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Australian Atlas of Healthcare Variation: Number of acute myocardial infarction hospitalisations with percutaneous coronary interventions and/or coronary artery bypass graft per 100,000 people, 35-84 years, 2014-15

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termAMI hospitalisations with percutaneous coronary interventions and/or coronary bypass graft interventions 35-84 years, 2014-15
METeOR identifier:Help on this term640170
Registration status:Help on this termAustralian Commission on Safety and Quality in Health Care, Standard 07/06/2017
Description:Help on this term

Number ofacute myocardial infarction hospitalisations with percutaneous coronary and/or coronary artery bypass graft interventions per 100,000 people aged 35-84 years, age and sex standardised. Data are disaggregated by the area in which the person lives.

Indicator set:Help on this termAustralian Atlas of Healthcare Variation Australian Commission on Safety and Quality in Health Care, Standard 07/06/2017

Collection and usage attributes

Population group age from:Help on this term

35-84 years

Computation description:Help on this term

Inclusion codes, description and additional requirements

ICD-10-AM  8th edn code

Description

Additional requirements

I21.0

Acute transmural myocardial infarction of anterior wall

Principal diagnosis

I21.1

Acute transmural myocardial infarction of inferior wall

I21.2

Acute transmural myocardial infarction of other sites

I21.3

Acute transmural myocardial infarction of unspecified site

I21.4

Acute subendocardial myocardial infarction

I21.9

Acute myocardial infarction, unspecified

 

ACHI 8th edition code

Description

Additional requirements

38505–00 [669]

Open coronary endarterectomy

Include records with at least one of the listed procedures. A record with more than one of the listed procedures should only be counted once.

 

 

 

38309–00 [669]

Percutaneous transluminal coronary rotational atherectomy [PTCRA], 1 artery

38312–00 [669]

Percutaneous transluminal coronary rotational atherectomy [PTCRA], 1 artery with insertion of 1 stent

38312–01 [669]

Percutaneous transluminal coronary rotational atherectomy [PTCRA], 1 artery with insertion of >=2 stents

38315–00 [669]

Percutaneous transluminal coronary rotational atherectomy [PTCRA], multiple arteries

38318–00 [669]

Percutaneous transluminal coronary rotational atherectomy [PTCRA], multiple arteries

with insertion of 1 stent

38318–01 [669]

Percutaneous transluminal coronary rotational atherectomy [PTCRA], multiple arteries with insertion of >= 2 stents

90218-00 [669]

Percutaneous transluminal coronary angioplasty with aspiration thrombectomy, 1 artery

90218-01 [669]

Percutaneous transluminal coronary angioplasty with aspiration thrombectomy, multiple arteries

90218-02 [669]

Percutaneous transluminal coronary angioplasty with embolic protection device, 1 artery

90218-03 [669]

Percutaneous transluminal coronary angioplasty with embolic protection device, multiple arteries

38300–00[670]

Percutaneous transluminal balloon angioplasty of 1 coronary artery

38303–00[670]

Percutaneous transluminal balloon angioplasty of ≥2 coronary arteries

38300–01 [670]

Open transluminal balloon angioplasty of 1 coronary artery

38303–01 [670]

Open transluminal balloon angioplasty of ≥2 coronary arteries

38306–00 [671]

Percutaneous insertion of 1 transluminal stent into single coronary artery

38306–01 [671]

Percutaneous insertion of ≥2 transluminal stents into single coronary artery

38306–02 [671]

Percutaneous insertion of ≥2 transluminal stents into multiple coronary arteries

38306–03 [671]

Open insertion of 1 transluminal stent into single coronary arter

38306–04[671]

Open insertion of ≥2 transluminal stents into single coronary artery

38306–05 [671]

Open insertion of ≥2 transluminal stents into multiple coronary arteries

38497-00 [672]

Coronary artery bypass, using 1 saphenous vein graft

38497-01 [672]

Coronary artery bypass, using 2 saphenous vein grafts

38497-02 [672]

Coronary artery bypass, using 3 saphenous vein grafts

38497-03 [672]

Coronary artery bypass, using ≥4 saphenous vein grafts

38497-04 [673]

Coronary artery bypass, using 1 other venous graft

38497-05 [673]

Coronary artery bypass, using 2 other venous grafts

38497-06 [673]

Coronary artery bypass, using 3 other venous grafts

38497- 07[673]

Coronary artery bypass, using ≥4 other venous grafts

38500-00 [674]

Coronary artery bypass, using 1 LIMA graft

38503-00 [674]

Coronary artery bypass, using ≥2 LIMA grafts

38500-01 [675]

Coronary artery bypass, using 1 RIMA graft

38503-01 [675]

Coronary artery bypass, using ≥2 RIMA grafts

38500-02 [676]

Coronary artery bypass, using 1 radial artery graft

38503-02 [676]

Coronary artery bypass, using ≥2 radial artery grafts

38500-03 [677]

Coronary artery bypass, using 1 epigastric artery graft

38503-03 [677]

Coronary artery bypass, using ≥2 epigastric artery grafts

38500-04 [678]

Coronary artery bypass, using 1 other arterial graft

38503-04 [678]

Coronary artery bypass, using ≥2 other arterial grafts

38500-05 [679]

Coronary artery bypass, using 1 composite graft

38503-05 [679]

Coronary artery bypass, using ≥2 composite grafts

90201-00 [679]

Coronary artery bypass, using 1 other graft, not elsewhere classified

90201-01 [679]

Coronary artery bypass, using 2 other grafts, not elsewhere classified

90201-02 [679]

Coronary artery bypass, using 3 other grafts, not elsewhere classified

90201-03 [679]

Coronary artery bypass, using ≥4 other grafts, not elsewhere classified

 

 

 

 

Care type

Description

1

Acute care

 

Presented as a number per 100,000 people.

 

Rates are directly age- and sex- standardised, to the 2001 Australian population aged 35-84, using 5-year age groups: 35-39, 40-44, … , 80-84.

Indigenous and other Australian rates are directly age and sex standardised, to the 2001 Australian population aged 35-84, using 5-year age groups: 35-39, 40-44, … , 60–64, 65-84.

For more information about age-standardisation in general see http://meteor.aihw.gov.au/content/index.phtml/itemId/327276

 

Analysis by Statistical Area Level 3 (SA3) is based on Statistical Area Level 2 (SA2) of usual residence of the patient.

Suppress data (number or rate) if at least one of the following conditions are met:

  • the total denominator is less than 1,000

  • the total numerator is less than 20

Age and sex standardised rates are suppressed where the denominator for at least one of the age and sex groups used to calculate the rate is below 30.

 

Computation:Help on this term

100,000 × (Numerator ÷ Denominator)

Numerator:Help on this term

Number of acute myocardial infarction hospitalisations with percutaneous coronary interventions and/or coronary artery bypass graft, 35-84 years

Numerator data elements:Help on this term
Data Element / Data SetEpisode of care—additional diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]}
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2014-15
Guide for use

Data source type: Administrative by-product data.


Data Element / Data SetEpisode of admitted patient care—procedure, code (ACHI 8th edn) NNNNN-NN
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2014-15
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetHospital service—care type, code N[N]
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2014-15
Denominator:Help on this term

Total population aged 35 to 84 years as at 30 June, 2014.

Denominator data elements:Help on this term
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Estimated resident population (total population)
Guide for use

Data source type: Census based plus administrative by-product data.


Data Element / Data SetData Element

Person—estimated resident population of Australia


Data Source
ABS Indigenous experimental estimates and projections (2001 Census-based)
Disaggregation:Help on this term

SA3 by:

  • Remoteness (ASGC Remoteness structure) and Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socioeconomic Disadvantage (IRSD)

State and territory by

  • Indigenous status

  • Patient funding status

Disaggregation data elements:Help on this term
Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
National Hospital Morbidity Database (NHMD)

Representational attributes

Representation class:Help on this termRate
Data type:Help on this termInteger
Unit of measure:Help on this termEpisode
Format:Help on this term

N[NNNN]

Data source attributes

Data sources:Help on this term
Data SourceNational Hospital Morbidity Database (NHMD)
Frequency
Annual
Quality statement
Data quality statement: National Hospital Morbidity Database 2013–14
Data custodian

Australian Institute of Health and Welfare



Data SourceABS Estimated resident population (total population)
Frequency
Quarterly
Quality statement
ABS Estimated resident population (total population), QS
Data custodian
Australian Bureau of Statistics

Data SourceABS Indigenous experimental estimates and projections (2001 Census-based)
Frequency
Periodic
Quality statement
ABS Indigenous experimental estimates and projections, QS
Data custodian
Australian Bureau of Statistics

Accountability attributes

Methodology:Help on this term

Statistical Area Level 3 (SA3s) are geographic areas defined in the ABS Australian Statistical Geography Standard (ASGS). The aim of SA3s is to create a standard framework for the analysis of ABS data at the regional level through clustering groups of SA2s that have similar regional characteristics. There are 333 spatial SA3s covering the whole of Australia without gaps or overlaps. They are designed to provide a regional breakdown of Australia. SA3s generally have a population of between 30,000 and 130,000 people. There are approximately 50 with fewer than 30,000 people and 35 with more than 130,000 as at 30 June 2011. For further information see the ABS publication, Australian Statistical Geography Standard (ASGS): Volume 1 – Main Structure and Greater Capital City Statistical Areas, July 2011 (cat. no. 1270.0.55.001).

 

The scope of the NHMD is episodes of care for admitted patients in all public and private acute and psychiatric hospitals, free-standing day hospital facilities and alcohol and drug treatment centres in Australia. Hospitals operated by the Australian Defence Force, corrections authorities and in Australia’s off-shore territories are not in scope, but some are included. 

Private hospitals include private free-standing day hospital facilities and other private hospitals (which also include private psychiatric hospitals).

 

For additional context, the proportion of hospitalisations involving a transfer to another acute hospital (mode of separation = 1) was also provided.

Formulae:Help on this term

Data quality statement: National Hospital Morbidity Database 2014–15

Reporting requirements:Help on this term

Australian Commission on Safety and Quality in Health Care

Australian Atlas of Healthcare Variation

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Accountability:Help on this term

Australian Commission on Safety and Quality in Health Care

Release date:Help on this term07/06/2017

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

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