Acute coronary syndromes: 6b-Patients discharged on aspirin or dual antiplatelet therapy
Indicator Attributes
Identifying and definitional attributes | |
Metadata item type: | Indicator |
|---|---|
| Indicator type: | Indicator |
| Short name: | Indicator 6b-Patients discharged on aspirin or dual antiplatelet therapy |
| METEOR identifier: | 612085 |
| Registration status: | Health, Standard 12/09/2016 |
| Description: | Proportion of patients with a final diagnosis of acute coronary syndrome (ACS) who are prescribed aspirin or dual antiplatelet therapy at separation from hospital. |
| Rationale: | ACS patients on aspirin and dual antiplatelet therapies have a reduced risk of secondary cardiac events. The Guidelines for the management of acute coronary syndromes 2006 (Acute Coronary Syndrome Guidelines Working Group 2006) recommend that, before separation, patients with an ACS should be initiated on a medication regimen, including antiplatelet agent(s), beta-blocker, angiotensin-converting enzyme inhibitor, statin and other therapies as appropriate. |
| Indicator set: | Clinical care standard indicators: acute coronary syndromes Health, Standard 12/09/2016 |
| Outcome area: | Individualised care plan Health, Standard 12/09/2016 |
Collection and usage attributes | |
| Computation description: | Both the numerator and the denominator include patients with acute chest pain, or other symptoms suggestive of ACS. The denominator excludes ACS patients for whom aspirin and other antiplatelet therapies are contraindicated, and for whom the contraindication is documented. Contraindications may include advance care directives, being on a palliative care pathway, and clinical judgement, subject to discussion with patients, family and carers. Presented as a percentage. |
|---|---|
| Computation: | (Numerator ÷ denominator) x 100 |
| Numerator: | Number of patients with a final diagnosis of ACS who are prescribed aspirin or other dual antiplatelet therapy at separation from hospital. |
| Denominator: | Number of patients with a final diagnosis of ACS who are separated from hospital. |
Representational attributes | |
| Representation class: | Percentage |
| Data type: | Real |
| Unit of measure: | Episode |
| Format: | N[NN] |
Source and reference attributes | |
| Submitting organisation: | Australian Commission on Safety and Quality in Health Care |
| Reference documents: | Acute Coronary Syndrome Guidelines Working Group 2006. Guidelines for the management of acute coronary syndromes 2006. Medical Journal of Australia 184(8):S1–S30. |