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Hospital specific risk-adjusted measure of mortality or one or more major complications within 30 days of a lower extremity bypass (LEB).

CBE ID
0534
Project
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
Measure Description

Hospital specific risk-adjusted measure of mortality or one or more of the following major complications (cardiac arrest, myocardial infarction, CVA/stroke, on ventilator >48 hours, acute renal failure (requiring dialysis), bleeding/transfusions, graft/prosthesis/flap failure, septic shock, sepsis, and organ space surgical site infection), within 30 days of a lower extremity bypass (LEB) in patients age 16 and older.

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    Numerator

    Outcome: Death or one or more of the following major complications (cardiac arrest, myocardial infarction, CVA/stroke, on ventilator >48 hours, acute renal failure (requiring dialysis), bleeding/transfusions, graft/prosthesis/flap failure, septic shock, sepsis, and organ space surgical site infection) in patients undergoing lower extremity bypass surgery.

    Time Window: within 30 days of LEB procedure

    Denominator

    Adult patients age 16 and older undergoing lower extremity bypass surgery

    Time Window: For development, 3 years of data (July 2004- June 2007). For public reporting, the timeframe has not been determined.

    Exclusions

    Trauma patients
    Any case that activates a trauma resuscitation or work-up

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