Re-interventions, Readmissions and Discharge Destination: Modern Metrics for the Assessment of the Quality of Care

Abstract Aim To determine whether administrative data can be used to determine metrics to inform the quality agenda. To determine the relationship between these metrics and the method of abdominal aortic aneurysm (AAA) repair undertaken. Methods The Hospital Episode Statistics (HES) data were taken...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2010-01, Vol.39 (1), p.49-54
Main Authors: Holt, P.J.E, Poloniecki, J.D, Hofman, D, Hinchliffe, R.J, Loftus, I.M, Thompson, M.M
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Aneurysm
Aortic Aneurysm, Abdominal - mortality
Aortic Aneurysm, Abdominal - surgery
Continuity of Patient Care - statistics & numerical data
Databases as Topic
Discharge destination
Elective Surgical Procedures
Emergency Treatment
England - epidemiology
Hospital Mortality
Humans
Length of Stay
Odds Ratio
Outcome
Outcome and Process Assessment (Health Care) - statistics & numerical data
Patient Discharge - statistics & numerical data
Patient Readmission - statistics & numerical data
Quality
Quality Indicators, Health Care - statistics & numerical data
Quality of Life
Re-intervention
Reoperation
Risk Assessment
Risk Factors
Surgery
Time Factors
Treatment Outcome
Vascular Surgical Procedures - adverse effects
Vascular Surgical Procedures - mortality
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Summary:Abstract Aim To determine whether administrative data can be used to determine metrics to inform the quality agenda. To determine the relationship between these metrics and the method of abdominal aortic aneurysm (AAA) repair undertaken. Methods The Hospital Episode Statistics (HES) data were taken for a 5-year period (01.04.2003–31.03.2008). Cases of elective AAA repair were identified. Outcomes were determined in terms of mortality, discharge destination, re-intervention rates and emergency readmission rates. The results were interpreted in light of whether AAA repair was open or endovascular and whether patients were octogenarians or younger patients. Results There were 18,060 elective AAA repairs with a mean in-hospital mortality rate of 5.9%. Of these 14,141 were open repairs with a mean mortality of 6.5% and 3919 EVAR (22%) with a mean mortality of 3.8%. EVAR patients were less likely to be discharged to ongoing care ( p  
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2009.10.003