Rivascolarizzazione carotidea con endoarteriectomia: interventi chirurgici eseguiti in un anno

Indice

• Descrizione indicatore
• Come si legge
• Fonte del dato
• Valutazione istituzionale
• Altre informazioni

Descrizione indicatore

L’indicatore ci consente di calcolare il numero di interventi chirurgici di rivascolarizzazione carotidea con endoarteriectomia eseguiti in un anno in una struttura ospedaliera.

Questo numero rappresenta il "volume" di interventi (indicatore di "volume").

Come si legge

L’indicatore si riferisce al grado di "competenza" e di "sicurezza" delle cure prestate.

Più alto è il numero di interventi chirurgici di rivascolarizzazione carotidea con endoarteriectomia 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 2024.
Confronto tra strutture calcolato su dati 2023.

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).
Come riportato nel documento elaborato dal PNE, la definizione dell’esposizione sulla base dei volumi della struttura piuttosto che dell’unità operativa potrebbe essere soggetta a misclassificazione.

Valutazione istituzionale

Il Gruppo di lavoro del Programma Nazionale Esiti ha stabilito che un ospedale dovrebbe eseguire almeno 75 interventi all’anno di rivascolarizzazione carotidea con endoarteriectomia.
 
Il semaforo è calcolato sulla base del seguente documento ufficiale:

• Gruppo di lavoro del Programma Nazionale Esiti. 2013. Amato L, Colais P, Davoli M, Ferroni E, Fusco D, Minozzi S, Moirano F, Sciattella P, Vecchi S, Ventura M, Perucci CA. Volume and health outcomes: evidence from systematic reviews and from evaluation of Italian hospital data]. Epidemiol Prev. 2013 Mar-Jun;37(2-3 Suppl 2):1-100.

Consulta le strutture sanitarie che effettuano in un anno il maggior numero di interventi chirurgici di rivascolarizzazione carotidea con endoarteriectomia Approfondisci anche gli altri indicatori relativi a:

• Rivascolarizzazione carotidea con stenting e angioplastica: interventi chirurgici eseguiti in un anno

Altre informazioni

Codici ICD-9-CM selezionati
Sono inclusi tutti i ricoveri, in regime ordinario, con i codici ICD-9-CM di intervento 38.10, 38.11, 38.12 (endoarteriectomia di vasi intracranici e di altri vasi del capo e del collo) in qualunque posizione.
 
Il volume di ricoveri per interventi chirurgici è calcolato su base annuale, riferito all’anno di dimissione del ricovero.
Fonti scientifiche

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