Edit Reporting Indicators: ICU Diagnosis APACHE Category Rate

Free text: == Background == The APACHE II model to predict death rate for groups of acutely ill patients is composed of the [[APACHE Score]], sets of principal diagnostic categories leading to ICU admission and type of patient as nonoperative or post-operative. Each diagnostic category has corresponding weight in the model. The list of the diagnostic categories is shown in [[APACHE Acute Dxs in ICD10 codes]] and its associated weights are shown in the [[S ICD10 APACHE Dx patterns table]]. There are 30 non-operative diagnosis categories and 24 post-operative diagnosis categories included in the APACHE Death predictive model. These diagnosis categories are further grouped into '''eight''' broad categories by Dr. Kendiss Olafson for QI reporting purposes as follows: # Respiratory Disorders # Cardiac Disorders # Post Cardiac Arrest # Neurologic Disorders # Trauma and Poisoning # Post-Operative Care # Metabolic,Renal & GI Disorders, Hypovolemic Shock # Sepsis and Septic Shock The eight Broader Diagnostic Categories or '''DxGrp_label''' are also included in the [[S ICD10 APACHE Dx patterns table]]. ===QI domain=== *Understanding of patient population ==Sampling Plan / Procedure== ===Inclusion Criteria=== 100% Admissions - see [[Definition of a Critical Care Laptop Admission]] ===Exclusion Criteria=== ===Frequency=== Time Reference for month, quarter or year can be based on ICU admission dates or ICU discharge dates. The Critical Report uses the ICU [[Dispo DtTm]] ==Definition and Derivation== *Post Operative patient - when the patient's [[Previous Location]] prior to ICU is Operating or Recovery Room. *The patient based on the [[Admit Diagnoses]] and/or admit procedures maybe assigned to one or more diagnostic categories. **The diagnostic category with the highest weight is the final diagnostic category assigned to the patient. ===Numerator=== Total number of patients in each of the 8 Broad Diagnostic Categories ===Denominator=== Total number of discharges ==Data Sources== *[[Admit Diagnoses]] * Admit Procedures [[CCI1 code]], [[CCI2 code]], [[CCI Picklist]] * [[Previous Location]] ==SAS Program== *The SAS program for the Diagnostic Category:S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\ICD10_ApachePredHospMort_byPriority.sas *The SAS program for the graphical report: S:\MED\MED_CCMED\Julie\SAS_CFE\CC_reports\ChartReport\3-prepCCChart_ApacheDxGrp_94_startJan2020.sas ==Related articles== [[Category:APACHE II]]