AVAILABLE INDICATORS

 

Health status indicators

 

MORTALITY

• Cerebrovascular mortality rate: annual deaths from cerebrovascular diseases per 100,000 population. ICD codes: ICD-9 430 – 438 ; ICD-10 I60 - I69, G45.
• Dementia mortality rate: annual deaths from dementia per 100,000 population. ICD codes: ICD-9 290.4 ; ICD-10 F01.

MORBIDITY

• Cerebrovascular hospital discharge rate: annual hospitalizations for cerebrovascular diseases per 100,000 population. ICD codes: ICD-9 430 – 438 ; ICD-10 I60 - I69, G45.
• Dementia hospital discharge rate: annual hospitalizations for dementia per 100,000 population. ICD codes: ICD-9 290.4 ; ICD-10 F01. 

Health service indicators

 

HEALTH CARE UTILIZATION

• Aggregate bed-day rate: sum of days in one year spent in hospital for stroke. ICD codes: ICD-9 430-438 ; ICD-10 I60 - I69, G45.
• Mean length of stay: mean number of days spent in hospital per patient. ICD codes: ICD-9 430-438;  ICD-10 I60-I69, G45.

SURGICAL OPERATIONS AND INVASIVE PROCEDURES

• Carotid angioplasty rate: annual procedures of carotid angioplasty per 100,000 population age 40 years and over. ICD codes: ICD-9-CM 39.50 NOMESCO:  XAC85 (Denmark).

 

SHORT-TERM IMPLEMENTATION

 

Health status indicators

 

MORTALITY

• Mortality rate: annual deaths from ischaemic stroke, subarachnoid haemorrhage, intracerebral haemorrhage, unspecified stroke per 100,000 population. ICD codes: occlusion, stenosis and thrombosis of cerebral arteries (ICD-9 434; ICD-10 I66, I63); subarachnoid haemorrhage (ICD-9 430, ICD-10 I60); intracerebral haemorrhage (ICD-9 431, 432, ICD-10 I61, I62); unspecified stroke (ICD-9 436-437; ICD-10 I64, I67, I68).

 

MORBIDITY

• Hospital discharge rate: annual hospitalizations for ischaemic stroke, subarachnoid haemorrhage, intracerebral haemorrhage, unspecified stroke per 100,000 population. ICD codes: occlusion, stenosis and thrombosis of cerebral arteries (ICD-9 434; ICD-10 I66, I63); subarachnoid haemorrhage (ICD-9 430, ICD-10 I60); intracerebral haemorrhage (ICD-9 431, 432, ICD-10 I61 I62); unspecified acute stroke (ICD-9 436; ICD-10 I64).
• Attack rate/incidence rate: annual stroke events (first and recurrent) per 100,000 population. ICD codes: fatal and non-fatal (ICD-9 430-438 ; ICD-10 I60-I69, G45).
• 7-day case-fatality rate: the proportion of ischemic and hemorrhagic (subarachnoidal and intracerebral) stroke events that are fatal within 7 days from the onset. ICD codes: fatal and non-fatal (ICD-9 430-438 ; ICD-10 I60-I69, G45).

Health system indicators

 

HEALTH CARE UTILIZATION

 

• Brain imaging per population: number of CT-scans (Computerized axial Tomography of head) and MRI (Magnetic Resonance Imaging of brain and brainstem) per 100,000 population. ICD codes: CT-scan (ICD-9-CM 87.03) ; MRI (ICD-9CM 88.91).
• Median length of stay for cerebrovascular disease: median number of days spent in hospital per patient. ICD codes: ICD-9 430-438 ; ICD-10 I60-I69, G45.

 

LONG-TERM IMPLEMENTATION

 

Health status indicators

 

MORBIDITY

• Validated attack rate/incidence by subtype of stroke: validated annual subtype (ischaemic, subarachnoidal haemorrhage, intracerebral haemorrhage) of stroke events (first or recurrent) per 100,000 population. ICD codes: non-fatal (occlusion and stenosis of cerebral arteries and cerebral infarction: ICD-9 434, 436; ICD-10 I66; I63, I64 ; subarachnoid haemorrhage: ICD-9 430, ICD-10 I60 ; intracerebral haemorrhage and other non-traumatic intracranial: ICD-9 431-432, ICD-10 I61-I62 ; unspecified acute stroke: ICD-9 436, ICD-10 I64); fatal (ICD-9 430-438 ; ICD-10 I60-I69, G45).
• Prevalence of stroke: number of subjects who survived a cerebrovascular event per 100,000 population. ICD code: occlusion, stenosis, thrombosis of cerebral arteries and not specified (ICD-9 434, 436; ICD-10 I66, I64); subarachnoid haemorrhage (ICD-9 430; ICD-10 I60); intracerebral haemorrhage and other non-traumatic intracranial (ICD-9 431-432; ICD-10 I61-I62).

DISABILITY

• Functional disability and quality of life: proportion of patients affected by stroke impaired in ADL or positive to EuroQol questionnaire.

Health service indicators

 

HEALTH CARE UTILIZATION

• Stroke units per population: number of stroke units per 100,000 population (a stroke unit is a pool of dedicated human and technological resources used in the treatment of stroke).