Aneurisma dell'aorta addominale (non rotto): mortalità a 30 giorni dall'intervento chirurgico


Indice

Descrizione indicatore

L'indicatore ci consente di calcolare il numero di pazienti sottoposti ad un intervento di riparazione di aneurisma non rotto dell’aorta addominale che muore entro 30 giorni dall'intervento, rispetto al totale dei pazienti ricoverati per un intervento di riparazione di aneurisma non rotto dell’aorta addominale.

Come si legge

L’indicatore si riferisce al grado di "efficacia" delle cure prestate. 
Più basso è il numero di pazienti sottoposti ad un intervento di riparazione di un aneurisma non rotto dell'aorta addominale che muore entro 30 giorni dall’intervento, maggiore è il grado di efficacia e dunque di qualità dei trattamenti offerti dalla struttura ospedaliera.

Descrizione generale

L’Aneurisma dell’Aorta Addominale (AAA) è una dilatazione dell’aorta nella sua porzione addominale.
Per saperne di più sulla patologia leggi la scheda: "Aneurisma dell'aorta addominale (non rotto): volume annuale di interventi chirurgici".

Valutazione istituzionale

Il Ministero della Salute ha identificato la seguente soglia di mortalità a 30 giorni dall’intervento: 1%.

Codici ICD-9-CM selezionati

L’esito in studio è la morte entro 30 giorni dalla data dell’intervento di riparazione dell’aneurisma non rotto dell’aorta addominale. L’accertamento dello stato in vita viene effettuato, sulla base del SIO, sia nel ricovero indice sia in eventuali ricoveri successivi del paziente entro 30 giorni e sulla base dell’Anagrafe Tributaria.
L’analisi è effettuata su base biennale.
L’evento viene attribuito alla struttura in cui è stato effettuato l’intervento.

Criteri di eleggibilità
Tutti i ricoveri per acuti, in regime ordinario, con diagnosi principale o secondaria di aneurisma dell’aorta addominale senza rottura (ICD-9-CM 441.4) e con le seguenti procedure in qualsiasi campo:
  • resezione dell'aorta con anastomosi (ICD-9-CM 38.34);
  • resezione dell’aorta addominale con sostituzione (ICD-9-CM 38.44);
  • altra asportazione dell’aorta addominale (ICD-9-CM 38.64);
  • impianto endovascolare di graft nell’aorta addominale (ICD-9-CM 39.71).

Criteri di esclusione
  • ricoveri di pazienti non residenti in Italia;
  • ricoveri di pazienti di età inferiore ai 18 e superiore ai 100 anni;
  • ricoveri per trasferimento da altra struttura.

Consulta le strutture sanitarie con il minor tasso di mortalità nei 30 giorni dall'intervento di riparazione di aneurisma dell’aorta addominale non rotto


Approfondisci l'indicatore relativo al volume di interventi chirurgici per aneurisma dell’aorta addominale non rotto

Fonte del dato

Programma Nazionale Esiti 2018, indicatore 55. 
Confronto tra strutture calcolato su dati 2016-2017.

Fonte della Valutazione Istituzionale

Il semaforo è calcolato sulla base dei seguenti documenti ufficiali:

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