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Acute coronary syndromes: 4a-NSTEACS patients with documented assessment and risk stratification

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 4a-NSTEACS patients with documented assessment and risk stratification
METeOR identifier:Help on this term612076
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Proportion of admitted patients with non-ST-segment-elevation acute coronary syndrome (NSTEACS) who have a documented assessment and risk stratification, using a guideline-recommended tool.

Rationale:Help on this term

Appropriate assessment is needed to determine the likelihood of an adverse cardiac event among NSTEACS patients. Risk stratification of NSTEACS patients is used to determine the likelihood of short-term adverse outcomes, which will direct the treatment management strategy (Acute Coronary Syndrome Guidelines Working Group 2006).

Indicator set:Help on this termClinical care standard indicators: acute coronary syndromes Health, Standard 12/09/2016
Outcome area:Help on this termRisk stratification Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

Both the numerator and the denominator include patients with NSTEACS.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of admitted patients with NSTEACS who have a documented assessment and risk stratification, using a guideline-recommended tool.

Denominator:Help on this term

Number of admitted patients with NSTEACS.

Comments:Help on this term

Assessment and risk stratification is indicated for patients with advance care directives, on a palliative care pathway, subject to discussion with patients, family and carers. Risk assessment tools for consideration include:

  • Global Registry of Acute Coronary Events (GRACE) Acute Coronary Syndrome (ACS) Risk Calculator (Centre for Outcomes Research, University of Massachusetts Medical School 2014).
  • TIMI Risk Score for unstable angina (UA) and non-ST elevation myocardial infarction (NSTEMI) (MD Calc 2014).
  • Acute Coronary Syndromes Treatment Algorithm (National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand 2011).

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this term

N[NN]

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

Acute Coronary Syndrome Guidelines Working Group 2006. Guidelines for the management of acute coronary syndromes 2006. Medical Journal of Australia 184(8):S1–S30.

Centre for Outcomes Research, University of Massachusetts Medical School 2014. The Global Registry of Acute Coronary Events (GRACE). Centre for Outcomes Research, University of Massachusetts Medical School, Worcester. Viewed May 2014, www.outcomes-umassmed.org/grace.

MD Calc 2014. TIMI Risk Score for UA/NSTEMI. MD Calc. Viewed May 2014, http://www.mdcalc.com/timi-risk-score-for-uanstemi/.

National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand 2011. Acute coronary syndromes treatment algorithm. National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand. Viewed May 2014, http://heartfoundation.org.au/images/uploads/publications/ ACS_therapy_algorithm-printable.pdf.

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