Acute coronary syndromes: 4a-NSTEACS patients with documented assessment and risk stratification
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 4a-NSTEACS patients with documented assessment and risk stratification|
|Registration status:||Health, Standard 12/09/2016|
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.
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:||Clinical care standard indicators: acute coronary syndromes Health, Standard 12/09/2016|
|Outcome area:||Risk stratification Health, Standard 12/09/2016|
Collection and usage attributes
Both the numerator and the denominator include patients with NSTEACS.
Presented as a percentage.
(Numerator ÷ denominator) x 100
Number of admitted patients with NSTEACS who have a documented assessment and risk stratification, using a guideline-recommended tool.
Number of admitted patients with NSTEACS.
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:
|Unit of measure:||Episode|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
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.