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Acute coronary syndromes: 6c-Patients discharged on lipid-lowering therapy

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 6c-Patients discharged on lipid-lowering therapy
METeOR identifier:Help on this term612087
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 lipid-lowering therapy at separation from hospital.

Rationale:Help on this term

Lowering lipid levels (using statins) is an effective primary and secondary prevention treatment for vascular events, including stroke (Amarenco et al. 2006).

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 statin-intolerant ACS patients, and other ACS patients for whom statins or other lipid-lowering therapies are contraindicated and for whom the contraindication is documented. Contraindications for statins 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 a statin or other lipid-lowering 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


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

Amarenco P et al. 2006. High-dose atorvastatin after stroke or transient ischemic attack. New England Journal of Medicine 355(6):549–559.

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