Indice
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 (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.
Descrizione generale
Le patologie più frequenti che colpiscono i grandi vasi del collo sono rappresentate da restringimenti o ostruzioni causate da placche aterosclerotiche (accumuli di colesterolo circondati da cellule e fibrosi).
Queste patologie causano un ridotto afflusso di sangue alle strutture cerebrali e, quindi, patologie come l’attacco ischemico transitorio o ictus. Tali restringimenti o ostruzioni possono essere trattati chirurgicamente mediante l'endoarteriectomia, un intervento chirurgico che consente, attraverso una incisione chirurgica del collo e poi della parete dell’arteria carotide, di rimuovere un tratto della parete interna del vaso (tunica intima) colpito da placche aterosclerotiche e/o trombosi.
Valutazione istituzionale
Il Gruppo di lavoro del Programma Nazionale Esiti ha identificato la seguente soglia minima di volume di attività: 75 procedure/anno.
Codici ICD-9-CM selezionati
Fonte del dato
Programma Nazionale Esiti 2022, indicatore 119.
Confronto tra strutture calcolato su dati 2021.
Nota bene: per tener conto di errori di attribuzione, sono escluse dall'analisi le strutture con volumi di attività molto bassi (min 5/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.
Fonte della Valutazione Istituzionale
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.
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