Postoperative Deep Vein Thrombosis - Hip and Knee Replacement Discharges Using Linked Data
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The number of hip and knee replacement discharges (complications during the surgical admission, readmissions into the same hospital, readmissions into different hospitals) with postoperative deep vein thrombosis.
Numerator
Discharges (NUM1 + NUM2 + NUM3) among cases defined in the denominator with ICD code for deep vein thrombosis in a secondary diagnosis field during the surgical admission (see ICD codes and in any diagnosis field during readmissions within 30 days of the surgery. If the date of surgery is not available, then 30 days from the admission date for the first surgical admission. • NUM1: complications during the surgical admissions • NUM2: readmissions into the same hospital • NUM3: readmissions into different hospitals
Denominator
Hip and knee replacement discharges, meeting the inclusion and exclusion rules with an ICD code for an operating room procedure.
Exclusions
• Obstetric hospitalisations - Cases assigned to an obstetric DRG, e.g. from MDC 14 or specified pregnancy, childbirth, and puerperium codes in any field. • IVC - cases from the numerator and denominator where a procedure for interruption of vena cava or insertion of inferior vena cava filter occurs before or on the same day as the first / main operating room procedure (hip/knee replacement and all surgical discharges). • PE - if a patient has both PE and DVT, such case is assigned to PE. • From NUM1 only: - PDX - cases with principal diagnosis or secondary diagnosis present on admission (if known) of deep vein thrombosis during the surgical admission (NUM1). - LOS - surgical admissions (NUM1) with length of stay less than 2 days. • NUM 2 and NUM3 - READM - readmissions more than 30 days after the operation date from the numerator (matched record is not considered readmission as cases are considered to be at risk within 30 days).
Use of Risk Adjustment
Risk Adjustments
Standardised (or adjusted) by age and sex.
Stratifications
By sex, age group (5-years) and country.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Data requested from OECD countries
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
OECD Data Explorer Website and Health at a glance publications