Episode of admitted patient care—duration of continuous ventilatory support, total hours NNNN
Identifying and definitional attributes
|Metadata item type:||Data Element|
|Short name:||Duration of continuous ventilatory support|
|Synonymous names:||Duration of mechanical ventilation|
|Registration status:||Health, Standard 12/12/2018|
The total number of hours an admitted patient has spent on continuous ventilatory support.
|Data Element Concept:||Episode of admitted patient care—duration of continuous ventilatory support|
Value domain attributes
|Maximum character length:||4|
|Unit of measure:||Hour (h)|
Collection and usage attributes
|Guide for use:||Total hours expressed as 0000, 0001, 0425 etc.|
Data element attributes
Collection and usage attributes
|Guide for use:|
Continuous ventilatory support or invasive ventilation refers to the application of ventilation via an invasive artificial airway. For the purposes of this data element, invasive artificial airway is that provided via an endotracheal tube or a tracheostomy tube.
An endotracheal tube can be placed orally or nasally. It is usually employed prior to a surgically placed tracheostomy tube.
With prolonged ventilation, or when prolonged ventilation is expected, a tracheostomy tube is placed surgically.
For the purposes of calculating the duration of continuous ventilatory support, begin calculation with one of the following:
End the calculation with one of the following:
Subsequent periods of continuous ventilatory support should be added together. For example, if a patient is on continuous ventilatory support on the first day of their admission, then again on the fourth day of their admission, the hours should be added together.
If there is a period of less than 1 hour between cessation and then restarting of ventilatory support, continue counting the duration. If there is removal and immediate replacement of airway devices, continue counting the duration.
Ventilatory support which is provided to a patient during surgery is associated with anaesthesia and is considered an integral part of the surgical procedure. Duration of continuous ventilatory support should not be counted if it is part of a surgical procedure, except in the following circumstances:
Hours of ventilatory support should be reported as completed cumulative hours. For example, if the total duration of ventilatory support was 98 hours 45 minutes, report 98 hours. If a patient is intubated and ventilated for < 1 hour the intubation and ventilation are not reported. This includes patients who die or are discharged or transferred.
Source and reference attributes
Independent Hospital Pricing Authority
Australian Consortium for Classification Development 2018. Australian Coding Standards for ICD-10-AM (The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification) and ACHI (The Australian Classification of Health Interventions) (11th edition). Sydney: Independent Hospital Pricing Authority.
|Related metadata references:|
Supersedes Episode of admitted patient care—duration of continuous ventilatory support, total hours NNNN Health, Superseded 12/12/2018, Tasmanian Health, Endorsed 10/01/2018, ACT Health, Final 09/08/2018
|Implementation in Data Set Specifications:|
All attributes +
Admitted patient care NMDS 2019-20 Health, Standard 12/12/2018
Admitted patient care NMDS 2020–21 Health, Standardisation pending 01/10/2019