AVAILABLE INDICATORS

 

Health status indicators

 

 MORTALITY

• Mortality rate: annual AMI deaths per 100,000 population. ICD codes: ICD-9 410-414 and ICD-10 I20-I25. 

 

MORBIDITY

• Hospital discharge rate: annual AMI hospitalizations per 100,000 population. ICD codes: ICD-9 410 and ICD-10 I21, I22.
• Case-fatality: annual proportion of deaths among AMI hospitalizations. ICD codes: ICD-9 410 and ICD-10 I21, I22.

 

Health system indicators

 

HEALTH CARE UTILIZATION

• Aggregate bed-day rate: sum of days in one year spent in hospital for AMI per 100,000 population. ICD codes: ICD-9 410 and ICD-10 I21, I22.
• Mean length of stay: mean number of days spent in hospital per patient with AMI. ICD codes: ICD-9 410 and ICD-10 I21, I22.

 

SHORT-TERM IMPLEMENTATION

 

Health status indicators

 

MORTALITY

• Mortality rate: annual AMI deaths from per 100,000 population.
  ICD codes:ICD-9 410 and ICD-10 I21-I22.

MORBIDITY

• Attack rate/incidence rate: annual AMI events (first and recurrent) per 100,000 population. ICD codes: non-fatal AMI events (ICD-9 410, ICD-10 I21-I22 from HDRs-main diagnosis) and coronary deaths (ICD-9 410-414, ICD-10 I20-I25 from mortality- underlying cause).  Events less or equal 28 days apart are counted only once.
• 1-day, 28-day case-fatality: proportion of fatal AMI within the specified period of time. ICD codes  : non-fatal AMI and coronary deaths (ICD-9 410, ICD-10 I21-I22 from HDRs and ICD-9 410-414, ICD-10 I20-I25 from mortality).

Health service indicators

 

MEDICINE USE

• Thrombolytic therapy: proportion of AMI patients treated with thrombolytic therapy. ICD codes: ICD-9-CM 99.10 (injection or infusion of thrombolytic agent).

HEALTH CARE UTILIZATION

• Median length of stay: median number of days spent in hospital per patient with AMI. ICD codes ICD-9 410 and ICD-10 I21, I22.

 

LONG-TERM IMPLEMENTATION

 

Health status indicators

 

MORTALITY

• Validated mortality rate: validated AMI annual deaths per 100,000 population. ICD codes: ICD-9  410-414 and ICD-10  I20-I25.

MORBIDITY

• Validated attack rate/incidence rate: validated annual first (and recurrent) AMI per 100,000 population. ICD codes. first non-fatal AMI (ICD-9 410-411, ICD-10 I21-I22) and coronary deaths (ICD-9 410-414, ICD-10 I20-I25).
• Re-admission after 1 year: re-admission one year following initial admission for AMI due to re-infarction, IHD, HF and all causes. ICD codes: AMI (ICD-9 410, ICD-10 I21-I22); IHD (ICD-9 410-414, ICD-10 I20-I25); HF (ICD-9 428, ICD-10 I50).
• 1 year survival: proportion of patients who survived a non-fatal AMI, who are alive after 1 year. ICD codes: non-fatal AMI (ICD-9 410, ICD-10 I21-I22) and coronary deaths (ICD-9 410-414, ICD-10 I20-I25).
• 28-day case-fatality among first day survivors: proportion of fatal AMI within the specified period of time. ICD codes: non-fatal AMI and coronary deaths (ICD-9 410, ICD-10 I21-I22 from HDRs and ICD-9 410-414, ICD-10 I20-I25 from mortality).

 Health service indicators

 

SURGICAL OPERATIONS AND INVASIVE PROCEDURES

• CABG per AMI: proportion of AMI patients who have received a CABG up to 90 days following the initial admission for AMI. ICD codes: CABG (ICD-9-CM 36.1; NOMESCO: FNA-FNE); AMI (ICD-9 410, ICD-10 I21-I22).
• PTCA per AMI: proportion of AMI patients who have received a PTCA up to 90 days following the initial admission for AMI. ICD codes : PTCA (ICD-9-CM 36.01, 36.02, 36.05, 36.06 (stent); NOMESCO: FNG0); AMI (ICD-9 410, ICD-10 I21-I22).
• emergency CABG (within 24 hrs) rate: proportion of CABG performed within 24 hours from the onset AMI. ICD codes: ICD-9-CM 36.1; NOMESCO: FNA-FNE.
• emergency PTCA (within 24 hrs) rate: proportion of PTCA performed within 24 hours from the onset of AMI. ICD codes: PTCA (ICD-9-CM 36.01, 36.02, 36.05, 36.06 (stent); NOMESCO: FNG0).
• 30-day case-fatality for CABG: 30-day case fatality of hospital discharges of CABG. ICD code: ICD-9-CM 36.1; NOMESCO: FNA-FNE.