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BQS-Bundesauswertung
2006 |
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Herzschrittmacher-Implantation |
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Qualitätsindikatoren |
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Qualitätsindikator
1: Leitlinienkonforme Indikationsstellung |
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bei bradykarden Herzrhythmusstörungen |
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Summarische Darstellung der Indikationen auf
den Seiten 1.1 bis 1.16 |
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Qualitätsziel: |
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Möglichst oft leitlinienkonforme¹ Indikation
zur Herzschrittmacherimplantation |
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bei bradykarden Herzrhythmusstörungen |
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Grundgesamtheit: |
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Alle Patienten (außer führende Indikation zur
Herzschrittmacherimplantation |
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„kardiale Resynchronisationstherapie“ oder
„sonstiges“) |
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Kennzahl-ID: |
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2006/09n1-HSM-IMPL/9962 |
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Referenzbereich: |
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>= 90% |
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Gesamt 2006 |
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Anzahl |
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% |
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Patienten mit leitlinienkonformer¹ |
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Indikation zur Herzschrittmacher- |
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implantation (I bis IIb) |
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bei |
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Sinusknotensyndrom |
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AV-Block III. Grades² |
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AV-Block
II. Grades Wenckebach |
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AV-Block II. Grades Mobitz |
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AV-Block I. Grades |
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Bradykardie bei permanentem |
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Vorhofflimmern |
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Karotis-Sinus-Syndrom |
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Vasovagalem Syndrom |
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faszikulären Leitungsstörungen |
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53.626 / 61.417 |
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87,31% |
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Vertrauensbereich |
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87,05% - 87,58% |
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Referenzbereich |
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>= 90% |
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Patienten ohne Indikation gemäß |
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Leitlinie¹ |
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7.791 / 61.417 |
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12,69% |
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Indikation I bis IIb
gemäß Leitlinie |
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keine Indikation
gemäß Leitlinie |
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¹ |
Leitlinien zur Herzschrittmachertherapie,
Deutsche Gesellschaft für Kardiologie, Herz- und Kreislaufforschung (Lemke et
al. 2005) |
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² |
Da bei AV-Block III. Grades ein
Herzschrittmacher gemäß Leitlinie immer indiziert ist, wird diese Indikation
nicht weiter differenziert |
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dargestellt. |
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Vorjahresdaten¹ |
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Gesamt 2005 |
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Anzahl |
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% |
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Patienten mit leitlinienkonformer |
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Indikation zur Herzschrittmacher- |
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implantation |
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|
51.655 / 53.270 |
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96,97% |
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|
Vertrauensbereich |
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96,82% - 97,11% |
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¹ |
Vorjahresergebnisse sind mit den Ergebnissen
2006 nur eingeschränkt vergleichbar, da sie auf der Basis der |
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|
abweichenden Datensatzversion 2005 errechnet
wurden. |
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Verteilung der Krankenhausergebnisse
[Diagramm 1, Kennzahl-ID 2006/09n1-HSM-IMPL/9962]: |
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Anteil von Patienten mit leitlinienkonformer
Indikation zur Herzschrittmacherimplantation an allen Patienten |
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(außer führende Indikation zur
Herzschrittmacherimplantation "kardiale Resynchronisationstherapie" |
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oder "sonstiges") |
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0 Krankenhäuser haben keinen Fall in dieser
Grundgesamtheit. |
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Krankenhäuser mit mindestens 20 Fällen in
dieser Grundgesamtheit: |
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Minimum - Maximum der Krankenhausergebnisse:
31,3% - 100,0% |
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Median der Krankenhausergebnisse: 90,0% |
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|
826 Krankenhäuser haben mindestens 20 Fälle
in dieser Grundgesamtheit. |
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Krankenhäuser mit weniger als 20 Fällen in
dieser Grundgesamtheit: |
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Minimum - Maximum der Krankenhausergebnisse:
0,0% - 100,0% |
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Median der Krankenhausergebnisse: 89,5% |
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|
197 Krankenhäuser haben weniger als 20 Fälle
in dieser Grundgesamtheit. |
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|
Indikation bei Sinusknotenerkrankung |
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|
Grundgesamtheit: |
|
Alle Patienten mit Sinusknotenerkrankung als
führende Indikation zur Herzschrittmacherimplantation |
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|
Gesamt 2006 |
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|
Patienten |
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|
Anzahl |
|
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|
% |
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|
mit |
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|
Vorhofrhythmus |
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|
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|
Sinusbradykardie/SA-Blockierungen |
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oder |
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paroxysmalem/persistierendem |
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Vorhofflimmern/-flattern |
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oder |
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