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BQS-Bundesauswertung
2006 |
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Koronarchirurgie,
isoliert |
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Qualitätsindikatoren |
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Qualitätsindikator
2: 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
isoliert koronarchirurgisch operiert wurden |
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(siehe Zeilenbeschriftung) |
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Kennzahl-ID: |
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2006/HCH-KCH/28245 |
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Referenzbereich: |
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Ein Referenzbereich ist für diesen
Qualitätsindikator derzeit nicht definiert. |
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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 isoliert koronarchirurgisch |
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operiert wurden |
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699 / 47.191 |
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1,48% |
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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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602 / 41.582 |
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1,45% |
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Vertrauensbereich |
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1,34% - 1,57% |
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Referenzbereich |
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nicht definiert |
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und |
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beidseitiger Verwendung der IMA |
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64 / 5.279 |
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1,21% |
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Body-Mass-Index BMI¹ > 31 |
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207 / 8.903 |
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2,33% |
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insulinpflichtigem Diabetes |
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142 / 5.601 |
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2,54% |
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konsumierendem Tumorleiden |
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20 / 694 |
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2,88% |
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mit Voroperation an Herz/Aorta |
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29 / 1.846 |
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1,57% |
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Kreatininwert >= 1,8 mg/dl bzw. |
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159 µmol/l vor OP |
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65 / 1.872 |
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3,47% |
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postoperativer Reanimation |
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71 / 812 |
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8,74% |
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COPD mit Langzeit- |
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Bronchodilatatoren-Therapie |
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82 / 2.636 |
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3,11% |
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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 isoliert koronarchirurgisch |
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operiert wurden |
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682 / 49.868 |
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1,37% |
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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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569 / 44.453 |
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1,28% |
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Vertrauensbereich |
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1,18% - 1,39% |
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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: > 225 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
isoliert koronarchirurgisch operiert wurden |
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