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Table 1 Definitions of variables in a nation-wide cohort study of surgical site infection rates and associated factors in 31,807 adult patients undergoing surgery of a distal radius fracture in Sweden between November 1st 2006 and October 31st 2013

From: Surgical site infections after distal radius fracture surgery: a nation-wide cohort study of 31,807 adult patients

Variable

Data source

Definition

Inclusion criteria

NPR

Patients ≥18 years with a surgically treated DRF registered in the NPR between Nov 1st 2006 and Oct 31st 2013

 DRF

NPR

ICD-10-SE codes S525 and/or S526 as primary and/or secondary diagnosis

 Surgical methods

NPR

NCSP-S codes: NCJ29, NDJ29 = external fixation. NCJ49, NDJ49 = percutaneous pinning.

NCJ69, NDJ69 = plate fixation

 Index date

NPR

First concomitant registration of a code for a relevant surgical procedure (NCJ29, NDJ29, NCJ49, NDJ49, NCJ69 or NDJ69) and a DRF code (S525 or S526), occurring within 28 days from the first DRF registration (S525, S526). If several index dates, only first index date included

 First DRF registration

NPR

First registration of a DRF code (S525 or S526) preceded by a period ≥18 months without any registration of a DRF code. NPR was screened from May 1st 2005 with regard to the 18-month period

Exclusion criteria

 Time periods

NPR

Index date occurring between Jan 1st 2001 - Oct 31st 2006 and Nov 1st 2013 - Dec 31st 2013

 Forearm fractures other than DRFs

NPR

ICD-SE-10 codes beginning with S52, other than S525 and S526

 Non-surgically treated DRFs

 

Registrations of a DRF code (S525, S526) without a concomitant surgical procedure code

 DRFs treated with other surgical methods

NPR

NCSP-S codes: NCJ89, NDJ89 = combinations. NCJ59, NDJ59, NCJ99, NDJ99 = other methods

 Non-adults

NPR

Age < 18 years

Primary outcome

SPDR

Yes/No. Yes = a registration of the ATC codes J01CF05 (Flucloxacillin) and/or J01FF01 (Clindamycin) in the SPDR within the first 8 weeks following the index date. The date of primary outcome = date of prescription

Potential confounders

 

Factors used to adjust the association between surgical method and the primary outcome

 Age

NPR

At the time of index date. Categorized into 18–49 years, 50–74 years, and ≥ 75 years

 Sex

NPR

Women/Men

 Fracture type

NPR

Closed/open. Fifth position in ICD-SE-10 code. Closed = 0, Open = 1. If missing defined as closed (0)

 Antibiotics treatment due to other reasons at the time of DRF surgery

SPDR

Yes/No. Yes = registration of the ATC codes J01CF05 (Flucloxacillin) and/or J01FF01 (Clindamycin) in the SPDR during the 8 weeks preceding the index date

  1. DRF distal radius fracture, NPR Swedish national patient register, SPDR Swedish prescribed drug register, NCSP-S NOMESCO classification of surgical procedures, Swedish version, ATC anatomical therapeutic chemical classification code