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Acute coronary syndromes: 4b-NSTEACS patients transferred to hospital with angiography facilities

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 4b-NSTEACS patients transferred to hospital with angiography facilities
METeOR identifier:Help on this term612079
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Proportion of patients with non-ST-segment-elevation acute coronary syndrome (NSTEACS) in a hospital without coronary angiography facilities, assessed as being at high-risk for a recurrent adverse cardiac event and transferred to a hospital with angiography facilities.

Rationale:Help on this term

The Guidelines for the management of acute coronary syndromes 2006 (Acute Coronary Syndrome Guidelines Working Group 2006) recommend that arrangements be made for coronary angiography and revascularisation for high-risk patients, except for those with severe comorbidities, including general frailty.

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.

The denominator excludes patients for whom angiography is contraindicated (where the contraindication is documented in their medical record). 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:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients with NSTEACS in a hospital without angiography facilities, assessed as being at high-risk for a recurrent adverse cardiac event, who are transferred to another hospital for angiography​.

Denominator:Help on this term

Number of patients with NSTEACS in a hospital without angiography facilities, assessed as being at high-risk for a recurrent adverse cardiac event.

Comments:Help on this term

Refer to the Guidelines for the management of acute coronary syndromes 2006 for features associated with high‑risk, intermediate-risk and low-risk NSTEACS.

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.

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