<div id="summaryView" role="tabpanel" aria-labelledby="tabSummaryView">
Name
Cardiac Revascularization Rate
Short/Other Names

Not applicable

Description

This indicator measures the age-standardized rate of coronary artery bypass graft (CABG) surgery performed on inpatients in acute care hospitals or percutaneous coronary interventions (PCIs) performed on patients in acute care hospitals, same-day surgery facilities or catheterization laboratories, per 100,000 population age 18 and older.

For further details, please see the General Methodology Notes.

Interpretation
Does not apply to this measure (i.e., there is no predefined preference for the measure score)
HSP Framework Dimension

Health System Inputs and Characteristics: Health system resources

Areas of Need

Not applicable

Geographic Coverage

All provinces/territories except Quebec

Reporting Level/Disaggregation

National, Province/Territory, Region

Indicator Results

http://www.cihi.ca/hirpt/?language=en

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<div id="fullView" role="tabpanel" aria-labelledby="tabFullView">

<div role="button" class="expandableTitle" aria-controls="identifyingInfoRegion">Identifying Information</div>
Name
Cardiac Revascularization Rate
Short/Other Names

Not applicable


<div role="button" class="expandableTitle" aria-controls="descAndCalRegion">Indicator Description and Calculation</div>
Description

This indicator measures the age-standardized rate of coronary artery bypass graft (CABG) surgery performed on inpatients in acute care hospitals or percutaneous coronary interventions (PCIs) performed on patients in acute care hospitals, same-day surgery facilities or catheterization laboratories, per 100,000 population age 18 and older.

For further details, please see the General Methodology Notes.

Calculation: Description

(Total number of discharges for CABG or PCI for patients age 18 and older ÷ total mid-year population age 18 and older) × 100,000 (age adjusted)

Unit of Analysis: Single admission

Calculation: Geographic Assignment

Place of residence

Calculation: Type of Measurement

Rate - Per 100,000

Calculation: Adjustment Applied

Age-adjusted

Calculation: Method of Adjustment

Direct Standardization
Standard Population:
Canada 2011

Denominator

Description:
Total mid-year population age 18 and older

Numerator

Description:
Total number of discharges for CABG or PCI for patients age 18 and older

Inclusions:
1. Cardiac revascularization is identified as the following procedure code recorded in any position of the procedure code fields:

CCP: 48.1^, 48.02 or 48.03

CCI: IJ.76^, 1.IJ.50^ or 1.IJ.57.GQ^^. 1.IJ.54.GQ-AZ (this code is used for 2006–2007 to 2008–2009 only)

2. Age at admission 18 years and older

3. Sex recorded as male or female

4. Admission to an acute care institution or same-day surgery facility (Facility Type Code = 1 or A)

Exclusions:
1. Newborn, stillbirth or cadaveric donor records (Admission Category = N, R or S)

2. PCI/CABG can be performed in designated cardiac centres only; therefore, procedures reported by facilities without on-site PCI/CABG services were excluded from the indicator calculation.

3. Procedures coded as out of hospital and abandoned after onset (Intervention Status Attribute = A or OOH Indicator Flag = Y)


<div role="button" class="expandableTitle" aria-controls="backgroundRegion">Background, Interpretation and Benchmarks</div>
Rationale

The choice of revascularization mode (PCI or CABG) depends on numerous factors, including physician preferences, availability of services and referral patterns, as well as differences in population health and socio-economic status. The combined cardiac revascularization rate represents total cardiac revascularization activity in a jurisdiction.

Interpretation

Does not apply to this measure (i.e., there is no predefined preference for the measure score)

HSP Framework Dimension

Health System Inputs and Characteristics: Health system resources

Areas of Need

Not applicable

Targets/Benchmarks

Benchmarks have not been identified for this indicator.

References

Cardiac Care Network of Ontario Consensus Panel on Target Setting. Final Report and Recommendations. Toronto, Ont.: CCN, 2004. Accessed from <http://www.ccn.on.ca/ccn_public/UploadFiles/files/Cons_Panel_Target_Setting_FRR.pdf>.

Faris, P. D. et al. "Diagnostic Cardiac Catheterization and Revascularization Rates for Coronary Heart Disease." Canadian Journal of Cardiology 20 (2004): pp. 391-397.

Institute for Clinical Evaluative Sciences. Cardiovascular Health and Services in Ontario. Toronto, Ont.: ICES, 1999.


<div role="button" class="expandableTitle" aria-controls="availabilityRegion">Availability of Data Sources and Results</div>
Data Sources

DAD, NACRS

Available Data Years

Type of Year:
Fiscal
First Available Year:
2006
Last Available Year:
2015

Geographic Coverage

All provinces/territories except Quebec

Reporting Level/Disaggregation

National, Province/Territory, Region


<div role="button" class="expandableTitle" aria-controls="resultRegion">Result Updates</div>
Update Frequency

Every year

Indicator Results

Web Tool:
Health Indicators E-Publication
URL: http://www.cihi.ca/hirpt/?language=en

Updates

Not applicable


<div role="button" class="expandableTitle" aria-controls="qualityRegion">Quality Statement</div>
Caveats and Limitations

Some of the residents in New Brunswick's Zone 4 and Zone 5 receive CABG procedures in Quebec (there is a referral agreement between Quebec and New Brunswick). Due to differences in data collection in MED-ECHO data, with or without Quebec data, we can not assign these patients to the regions; thus the CABG rates for these 2 regions will be suppressed until they stop referring their patients to Quebec.

Trending Issues

This data was not produced for fiscal year 2012–2013.

Comments

Cardiac revascularization procedures can be performed in designated cardiac centres only; therefore, procedures reported by facilities without on-site cardiac services were excluded from the indicator calculation.

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