Eurociss

Recommended indicators

Heart failure

	AVAILABLE	SHORT-TERM IMPLEMENTATION	LONG-TERM IMPLEMENTATION
MORTALITY		ICD-9 428 rate	Validated mortality rate
MORBIDITY		Hospital discharge rate ICD-9 428	Validated hospital discharge rate Prevalence
DISABILITY			Functional disability and quality of life indicators
SURGICAL OPERATIONS	Heart transplant rate
IN-PATIENT CARE UTILIZATION		Aggregate bed-day rate Mean length of stay	Median length of stay

AVAILABLE INDICATORS

Health service indicators

SURGICAL OPERATIONS

Heart transplant rate: annual heart transplant hospitalizations per 100,000 population. ICD codes: ICD-9-CM 37.5.

SHORT-TERM IMPLEMENTATION

Health status indicators

MORTALITY

Mortality rate: annual HF deaths per 100,000 population. ICD codes: ICD-9 428 and ICD-10 I50.

MORBIDITY

Hospital discharge rate: annual HF hospitalizations per 100,000 population. ICD codes: ICD-9 428 and ICD-10 I50.

Health service indicators

HEALTH CARE UTILIZATION

Aggregate bed-day rate: annual sum of number of days spent in hospital for HF per 100,000 population. ICD codes: ICD-9 428 and ICD-10 I50.
Mean length of stay: mean number of days spent in hospital per HF patient. ICD codes: ICD-9 428 and ICD-10 I50.

LONG-TERM IMPLEMENTATION

Health status indicators

MORTALITY

Validated mortality rate: validated annual deaths from HF per 100,000 population in the following causes of death: heart failure, hypertensive heart disease, other primary cardiomyopathies, alcoholic cardiomyopathy, secondary cardiomyopathy, chronic cor pulmonale. ICD codes: ICD-9: 428.0, 428.1, 428.9, 402, 416, 425.4, 425.5, 425.9 and ICD-10: I27.9, I50, I11, I42.5, I42.8, I42.6, I42.9.

MORBIDITY

Validated hospital discharge rate: validated annual HF hospitalizations per 100,000 population in the following diagnoses: heart failure, hypertensive heart disease, other primary, cardiomyopathies, alcoholic cardiomyopathy, secondary cardiomyopathy, chronic cor pulmonale. ICD codes: ICD-9: 428.0, 428.1, 428.9, 402, 416, 425.4, 425.5, 425.9 and ICD-10: I27.9, I50, I11, I42.5, I42.8, I42.6, I42.9.
Attack rate/incidence rate of HF: validated hospitalizations for symptomatic HF and HF deaths per 100,000 population. ICD codes: non-fatal HF and HF deaths (ICD-9: 428.0, 428.1, 428.9, 402, 416, 425.4, 425.5, 425.9 and ICD-10: I27.9, I50, I11, I42.5, I42.8, I42.6, I42.9).
Prevalence of HF: number of patients with HF per 100,000 population. ICD codes: heart failure: based on Framingham or Boston or ESC criteria.

DISABILITY

Functional disability and quality of life: proportion of patients affected by HF impaired in ADL or positive to EuroQol questionnaire.
Health system indicators

HEALTH CARE UTILIZATION

Median length of stay: median number of days spent in hospital per patient. ICD codes: ICD-9 428 and ICD-10 I50.