In-Hospital Mortality of Patients Admitted for Acute Myocardial Infarction (AMI)
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
In-hospital deaths of patients admitted for Acute Myocardial Infarction.
Numerator
Observed number of in-hospital deaths for AMI patients × national in-hospital mortality rate for AMI patients.
Denominator
Expected number of in-hospital deaths for AMI patients = the sum of the estimated probabilities of death for all separations (meeting the denominator criteria), calculated using national risk-adjustment coefficient.
Exclusions
Additional diagnosis of Cardiac arrest (I46.x) AND Condition onset flag = Condition not noted as arising during the episode of admitted patient care OR same day separations (where date of admission is equal to the date of separation).
Use of Risk Adjustment
Risk Adjustments
• Age in years at date of admission • Sex • Additional (comorbid) diagnoses: dementia, Alzheimer's disease and other dementia, hypotension, shock, kidney (renal) failure, heart failure, dysrhythmia, malignancy, hypertension, cerebrovascular disease.
Stratifications
By hospital peer group.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Internal state/territory reports