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Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate (IQI 11)

CBE ID
0359
Project
Surgery
Endorsed
New or Maintenance
Maintenance
Endorsement and Maintenance (E&M) Cycle
Fall 2017
Is Under Review
No
Measure Description

In-hospital deaths per 1,000 discharges with abdominal aortic aneurysm (AAA) repair, ages 18 years and older. Includes metrics for discharges grouped by type of diagnosis and procedure. Excludes obstetric discharges and transfers to another hospital.

[NOTE: The software provides the rate per hospital discharge. However, common practice reports the measure as per 1,000 discharges. The user must multiply the rate obtained from the software by 1,000 to report in-hospital deaths per 1,000 hospital discharges.]

  • Measure Type
    Outcome
    Electronic Clinical Quality Measure (eCQM)
    No
    Level Of Analysis
    Facility
    Care Setting
    Inpatient/Hospital
    Numerator

    Overall:
    Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.

    Stratum A (Open repair of ruptured AAA):
    Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.

    Stratum B (Open repair of unruptured AAA):
    Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.

    Stratum C (Endovascular repair of ruptured AAA):
    Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.

    Stratum D (Endovascular repair of unruptured AAA):
    Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.

    Denominator

    Overall:
    Discharges, for patients ages 18 years and older, with the following
    • any-listed ICD-9-CM diagnosis codes for ruptured AAA and any-listed ICD-9-CM procedure code for open AAA repair; or
    • any-listed ICD-9-CM diagnosis codes for unruptured AAA and any-listed ICD-9-CM procedure codes for open AAA repair; or
    • any-listed ICD-9-CM diagnosis codes for ruptured AAA and any-listed ICD-9-CM procedure codes for endovascular AAA repair; or
    • any-listed ICD-9-CM diagnosis codes for unruptured AAA and any-listed ICD-9-CM procedure codes for endovascular AAA repair

    Stratum A (Open repair of ruptured AAA):
    Discharges, for patients ages 18 years and older, with any-listed ICD-9-CM diagnosis code for ruptured AAA (see above) and any-listed ICD-9-CM procedure code for open AAA repair (see above).

    Stratum B (Open repair of unruptured AAA):
    Discharges, for patients ages 18 years and older, with any-listed ICD-9-CM diagnosis code for un-ruptured AAA (see above) and any-listed ICD-9-CM procedure code for open AAA repair (see above).

    Stratum C (Endovascular repair of ruptured AAA):
    Discharges, for patients ages 18 years and older, with any-listed ICD-9-CM diagnosis code for ruptured AAA (see above) and any-listed ICD-9-CM procedure code for endovascular AAA repair (see above).

    Stratum D (Endovascular repair of unruptured AAA):
    Discharges, for patients ages 18 years and older, with any-listed ICD-9-CM diagnosis code for un-ruptured AAA (see above) and any-listed ICD-9-CM procedure code for endovascular AAA repair (see above).

    Exclusions

    Overall:
    Exclude cases:
    •transferring to another short-term hospital (DISP=2)
    •MDC 14 (pregnancy, childbirth, and puerperium)
    •with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing)

    Testing Data Sources
    Claims Data
  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Surgery Fall Cycle 2017
    Initial Endorsement
    Endorsement Status
    Endorsement Removed
    Last Updated
    Removal Date