In-hospital deaths per 1,000 hospital discharges with a principal diagnosis of acute stroke for patients ages 18 years and older. Includes metrics for discharges grouped by type of stroke. Excludes transfers to another hospital, discharges admitted from a hospice facility, and obstetric discharges.

Number of deaths (DISP=20) among discharges meeting the inclusion and exclusion rules for the denominator.

Discharges, for patients ages 18 years and older, and with a principal ICD-10-CM diagnosis code for intracerebral haemorrhage (MRTCV3D* ), subarachnoid haemorrhage (MRTCV2A* ), or ischaemic stroke (MRTCV4D* ).

Exclude discharges: • transferring to another short-term hospital (DISP=2) • admitted from a hospice facility (PointOFOriginUB04=F) • with a principal ICD-10-CM diagnosis code assigned to MDC 14 Pregnancy, Childbirth & the Puerperium (Appendix B: MDC14PRINDX) • with a principal ICD-10-CM diagnosis code assigned to MDC 15 Newborns & Other Neonates with Conditions Originating in Perinatal Period ( Appendix B: MDC15PRINDX ) • with an ungroupable DRG (DRG=999) • with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing). • with missing MDC (MDC=missing) when user indicates that MDC is provided

By sex, age, severity of illness and comorbidities.

The indicator is stratified into three groups by the type of stroke: 1) Intracerebral haemorrhage, 2) Subarachnoid haemorrhage, 3) Ischaemic stroke.

Uses patient data found in a typical hospital discharge abstract or data set

Nationwide comparative rates reported by AHRQ and some individual/hospital rates reported on state health websites.

qualityindicators.ahrq.gov/

qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2024/TechSpecs/IQI17AcuteStrokeMortality_Rate.pdf