Fracture Fixations and Manipulations

Completeness of coding within a group of codes: W19-W26 (3-digit level)
2004 - 2006 QA sample data (extract from SMR01 National data

			Main Operation - code which should have been recorded
			Fracture fixation and manipulation									Other procedures		SMR Total
			W19	W20	W21	W22	W23	W24	W25	W26	Total	T12	Total
Fracture fixation		W19	11	1				6						18
Main	and	W20		13						1		1		15
Operation	manipulation	W21			2									2
as recorded		W22				2								2
on SMR01		W23					1							1
		W24						9	1					10
		W25							1					1
		W26					1	2		17				20
	QA Total		11	14	2	2	2	17	2	18	68	1	1	69
Other procedures		X48								1
		X55						1
QA under-recorded total								1		1	2
Number of required codes											70

 

Legend
	Group correctly coded			Group under-recorded
	Group over-recorded			Group recorded on SMR01

 

The Group was recorded with:	Accuracy	95% CI	Sensitivity	Completeness
	98.6%	2.8%	97.1%	98.6%

 

Description of OPSC4 codes
Fracture fixationa & manipulation code		Non-fracture fixation code
W19	Primary open reduction of fracture of bone and intramedullary fixation	T12	Puncture of pleura
		X48	Immobilisation under plaster cast
W20	Primary open reduction of fracture of bone and extramedullary fixation	X55*	Other operations on unspecified organ
W21	Primary open reduction of intraarticular fracture of bone
W22	Other primary open reduction of fracture of bone
W23	Secondary open reduction of fracture of bone
W24	Closed reduction of fracture of bone and internal fixation
W25	Closed reduction of fracture of bone and external fixation
W26	Other closed reduction of fracture of bone
* this code was used for scans and other imaging procedures in OPCS4.2

 

Interpreting the table