12517 Berg D.indd

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Pulmonary embolism without mention of acute cor pulmonale. I460. Cardiac arrest with successful resuscitation. I461. Sudden cardiac death, so described. I469.
Acta Orthopaedica 2018; 89 (DOI: 10.1080/17453674.2018.1492507)

Supplementary data (1/6)

Supplementary data Appendix 1: ICD 10- and NOMESCO codes used for definition of adverse events according to the Swedish Knee Arthroplasty Register (SKAR) DA. Surgical diagnosis

DB. Diagnosis for knee-related events

If the codes occur as the main or a secondary diagnosis during the first admission or as the main diagnosis during a later admission

If the codes occur as the main or a secondary diagnosis during the first admission or as a main diagnosis during a later admission

Exact code

Exact code

G978 Other postprocedural disorders of nervous system G979 Postprocedural disorder of nervous system, unspecified M966G Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone plate knee/lower leg M968 Other postprocedural musculoskeletal disorders M969 Postprocedural musculoskeletal disorder, unspecified T810 Haemorrhage and haematoma complicating a procedure, not elsewhere classified T812 Accidental puncture and laceration during a procedure, not elsewhere classified T813 Disruption of operation wound, not elsewhere classified T814 Infection following a procedure, not elsewhere classified T815 Foreign body accidentally left in body cavity or operation wound following a procedure T816 Acute reaction to foreign substance accidentally left during a procedure T817 Vascular complications following a procedure, not elsewhere classified T818 Other complications of procedures, not elsewhere classified T818W Other complications of procedures, not elsewhere classified T819 Unspecified complication of procedure T840 Mechanical complication of internal joint prosthesis T840G Mechanical complication of internal joint prosthesis knee/ lower leg T843 Mechanical complication of other bone devices, implants and grafts T843G Mechanical complication of other bone devices, implants and grafts knee/lower leg T844 Mechanical complication of other internal orthopaedic devices, implants and grafts T844G Mechanical complication of other internal orthopaedic devices, implants and grafts, knee/lower leg T845 Infection and inflammatory reaction due to internal joint prosthesis T845G Infection and inflammatory reaction due to internal joint prosthesis knee/lower leg T847 Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts T847G Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts knee/ lower leg T848 Other complications of internal orthopaedic prosthetic devices, implants and grafts T848G Other complications of internal orthopaedic prosthetic devices, implants and grafts knee/lower leg T849 Unspecified complication of internal orthopaedic prosthetic device, implant and graft T888 Other specified complications of surgical and medical care, not elsewhere classified T889 Complication of surgical and medical care, unspecified

G573 G574 M000 M000G M002G M008G M009G M220 M221 M236 M244G M621G M662G M663G M843G S342 S800 S810 S830 S831 S834L S834M S835R S835S S835X S840 S841

Lesion of lateral popliteal nerve Lesion of medial popliteal nerve Staphylococcal arthritis and polyarthritis Staphylococcal arthritis and polyarthritis, knee Other streptococcal arthritis and polyarthritis, knee Arthritis and polyarthritis due to other specified bacterial agents, knee Pyogenic arthritis, unspecified, knee Recurrent dislocation of patella Recurrent subluxation of patella Other spontaneous disruption of ligament(s) of knee Recurrent dislocation and subluxation of joint, knee Other rupture of muscle (nontraumatic), knee/lower leg Spontaneous rupture of extensor tendons, knee/lower leg Spontaneous rupture of flexor tendons, knee/lower leg Stress fracture, lower leg Injury of nerve root of lumbar and sacral spine Contusion of knee Open wound of knee Dislocation of patella Dislocation of knee Sprain and strain involving lateral collateral ligament of knee Sprain and strain involving medial collateral ligament of knee Sprain and strain involving anterior cruciate ligament of knee Sprain and strain involving anterior cruciate ligament of knee Sprain and strain involving cruciate ligament of knee, unspecified Injury of tibial nerve at lower leg level Injury of peroneal nerve at lower leg level

If the codes occur as the main diagnosis after the first admission Exact code M235 M240G M245G M246G M256 M256G M659G M860G M861G M866 M866G M895G

Chronic instability of knee Loose body in joint, knee Contracture of joint, knee Ankylosis of joint, knee Stiffness of joint, not elsewhere classified Stiffness of joint, not elsewhere classified, knee Synovitis and tenosynovitis, unspecified, knee Acute haematogenous osteomyelitis, knee/lower leg Other acute osteomyelitis, knee/lower leg Other chronic osteomyelitis Other chronic osteomyelitis, knee/lower leg Osteolysis, knee/lower leg

Supplementary data (2/6)

Acta Orthopaedica 2018; 89 (DOI: 10.1080/17453674.2018.1492507)

DC. Cardiovascular diagnosis

DM. Diagnoses for other medical events

If the codes occur as the main or a secondary diagnosis during the first admission or as the main diagnosis during a later admission

If the codes occur as the main or a secondary diagnosis during the first admission or as a secondary diagnosis during a later admission

Exact code

Exact code

I260 I269 I460 I461 I469 I490 I649 I770 I771 I772 I819 I978

J952 J953 J955 J958 J959 J981 N990 N998 N999 R339

I979 J809 J819 T811

Pulmonary embolism with mention of acute cor pulmonale Pulmonary embolism without mention of acute cor pulmonale Cardiac arrest with successful resuscitation Sudden cardiac death, so described Cardiac arrest, unspecified Ventricular fibrillation and flutter Stroke, not specified as haemorrhage or infarction Arteriovenous fistula, acquired Stricture of artery Rupture of artery Portal vein thrombosis Other postprocedural disorders of circulatory system, not elsewhere classified Postprocedural disorder of circulatory system, unspecified Adult respiratory distress syndrome Pulmonary oedema Shock during or resulting from a procedure, not elsewhere classified

Code starts with L89 I80 J13 J14 J15 J16

Code starts with I21 I24 I60 I61 I62 I63 I65 I66 I72 I74 I82

Acute myocardial infarction Other acute ischaemic heart diseases Subarachnoid haemorrhage Intracerebral haemorrhage Other nontraumatic intracranial haemorrhage Cerebral infarction Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction Other aneurysm and dissection Arterial embolism and thrombosis Other venous embolism and thrombosis

Acute pulmonary insufficiency following nonthoracic surgery Chronic pulmonary insufficiency following surgery Postprocedural subglottic stenosis Other postprocedural respiratory disorders Postprocedural respiratory disorder, unspecified Pulmonary collapse Postprocedural renal failure Other postprocedural disorders of genitourinary system Postprocedural disorder of genitourinary system, unspecified Retention of urine

J17 J18 J96 K25 K26 K27 N17

Decubitus ulcer and pressure area Phlebitis and thrombophlebitis Pneumonia due to Streptococcus pneumoniae Pneumonia due to Haemophilus influenzae Bacterial pneumonia, not elsewhere classified Pneumonia due to other infectious organisms, not elsewhere classified Pneumonia in diseases classified elsewhere Pneumonia, organism unspecified Respiratory failure, not elsewhere classified Gastric ulcer Duodenal ulcer Peptic ulcer, site unspecified Acute renal failure

If the codes occur as the main diagnosis after the first admission Exact code K590 N991

Constipation Postprocedural urethral stricture

Code starts with J20 J21 J22 K29

Acute bronchitis Acute bronchiolitis Unspecified acute lower respiratory infection Gastritis and duodenitis

Acta Orthopaedica 2018; 89 (DOI: 10.1080/17453674.2018.1492507)

A. Surgical intervention codes If the codes occur during the first admission at a date after the primary surgery date or as the main intervention code at a later date Exact code NFQ09 NFQ19 NFQ99 NGB59 NGF01 NGF02 NGF10 NGF11 NGF12 NGF91 NGF92 NGK09 NGK19 NGM09 NGQ09 NGT09 NGT19 QDA10 QDB00 QDB05 QDB99 QDE35 TNG05 TNG10

Exarticulation of hip Amputation of femur Other amputation or related operation on hip or femur Patellofemoral prosthesis, supplementary Total synovectomy of knee, arthroscopic Total synovectomy of knee, open Partial synovectomy of knee, percutaneous Partial synovectomy of knee, arthroscopic Partial synovectomy of knee, open Other operation on synovia or joint surface of knee, arthroscopic Other operation on synovia or joint surface of knee, open Excision of fragment of bone of knee or lower leg Partial or total excision of bone of knee or lower leg Fasciotomy of knee or lower leg Exarticulation of knee Removal of foreign body from tissue of knee or lower leg Forcible manipulation of knee joint Incision of skin of lower limb. Includes: Drainage Suture of skin of lower limb Revision of wound of skin of lower limb Other procedure for wound of skin of lower limb Repair of skin defect of lower limb after surgery or injury Incision of soft tissue, knee and lower leg Arthrocentesis, knee joint

Code starts with NGA NGC NGE NGG NGH NGJ NGL NGS NGU NGW QDG

Exploratory procedures on knee and lower leg Secondary prosthetic replacement of knee joint Operations on capsules and ligaments of knee joint Excision, reconstruction and fusion of knee joint Miscellaneous operations on knee joint. Includes: Reduction of dislocations Fracture surgery of knee and lower leg Operations on muscles and tendons of knee and lower leg Operations for infection of tendons, joints and bone of knee and lower leg Removal of implants and external fixation devices from knee and lower leg Reoperations on knee and lower leg Operations for chronic ulcers and fistulae of skin of lower limb

Supplementary data (3/6)

Supplementary data (4/6)

Acta Orthopaedica 2018; 89 (DOI: 10.1080/17453674.2018.1492507)

Appendix 2: ICD 10- and NOMESCO codes used for definition of adverse events according to the Swedish Hip Arthroplasty Register (SHAR)

DA. Surgical diagnosis

DB. Diagnosis for hip-related events

If the codes occur as the main or a secondary diagnosis during the first admission or as the main diagnosis during a later admission

If the codes occur as the main or a secondary diagnosis during the first admission or as a main diagnosis during a later admission

Exact code

Exact code

G978 G979 M966F

G570 G571 G572 M000 M000F M002F M008F

M968 M969 T810 T812 T813 T814 T815 T816 T817 T818 T818W T819 T840 T840F T843 T843F T844 T844F T845 T845F T847 T847F T848 T848F T849 T888 T889

Other postprocedural disorders of nervous system Postprocedural disorder of nervous system, unspecified Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone plate hip/femur Other postprocedural musculoskeletal disorders Postprocedural musculoskeletal disorder, unspecified Haemorrhage and haematoma complicating a procedure, not elsewhere classified Accidental puncture and laceration during a procedure, not elsewhere classified Disruption of operation wound, not elsewhere classified Infection following a procedure, not elsewhere classified Foreign body accidentally left in body cavity or operation wound following a procedure Acute reaction to foreign substance accidentally left during a procedure Vascular complications following a procedure, not elsewhere classified Other complications of procedures, not elsewhere classified Other complications of procedures, not elsewhere classified Unspecified complication of procedure Mechanical complication of internal joint prosthesis Mechanical complication of internal joint prosthesis hip/ femur Mechanical complication of other bone devices, implants and grafts Mechanical complication of other bone devices, implants and grafts hip/femur Mechanical complication of other internal orthopaedic devices, implants and grafts Mechanical complication of other internal orthopaedic devices, implants and grafts, hip/femur Infection and inflammatory reaction due to internal joint prosthesis Infection and inflammatory reaction due to internal joint prosthesis hip/femur Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts hip/ femur Other complications of internal orthopaedic prosthetic devices, implants and grafts Other complications of internal orthopaedic prosthetic devices, implants and grafts hip/femur Unspecified complication of internal orthopaedic prosthetic device, implant and graft Other specified complications of surgical and medical care, not elsewhere classified Complication of surgical and medical care, unspecified

M009F M243 M244 M244F S730

Lesion of sciatic nerve Meralgia paraesthetica Lesion of femoral nerve Staphylococcal arthritis and polyarthritis Staphylococcal arthritis and polyarthritis hip/femur Other streptococcal arthritis and polyarthritis hip/femur Arthritis and polyarthritis due to other specified bacterial agents hip/femur Pyogenic arthritis, unspecified hip/femur Pathological dislocation and subluxation of joint, not elsewhere classified Recurrent dislocation and subluxation of joint Recurrent dislocation and subluxation of joint hip/femur Dislocation of hip

Code starts with S74 S75 S76

Injury of nerves at hip and thigh level Injury of femoral artery Injury of muscle and tendon of hip

If the codes occur as the main diagnosis after the first admission Exact code M240F M245F M246F M610F M614 M614F M621F M662F M663F M843F M860F M861F M866 M866F M895E

Loose body in joint hip/femur Contracture of joint hip/femur Ankylosis of joint hip/femur Myositis ossificans traumatica Other calcification of muscle Other calcification of muscle hip/femur Other rupture of muscle (nontraumatic) hip/femur Spontaneous rupture of extensor tendons hip/femur Spontaneous rupture of flexor tendons hip/femur Stress fracture, hip/femur Acute haematogenous osteomyelitis hip/femur Other acute osteomyelitis hip/femur Other chronic osteomyelitis hip/femur Other chronic osteomyelitis hip/femur Osteolysis pelvis

Acta Orthopaedica 2018; 89 (DOI: 10.1080/17453674.2018.1492507)

Supplementary data (5/6)

DC. Cardiovascular diagnosis

DM. Diagnoses for other medical events

If the codes occur as the main or a secondary diagnosis during the first admission or as the main diagnosis during a later admission

If the codes occur as the main or a secondary diagnosis during the first admission or as a secondary diagnosis during a later admission

Exact code

Exact code

I260 I269 I460 I461 I469 I490 I649 I770 I771 I772 I819 I978

J952

I979 J809 J819 T811

Pulmonary embolism with mention of acute cor pulmonale Pulmonary embolism without mention of acute cor pulmonale Cardiac arrest with successful resuscitation Sudden cardiac death, so described Cardiac arrest, unspecified Ventricular fibrillation and flutter Stroke, not specified as haemorrhage or infarction Arteriovenous fistula, acquired Stricture of artery Rupture of artery Portal vein thrombosis Other postprocedural disorders of circulatory system, not elsewhere classified Postprocedural disorder of circulatory system, unspecified Adult respiratory distress syndrome Pulmonary oedema Shock during or resulting from a procedure, not elsewhere classified

Code starts with I21 I24 I60 I61 I62 I63 I65 I66 I72 I74 I82

Acute myocardial infarction Other acute ischaemic heart diseases Subarachnoid haemorrhage Intracerebral haemorrhage Other nontraumatic intracranial haemorrhage Cerebral infarction Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction Other aneurysm and dissection Arterial embolism and thrombosis Other venous embolism and thrombosis

J953 J955 J958 J959 J981 N990 N998 N999 R339

Acute pulmonary insufficiency following nonthoracic surgery Chronic pulmonary insufficiency following surgery Postprocedural subglottic stenosis Other postprocedural respiratory disorders Postprocedural respiratory disorder, unspecified Pulmonary collapse Postprocedural renal failure Other postprocedural disorders of genitourinary system Postprocedural disorder of genitourinary system, unspecified Retention of urine

Code starts with L89 I80 J13 J14 J15 J16 J17 J18 J96 K25 K26 K27 N17

Decubitus ulcer and pressure area Phlebitis and thrombophlebitis Pneumonia due to Streptococcus pneumoniae Pneumonia due to Haemophilus influenzae Bacterial pneumonia, not elsewhere classified Pneumonia due to other infectious organisms, not elsewhere classified Pneumonia in diseases classified elsewhere Pneumonia, organism unspecified Respiratory failure, not elsewhere classified Gastric ulcer Duodenal ulcer Peptic ulcer, site unspecified Acute renal failure

If the codes occur as the main diagnosis after the first admission Exact code K590 N991

Constipation Postprocedural urethral stricture

Code starts with J20 J21 J22 K29

Acute bronchitis Acute bronchiolitis Unspecified acute lower respiratory infection Gastritis and duodenitis

Supplementary data (6/6)

B. Surgical intervention codes If the codes occur during the first admission at a date after the primary surgery date or as the main intervention code at a later date Exact code NFQ09 NFA02 NFA11 NFA12 NFA20 NFA21 NFA22 QDA10 QDE35 TNF05 TNF10 QDB00 QDB05 QDB99

Exarticulation of the hip joint Exploration of soft tissue of hip and thigh, open surgery Diagnostic arthroscopy of hip joint Exploration of hip joint, open surgery Biopsy of soft tissue or joint of hip and thigh, percutaneous Biopsy of soft tissue or joint of hip and thigh, arthroscopic Biopsy of soft tissue or joint of hip and thigh, open Incision of skin of lower limb. Includes: Drainage Repair of skin defect of lower limb after surgery or injury Incision of soft tissue hip and thigh Arthrocentesis of hip joint Suture of skin of lower limb Revision of wound of skin of lower limb Other procedure for wound of skin of lower limb

Code starts with NFC NFF NFG NFH NFJ NFK NFL NFM NFS NFT NFU NFW QDG

Secondary prosthetic replacement of hip joint Operations on synovia and surfaces of hip joint Excision, reconstruction and fusion of hip joint Miscellaneous operations on hip joint. Includes: Reduction of dislocations Fracture surgery of femur Operations on femur Operations on muscles and tendons of hip and thigh Operations on muscles and tendons of hip and thigh Operations for infection of tendons, joints and bone of hip and thigh Miscellaneous operations on hip or thigh Removal of implants and external fixation devices from hip and femur Reoperations on hip or thigh Operations for chronic ulcers and fistulae of skin of lower limb

Acta Orthopaedica 2018; 89 (DOI: 10.1080/17453674.2018.1492507)