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Acute coronary syndromes: 5a-NSTEACS patients informed of the risks and benefits of coronary angiography

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 5a-NSTEACS patients informed of the risks and benefits of coronary angiography
METeOR identifier:Help on this term612081
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) who, having been assessed as intermediate or high-risk of an adverse cardiac event using a guideline-recommended tool, are informed of the risks and benefits of coronary angiography.

Rationale:Help on this term

High-risk patients should be treated aggressively with medical management and arrangements should be made for coronary angiography and revascularisation where appropriate, except in those with severe comorbidities, including general frailty (Acute Coronary Syndrome Guidelines Working Group 2006; AHMAC 2014). Informing patients of the risks and benefits of a procedure ensures that the delivery of care is consumer-centred and aligns with the Australian Safety and Quality Framework for Health Care (ACSQHC 2010).

Indicator set:Help on this termClinical care standard indicators: acute coronary syndromes Health, Standard 12/09/2016
Outcome area:Help on this termCoronary angiography 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 NSTEACS patients, who, having been assessed as intermediate or high-risk of an adverse cardiac event using a guideline-recommended tool, whose records have documented evidence that they were informed of the risks and benefits of coronary angiography, based upon their clinical situation.

Denominator:Help on this term

Number of NSTEACS patients assessed as intermediate or high-risk of an adverse cardiac event using a guideline‑recommended tool.

Comments:Help on this term

Refer to the Guidelines for the management of acute coronary syndromes 2006 (Acute Coronary Syndrome Guidelines Working Group 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.

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2010. Australian Safety and Quality Framework for Health Care. ACSQHC, Sydney. Viewed May 2014, http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/32296-Australian-SandQ-Framework1.pdf.

AHMAC (Australian Health Ministers’ Advisory Council) 2014. Better cardiac care for Aboriginal and Torres Strait Islander people: Post-forum report. Sydney: AHMAC.

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