30-Day Acute Myocardial Infarction Readmission
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Risk-adjusted rate of urgent readmission following discharge for acute myocardial infarction.
Numerator
Cases within the denominator with a readmission for any reason within 30 days of discharge after the index episode of care.
Denominator
Number of acute myocardial infarction episodes of care discharged between April 1 and March 1 of the fiscal year.
Exclusions
Numerator: Medical assistance in dying Denominator: Records with an invalid health card number/admission category of cadaveric donor or stillbirth/invalid code for province issuing health card number/invalid admission date or time/invalid discharge date or time; Episodes with discharge as death; Episodes with length of stay less than 24 hours; AMI episodes that are within 30 days of a previous AMI episode.
Use of Risk Adjustment
Risk Adjustments
Logistic regression. Covariates: Age group; Sex; Charlson score; 1 acute care hospitalisation in previous 6 months; COPD; renal failure; diabetes; heart failure; cancer; cerebrovascular disease; pneumonia; cardiac arrest; STEMI; COVID-19.
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Discharge Abstract Database, Hospital Morbidity Database, National Ambulatory Care Reporting System.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
CIHI website: The Health Indicators e-Publication (available to public).