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BQS-Bundesauswertung
2006 |
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Hüft-Endoprothesen-Erstimplantation |
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Qualitätsindikatoren |
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Qualitätsindikator
1: Indikation |
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Qualitätsziel: |
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Oft eine angemessene Indikation anhand
klinischer (Schmerzen und Bewegungseinschränkung) |
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und röntgenologischer Kriterien |
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Grundgesamtheit: |
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Alle Patienten |
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Kennzahl-ID: |
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2006/17n2-HÜFT-TEP/68817 |
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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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Röntgenologische Kriterien |
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Patienten mit modifiziertem |
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Arthrose-Score der Hüfte |
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nach Kellgren&Lawrence¹ |
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Gruppe 1 |
0 Punkte |
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822 / 146.634 |
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0,56% |
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Gruppe 2 |
1 - 2 Punkte |
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3.625 / 146.634 |
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2,47% |
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Gruppe 3 |
3 - 4 Punkte |
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30.469 / 146.634 |
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20,78% |
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Gruppe 4 |
5 - 9 Punkte |
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100.000 / 146.634 |
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68,20% |
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Gruppe 5 |
10 Punkte |
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11.718 / 146.634 |
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7,99% |
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Gruppe 6 |
5 - 10 Punkte |
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111.718 / 146.634 |
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76,19% |
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Schmerzen |
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Patienten mit Belastungsschmerz |
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144.974 / 146.634 |
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98,87% |
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Patienten mit Ruheschmerz |
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127.368 / 146.634 |
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86,86% |
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¹ Punktwerte nach dem
modifizierten Kellgren&Lawrence-Score Hüfte |
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Osteophyten |
0 |
= keine oder fraglich |
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Gelenkspalt |
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0 |
= nicht oder fraglich verschmälert |
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1 |
= eindeutig |
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1 |
= eindeutig verschmälert |
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2 |
= große |
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2 |
= fortgeschritten verschmälert |
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3 |
= aufgehoben |
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Sklerose |
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0 |
= keine Sklerose |
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Deformierung |
0 |
= keine Deformierung |
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1 |
= leichte Sklerose |
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1 |
= leichte Deformierung |
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2 |
= leichte Sklerose mit Zystenbildung |
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2 |
= deutliche Deformierung |
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3 |
= Sklerose mit Zysten |
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Gesamt 2006 |
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Anzahl |
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% |
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Bewegungseinschränkung |
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Extension/Flexion: |
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schlechter als 0/0/90¹ |
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60.827 / 146.634 |
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41,48% |
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Ab-/Adduktion: schlechter als 20/0/10² |
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65.889 / 146.634 |
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44,93% |
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Außen-/Innenrotation: schlechter |
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als 20 Grad Gesamtumfang³ |
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55.463 / 146.634 |
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37,82% |
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Patienten mit mindestens einem |
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Schmerzkriterium und |
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mindestens einem |
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Bewegungseinschränkungskriterium |
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91.713 / 146.634 |
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62,55% |
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Patienten mit mindestens einem |
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Schmerzkriterium oder mindestens |
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einem Bewegungseinschränkungs- |
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kriterium und mindestens 5 |
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Punkten im modifizierten |
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Kellgren- und Lawrence-Score |
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111.580 / 146.634 |
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76,09% |
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Vertrauensbereich |
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75,88% - 76,31% |
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Referenzbereich |
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>= 90% |
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Vorjahresdaten* |
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Gesamt 2005 |
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Anzahl |
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% |
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Patienten mit mindestens einem |
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Schmerzkriterium oder mindestens |
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einem Bewegungseinschränkungs- |
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kriterium und mindestens 5 |
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Punkten im modifizierten |
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Kellgren- und Lawrence-Score |
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104.277 / 144.065 |
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72,38% |
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Vertrauensbereich |
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72,15% - 72,61% |
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¹ |
Einschränkung der Extension: Beugekontraktur
> 0 Grad oder Einschränkung der Flexion: maximal 90 Grad |
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² |
Einschränkung der Abduktion (maximal 20 Grad
möglich) oder der Adduktion (maximal 10 Grad möglich) |
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³ |
Patienten mit plausiblen Angaben zur
präoperativen Beweglichkeit |
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* |
Die Vorjahresergebnisse wurden mit der
abweichenden Rechenregel 2005 berechnet und sind eingeschränkt mit den
Ergebnissen 2006 vergleichbar. |
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Verteilung der Krankenhausergebnisse
[Diagramm 1, Kennzahl-ID 2006/17n2-HÜFT-TEP/68817]: |
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Anteil von Patienten mit mindestens einem
Schmerzkriterium oder mindestens einem |
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Bewegungseinschränkungskriterium und
mindestens 5 Punkten im modifizierten Kellgren- und Lawrence-Score |
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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:
0,0% - 100,0% |
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Median der Krankenhausergebnisse: 78,1% |
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Krankenhäuser |
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% |
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972 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: 63,1% |
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