Postoperative Sepsis - Abdominal 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 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
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