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2005 National Healthcare Quality Report

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Reclosure of postoperative disruption of abdominal wall (discharge-based) and reclosure of postoperative disruption of abdominal wall (area-based)

Measure Source

Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI).

Tables

2.19a Reclosure of postoperative disruption of abdominal wall (postoperative abdominal wound dehiscence) per 1,000 abdominopelvic-surgery discharges (excluding obstetric conditions), United States, 2001 and 2002.

2.19b Reclosure of postoperative disruption of abdominal wall (postoperative abdominal wound dehiscence) per 100,000 population (excluding obstetric conditions), United States, 2001 and 2002.

Data Source

AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample.

Denominator

Table 2.19a: All inpatient hospital abdominopelvic surgical discharges. Excludes obstetrical patients.

Table 2.19b: U.S. population.

Numerator

Table 2.19a: Non-maternal/non-neonatal abdominopelvic surgery discharges with secondary procedure for reclosure of postoperative disruption of abdominal wall (ICD-9-CM procedure code 54.61).

Table 2.19b: Non-maternal/non-neonatal abdominopelvic surgery discharges with any principal or secondary procedure for reclosure of postoperative disruption of abdominal wall (ICD-9-CM procedure code 54.61).

Comments

Table 2.19a: Rates are adjusted by age, gender, age-gender interactions, comorbidities, and Diagnosis Related Groups (DRG) clusters. When reporting is by age, the adjustment is by gender, comorbidities, and DRG clusters; when reporting is by gender, the adjustment is by age, comorbidities, and DRG clusters.

Table 2.19b: Rates are adjusted by age and gender, using year 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community, non-rehabilitation hospitals in the American Hospital Association Annual Survey of Hospitals.

These tables were created using version 2.1, revision 2, of the AHRQ PSI software. These measures are referred to as indicator details 14 (discharge-based, table a) and 24 (area-based, table b) in the software documentation. Further information about this and other safety and quality indicators is available from the AHRQ Quality Indicators website at http://www.qualityindicators.ahrq.gov.

Obstetric trauma—vaginal with instrument. Accidental puncture or laceration during procedures (discharge-based) and accidental puncture or laceration during procedures (area-based).

 

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