Indice
Descrizione indicatore
L’indicatore ci consente di calcolare il numero di interventi chirurgici di bypass aorto-coronarico eseguiti in un anno in una struttura ospedaliera (indicatore di "
volume").
Come si legge
L’indicatore si riferisce al grado di “
competenza” e “
sicurezza" delle cure prestate.
Più alto è il numero di interventi chirurgici di bypass aorto-coronarico eseguiti in una struttura ospedaliera, maggiore è il grado di esperienza della struttura stessa e la sicurezza del trattamento offerto.
Fonte del dato
Programma Nazionale Esiti 2023.
Confronto tra strutture calcolato su dati 2022.
Nota bene: per tener conto di errori nell’attribuzione di condizioni/interventi a singoli ospedali, sono state escluse dalle analisi tutte le strutture con volumi di attività molto bassi in relazione alla condizione considerata (volume di attività minimo
5 casi/anno).
Valutazione istituzionale
Il Ministero della salute ha stabilito che un ospedale dovrebbe eseguire
almeno 180 interventi all’anno di bypass aortocoronarico.
Il semaforo è calcolato sulla base del seguente documento ufficiale:
Consulta le strutture sanitarie che effettuano in un anno il maggior numero di interventi chirurgici di Bypass aortocoronarico
Approfondisci anche gli altri indicatori relativi a:
Altre informazioni
Codici ICD-9-CM selezionati
Criteri di eleggibilità
Sono inclusi tutti i ricoveri, in regime ordinario, con intervento di BPAC (codici ICD9-CM 36.10-36.19) in qualsiasi campo di procedura.
Il volume di ricoveri per interventi chirurgici è calcolato su base annuale, riferito all’anno di dimissione del ricovero.
Criteri di esclusione
Sono esclusi i ricoveri che presentino, in qualsiasi campo di procedura, gli interventi definiti dai seguenti codici ICD9-CM: 33.5, 33.6, 35, 36.9, 37.10, 37.11, 37.31, 37.32, 37.33, 37.4, 37.5, 38.04, 38.05, 38.14, 38.15, 38.34, 38.35, 38.45, 38.65, 38.85, 39.21, 39.22, 39.23, 39.54.
Fonti scientifiche
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- Hannan EL, O’Donnell JF, Kilburn H Jr, Bernard HR, Yazici A. Investigation of the relationship between volume and mortality for surgical procedures performed in New York State hospitals. JAMA 1989;262(4):503-10.
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- Luft HS, Bunker JP, Enthoven AC. Should opeartions be regionalised? The empirical relation between surgical volume and mortality. N Eng J Med 1979; 301(25):1364-9.
- Luft HS, Hunt SS, Maerki SC. The volume-outcome relationship: practice-makes- perfect or selective-referral patterns? Health Ser Res 1987;22(2):157-82.
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- Shroyer AL, Marshall G, Warner BA et al. No continuous relationship between Veterans Affairs hospital coronary artery bypass grafting surgical volume and operative mortality. Ann Thorac Surg 1996;61(1):17-20.
- Sollano JA, Gelijns AC, Moskowitz AJ et al. Volume-outcome relationships in cardiovascular operations: New York State, 1990-1995. J Thorac Cardiovasc Surg 1999;117:419-28; discussion 428-30.
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