Identifying and definitional attributes | |
Metadata item type: | Indicator |
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Indicator type: | Indicator |
Short name: | 3.3-Diagnostic angiography or a definitive revascularisation procedure for hospitalised acute coronary syndrome (ACS) |
METEOR identifier: | 657007 |
Registration status: | Health!, Standard 17/08/2017 |
Description: | Proportion of hospitalised acute coronary syndrome (ACS) events among people aged 18 and over that included diagnostic angiography and/or a definitive revascularisation procedure—that is percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG—open heart surgery with grafting of vessels)—by Aboriginal and Torres Strait Islander status. |
Rationale: | This measure falls within Priority area 3 of the Better Cardiac Care project—guideline-based therapy for acute coronary syndrome. This priority area is based on the premise that all Aboriginal and Torres Strait Islander people with ACS should receive guideline-based therapy. ACS is a broad spectrum of acute clinical presentations, ranging from unstable angina to acute myocardial infarction (AMI). Barriers to accessing timely ACS treatment can be explained, in part, by geographical disparity in services. Mapping of cardiac services suggests that 60% of Indigenous Australians cannot access a PCI-capable hospital within an hour’s drive of their home (Clark et al. 2012). But differences in cardiac procedure rates can also be affected by other factors (for example, comorbid conditions) (Cunningham 2002; Randall et al. 2013). measure reported for this indicator (as described in this specification) is different from the agreed measure (see AIHW 2016 for details). Specifically, the agreed measure for this indicator is:
Full reporting against this indicator is not possible using available data. Data are not available on whether the procedures were received within 30 days of the index admission. The reported measure excludes people aged under 18 due to small numbers. |
Indicator set: |