ICU Diagnosis APACHE Category Rate: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
No edit summary
 
(13 intermediate revisions by the same user not shown)
Line 4: Line 4:
| created_raw = Created
| created_raw = Created
| program = Critical Care
| program = Critical Care
| indicator_start_date =  
| indicator_start_date = 2016-Oct-1
| indicator_end_date =  
| indicator_end_date =  
}}
}}
== Background ==
== Background ==
The APACHE II model to predict death rate for groups of acutely ill patients is composed of the [[APACHE Score]] and 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 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]].
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:  
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:  
Line 21: Line 21:
# Metabolic,Renal & GI Disorders, Hypovolemic Shock
# Metabolic,Renal & GI Disorders, Hypovolemic Shock
# Sepsis and Septic 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===
===QI domain===
*Understanding of patient population
*Understanding of patient population
Line 35: Line 35:


==Definition and Derivation==
==Definition and Derivation==
Each patient is determined as nonoperative or post-operative patient. Then based on the patient's admit diagnoses and admit procedures is assigned to one or more diagnostic categories. The diagnostic category with the highest weight is the final diagnostic category assigned to the patient.  
*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===
===Numerator===
Total number of patients at each 8 Big Diagnostic Categories
Total number of patients in each of the 8 Broad Diagnostic Categories
===Denominator===
===Denominator===
Total number of discharges
Total number of discharges
Line 45: Line 47:
*[[Admit Diagnoses]]
*[[Admit Diagnoses]]
* Admit Procedures [[CCI1 code]], [[CCI2 code]], [[CCI Picklist]]
* Admit Procedures [[CCI1 code]], [[CCI2 code]], [[CCI Picklist]]
* [Previous Location]] is from Operating or Recovery Room for Post-Op patients
* [[Previous Location]]
 
==SAS Program==
==SAS Program==
The SAS program to determine the Diagnostic Category is S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\ICD10_ApachePredHospMort_byPriority.sas
*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==
==Related articles==


[[Category:APACHE II]]
[[Category:APACHE II]]

Latest revision as of 17:07, 2022 January 14

Rate of APACHE Categories of APACHE Acute Dxs in ICD10 codes

Indicators
Indicator: ICU Diagnosis APACHE Category Rate
Created/Raw: Created
Program: Critical Care
Start Date: 2016-Oct-1
End Date:
Reports: Critical Care Program Quality Indicator Report


  • Cargo


  • SMW:
  • Categories
  • Default form:

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:

  1. Respiratory Disorders
  2. Cardiac Disorders
  3. Post Cardiac Arrest
  4. Neurologic Disorders
  5. Trauma and Poisoning
  6. Post-Operative Care
  7. Metabolic,Renal & GI Disorders, Hypovolemic Shock
  8. 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

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