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Acute coronary syndromes: 6b-Patients discharged on aspirin or dual antiplatelet therapy

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 6b-Patients discharged on aspirin or dual antiplatelet therapy
METeOR identifier:Help on this term612085
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

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:Help on this term

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:Help on this termClinical care standard indicators: acute coronary syndromes Health, Standard 12/09/2016
Outcome area:Help on this termIndividualised care plan Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

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:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients with a final diagnosis of ACS who are prescribed aspirin or other dual antiplatelet therapy at separation from hospital.

Denominator:Help on this term

Number of patients with a final diagnosis of ACS who are separated from hospital.

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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