Patienten mit postoperativer Wundinfektion |
|
|
|
|
|
|
|
262 / 64.160 |
|
|
93 / 21.172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0,41% |
|
|
|
0,44% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patienten mit postoperativer Wundinfektion |
|
|
|
|
|
|
|
|
188 / 64.160 |
|
|
66 / 21.172 |
|
|
|
(CDC A1) (oberflächliche Wundinfektion) |
|
|
|
|
|
|
|
|
|
0,29% |
|
|
|
0,31% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patienten mit postoperativer Wundinfektion |
|
|
|
|
|
|
|
|
59 / 64.160 |
|
|
19 / 21.172 |
|
|
|
(CDC A2) (tiefe Wundinfektion) |
|
|
|
|
|
|
|
|
|
|
|
0,09% |
|
|
|
0,09% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patienten mit postoperativer Wundinfektion |
|
|
|
|
|
|
|
|
15 / 64.160 |
|
|
8 / 21.172 |
|
|
|
(CDC A3) (Infektion von Räumen und Organen im
OP-Gebiet) |
|
|
|
|
|
0,02% |
|
|
|
0,04% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
¹ |
National Nosocomial Infections Surveillance,
Centers for Disease Control |
|
|
|
|
|
|
|
|
|
|
|
|
|
Referenz: Culver et al: Surgical Wound
Infection Rates By Wound Class, |
|
|
|
|
|
|
|
|
|
|
|
|
|
Operative Procedure, and Patient Risk Index |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Am J Med 91:152 (1991) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Risikoadjustierte postoperative Wundinfektion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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Postoperative Wundinfektion: Stratifizierung
nach Risikoklassen gemäß NNIS¹ |
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Risikoklasse 1 |
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Grundgesamtheit: |
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Gruppe 1: |
Alle Patienten der Risikoklasse 1 |
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Gruppe 2: |
Patienten der Risikoklasse 1 mit Voroperation
im Kniegelenk oder kniegelenknah |
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Gesamt 2006 |
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Gruppe 1 |
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Gruppe 2 |
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Alle Patienten mit postoperativer Wundinfektion |
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310 / 50.441 |
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111 / 15.566 |
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0,61% |
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0,71% |
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Patienten mit postoperativer Wundinfektion |
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203 / 50.441 |
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72 / 15.566 |
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(CDC A1) (oberflächliche Wundinfektion) |
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0,40% |
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0,46% |
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