Australian Government: Australian Institute of Health and Welfare METeOR Home Page

Acute coronary syndromes clinical care standard indicators: 3b-Proportion of patients with ST-segment-elevation myocardial infarction(STEMI) receiving fibrinolysis before or within 30 minutes of hospital presentation, 2019-

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 3b-Proportion of patients with STEMI receiving fibrinolysis before or within 30 minutes of hospital presentation
METeOR identifier:Help on this term719390
Registration status:Help on this termAustralian Commission on Safety and Quality in Health Care, Standardisation pending 17/09/2019
Description:Help on this term

Proportion of patients with ST-segment-elevation myocardial infarction (STEMI) whose first emergency clinical contact is within 12 hours of symptom onset, treated with fibrinolysis before or within 30 minutes of hospital presentation.

Indicator set:Help on this termClinical care standard indicators: acute coronary syndromes Australian Commission on Safety and Quality in Health Care, Standardisation pending 17/09/2019

Collection and usage attributes

Computation description:Help on this term

Both the numerator and the denominator include patients with STEMI.

The numerator also includes patients who are administered fibrinolytic drugs. For hospitals using the Acute coronary syndrome (clinical) National best practice data set, the data element Person—fibrinolytic drug administered, code N can be used to indicate fibrinolytic drug therapy, where the values are one of the following:

1 Streptokinase
2 t-PA (Tissue Plasminogen Activator) (Alteplase)
3 r-PA (Reteplase)
4 TNK t-PA (Tenecteplase)

The denominator excludes patients for whom fibrinolysis is contraindicated (where the contraindication is documented in their medical record). (For hospitals using the Acute coronary syndrome (clinical) National best practice data set, contraindication for fibrinolytic therapy can be identified using the data element Person—reason for non prescription of pharmacotherapy, code N, where a value of 2 'Contraindicated' is recorded.) Contraindications may include advance care directives, being on a palliative care pathway, and clinical judgement, subject to discussion with patients, family and carers. The Australian clinical guidelines for the management of acute coronary syndromes 2016 (NHFA/CSANZ ACS Guideline 2016 Executive Working Group 2016) references both absolute and relative contraindications to the administration of fibrinolysis.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients with STEMI arriving at the emergency department or being attended to by ambulance officers within 12 hours of symptom onset receiving fibrinolysis before or within 30 minutes of hospital presention.

Denominator:Help on this term

Number of patients with STEMI arriving at the emergency department or being attended to by ambulance officers within 12 hours of symptom onset.

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

National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand 2016 Executive Working Group 2016.  Clinical guidelines for the management of acute coronary syndromes 2016.  Heart, Lung, and Circulation 25, 895-951.

My items Help on this term
Download Help on this term