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BQS-Bundesauswertung
2006 |
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Kombinierte
Koronar- und |
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Aortenklappenchirurgie |
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Qualitätsindikatoren |
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Qualitätsindikator
1: Postoperative Mediastinitis |
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Qualitätsziel: |
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Seltenes Auftreten einer postoperativen
Mediastinitis |
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Grundgesamtheit: |
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Alle Patienten, die in ihrer ersten Operation
koronarchirurgisch und an der Aortenklappe operiert wurden |
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(siehe Zeilenbeschriftung) |
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Kennzahl-ID: |
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2006/HCH-KOMB/48060 |
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Referenzbereich: |
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<= 5,3% (95%-Perzentile) |
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Gesamt
2006 |
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postoperative Mediastinitis, tiefe Wund- |
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infektion des Thorax, Sternumrevision |
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wegen postoperativer Mediastinitis, |
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Rethorakotomie wegen postoperativer |
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Mediastinitis |
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Grundgesamtheit |
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Anzahl |
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% |
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Alle Patienten, die in ihrer ersten |
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Operation koronarchirurgisch und an der |
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Aortenklappe operiert wurden |
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132 / 7.718 |
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1,71% |
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und |
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mit OP-Dringlichkeit elektiv/dringlich |
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ohne Mediastinitis und Wundinfektion |
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des Thorax vor OP |
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124 / 7.383 |
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1,68% |
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Vertrauensbereich |
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1,40% - 2,00% |
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Referenzbereich |
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<= 5,3% |
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und |
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Body-Mass-Index BMI¹ > 31 |
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40 / 1.497 |
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2,67% |
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insulinpflichtigem Diabetes |
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22 / 909 |
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2,42% |
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konsumierendem Tumorleiden |
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3 / 169 |
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1,78% |
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mit Voroperation an Herz/Aorta |
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8 / 512 |
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1,56% |
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Kreatininwert >= 1,8 mg/dl bzw. |
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159 µmol/l vor OP |
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22 / 564 |
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3,90% |
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postoperativer Reanimation |
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14 / 268 |
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5,22% |
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COPD mit Langzeit- |
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Bronchodilatatoren-Therapie |
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19 / 664 |
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2,86% |
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¹ |
gültige Angaben zu Größe und Gewicht liegen
vor |
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Vorjahresdaten |
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Gesamt
2005 |
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postoperative Mediastinitis, tiefe Wund- |
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infektion des Thorax, Sternumrevision |
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wegen postoperativer Mediastinitis, |
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Rethorakotomie wegen postoperativer |
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Mediastinitis |
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Grundgesamtheit |
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Anzahl |
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% |
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Alle Patienten, die in ihrer ersten |
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Operation koronarchirurgisch und an der |
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Aortenklappe operiert wurden |
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127 / 7.790 |
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1,63% |
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und |
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mit OP-Dringlichkeit elektiv/dringlich |
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ohne Mediastinitis und Wundinfektion |
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des Thorax vor OP |
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121 / 7.467 |
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1,62% |
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Vertrauensbereich |
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1,35% - 1,93% |
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Postoperative Mediastinitis: Stratifizierung
nach Risikoklassen gemäß NNIS¹ |
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Risikofaktor |
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Risikopunkt |
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ASA |
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ASA >= 3 |
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1 |
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OP- Dauer |
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OP-Dauer > 75%-Perzentile |
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1 |
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der OP-Dauer-Verteilung |
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in der Grundgesamtheit |
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hier: > 260 min |
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Wundkontaminations- |
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klassifikation |
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Kontaminierter oder septischer Eingriff |
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1 |
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Risikoklassen |
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0 |
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Patienten mit 0 Risikopunkten |
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1 |
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Patienten mit 1 Risikopunkt |
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2 |
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Patienten mit 2 Risikopunkten |
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3 |
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Patienten mit 3 Risikopunkten |
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Grundgesamtheit: |
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Alle Patienten, die in ihrer ersten Operation
koronarchirurgisch und an der Aortenklappe operiert wurden |
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Gesamt
2006 |
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Risikoklassen |
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