Postoperative Sepsis - Abdominal Discharges Using Linked Data

Identifying Attributes

Care Settings
Hospital Care
Country
Organisation for Economic Co-operation and Development
Publishing Organisation
Organisation for Economic Co-operation and Development (OECD): Healthcare Quality and Outcomes (HCQO) indicators
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Infection and Sepsis

Defining Attributes

Definition

The number of abdominopelvic surgical discharges (complications during the surgical admission, readmissions into the same hospital, readmissions into different hospitals) with postoperative sepsis.

Numerator

Discharges (NUM1 + NUM2 + NUM3) among cases defined in the denominator with ICD code for sepsis 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 (first surgical admission). • NUM1: complications during the surgical admissions • NUM2: readmissions into the same hospital • NUM3: readmissions into different hospitals

Denominator

Abdominopelvic surgical discharges only, meeting the inclusion and exclusion rules with an ICD code for an operating room procedure.

Exclusions

• MDC - cases from the numerator and denominator for MDC 14 (Pregnancy, childbirth, and puerperium) or principal diagnosis in Annex A: M-3 Code list for MDC 14 (refer to separate MS Excel file) • INF - cases from numerator and denominator with principal diagnosis of infection or secondary diagnosis present on admission, if known – see ICD codes. • IMM/CA - cases from numerator and denominator with any code for immunocompromised state or cancer – see ICD codes. • From NUM1 only: - PDX - cases with principal diagnosis or diagnosis present on admission (where possible) of sepsis during the surgical admission (NUM1), - LOS - surgical admissions (NUM1) with length of stay of less than 3 days. • From NUM2 and NUM3: - Admission occurs more than 30 days after a previous one (matched record is readmission) • Exclude PDX and LOS cases from the denominator if only the Surgical admissions-based calculation is carried out (countries without a UPI). Otherwise, if using the All admissions-based method, no exclusions apply as all denominator cases are considered to be at risk within 30 days.

Use of Risk Adjustment
Yes
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
Electronic/paper chart records
Data Collection Methods

Data requested from OECD countries

Frequency of Data Collection
Biennial
Frequency of Data Collection in Days
730
Reporting Methods

OECD Data Explorer Website and Health at a glance publications

Reporting Frequency
Biennial
Reporting Frequency in Days
730
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025